The Islamia University of Bahawalpur Pakistan VEHICLE STICKER REQUEST FORM FOR STUDENTS

Instructions: i. Please provide the information requested below. ii. One Attested copy of the following documents should be attached with this form. a. CNIC. b. Photo copy of Registration Book of the Vehicle. iii. Submit the completed form to the Security Officer through proper channel. iv. Incomplete Application form will not be entertained.

Student’s Particulars: 1. Name: 2. Father’s Name: 3. Department:

Program:

4. Session:

Roll No:

5. Shift:

Morning.

Afternoon.

6. Student status:

Day scholar.

Boarder.

Evening.

7. Hostel’s Name (only for Boarders):

Room No:

8. Telephone No: Mobile.

Residence

9. Postal Address:

Vehicle’s Particular (According to the Registration Book): 1. Vehicle’s Make & Type: 2. Owner’s Name: 3. Registration No:

Colour:

Model:

4. CNIC No: 5. Postal Address:

Undertaking: I shall return the sticker if I leave the University or sell my vehicle. Signature of the Applicant:

Date:

Chairman / Head of Department: It is certified that the statements made herein by the applicant are correct. a. Forwarded for the issuance of the Vehicle Sticker Signature: Name:

b. With held Date

Security Officer: Approved

Not Approved

Remarks: Name:

Signature:

Date

For Official Use only (Office of the Security officer, Incharge) Name of applicant: Department: allowed sticker No.

for the period of

from

to

Security Officer, Incharge

The Islamia University of Bahawalpur Pakistan

Room No: Telephone No: Mobile. Residence. Postal Address: 1. 2. 3. 4. 5. 6. 7. 8. ... Date: Chairman / Head of Department: It is certified that the statements made ...

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