ALLAMA IQBAL OPEN UNIVERSITY

AIOU STUDENT SUPPORT FUND

*****

Registration form under scheme “Earn to Learn” Code-SSF102

Region:______________________________
PART-A
(Particulars of the Student for Part Time Earning)

1. Name: ______________________________ 2. S/o,D/o: ____________________________

3. Program: ____________________________ 4. Semester: ___________________________

5. Roll No. ____________________________ 6. Reg. No. ____________________________

7. Date of Birth: ________________________ 8. CNIC No. ___________________________

9. Marital Status: _______________________ 10. Profession: __________________________

11. Postal Address: _________________________________________________________________

13. Cell No. ____________________________ 14. Email: ______________________________

15. Online Account No. __________________

Part – B

Reasons to work under the “Earn to Learn” Scheme__________________________________________

Father/Guardian’s Profession_________________________ Monthly Income_____________________
Area of Interest to work under the scheme “Earn to Learn” (please tick in the relevant box)

Sr. No. Level of Service Qualification Please Tick

1. Helper/Maali/Naib-Qasid/Driver/Cleaner Under Matric/ Matric
2. Clerical Services FA/BA
3. Computer Operator/ KPO/Account Services BCS/BA/B.Com
Assistant Student Counselor/Assistant
4. MA/MSc./MBA
Advisor/Assistant Coordinator/Research Assistant
5. At Any Special Occasion -

a. Any experience in the relevant field as _________________Duration______________________

Name of Organization___________________________________________________________
b. Have you already worked under this scheme: Yes  No 
If worked under this scheme previously please specify the relevant semester_______________

Photocopy can be used.

 c. Special Assignments: (to be specified/justified by the chairman of the respective department)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

_______________________________________________________________________

Signature of the Chairman_______________________ Department_________________________

Approved by the Dean_________________________ F/O________________________________

d. Certificate
 It is certified that the above information are correct to the best of my knowledge nothing I
concealed to take undue benefit.
 I hereby undertake that no information obtained during the course of work will be given
outside in any case. I further undertake that if I found guilty the disciplinary action whatsoever
can be taken.
 I shall abide by all official decorum, Rules & Regulations, procedure and will obey the orders
of the seniors.
 I understand that the part time assignment is given to subsidize my educational expenditure.
 The service rendered under this scheme doesn’t confer any right for regular employment on
any post in the university.

Name of Applicant__________________________ Signature____________________________

Date_____________________________________ Recommended by HOD/RD_____________________

Photocopy can be used.