SHAHEED ZULFIOAR ALI BHUTTO

SZABIST INSTITUTE OF SCIENCE AND TECHNOLOGY

Sachal Colony, Larkana, Sindh, Pakistan
BSCS Application for BSCS-21-0028
Miss. Ghulam Fiza
Cell: 03138534273 Email: ghulamfiza222 @gmail.com Phone: 03138534273

Basic Information

Date of Birth: 2002-04-24 Gender: Female

Nationality: Pakistan NIC: 00000-0000000-4

POC #:

Religion: Islam Blood Group: O+

Any Medical Condition: No

Any Disability:

Marital Status

Spouse Name:
Occupation: Passport Details
Dual Nationality Passport #:
Nationality: None Issue Date:

Passport #: Issue Place:

Issue Date:

Issue Place:
Emergency Contact
Father / Guardian Information
Name: Own
Mr. Tahir Hussain Surhio Relation: Other
Father CNIC: 00000-0000000-1
Phone: 03138534273
Occupation:
Organization: Mobile: 03138534273

Office Phone:
Mobile Phone 031385342 73 Permanent Address

Father's Monthly Income: 50k- 150K

Near TCS Office Larkana
Current Address
Larkana
Near TCS Office arkana PK

PK
Post Code:
Phone: 03138534273
Larkana
Post Code:

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 Education Information

Matric

Degree Title: SSC Institution: Govt Girls Mughal High School Larkana
Major Subject: Science
Start Date: 04/2015 End Date: 05/2017
Division/Grade/GPA: A Percentage: 75

Intermediate
Degree Title: HSC Institution: Govt Girls Degree College Larkana
Major Subject: Pre Medical
Start Date: 06/2017 End Date: 08/2019
Division/Grade/GPA: A Percentage: 77

O Level Education Information

Degree Title: Institution:

Start Date: End Date:
English Grade
Urdu Grade
Islamiat Grade
Math Grade
Pakistan Grade
Studies

Optional 1 Grade
Optional 2 Grade
Optional 3 Grade
Optional 4 Grade
Optional 5 Grade
Board Attested

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 A Level Educatlon Information

Degree Title: Institution:

Start Date: End Date:

CompulsoryCourse1 Grade
CompulsoyCourse2 Grade

CompulsoryCourse3 Grade

CompulsoryCourse4 Grade

CompulsoryCourse5 Grade
Optiona1 Grade
Optional 2 Grade
Optional 3 Grade

Optional 4 Grade
Optional 5 Grade
Board Attested

Professional Experience

Employer:
From: To:

Job Title: Contact

Details:
Address: Phone #:
Phone #: Email:
Fax #:

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E-mail: [email protected]
 Other Information
Specialization: Management
Own a PC at Home: Yes
Transfer Student: No
SZABIST Reg #:
2nd Campus Choice:

Personal Statement (statement of Purpos9)

Intereste

Honours I Awards / Distinctions

NA

Publications
NA

Presentations
NA

Computer Background
Yes
Test Information

GRE: NA GMAT: NA SAT I: NA SAT II: NA

Date: Date: Date: Date:

References Info

Name:
Designation:
Organization:
Phone:
Email:

Sibling Info

Name: Program:

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 Document Submission Checklist
Document Received Is Mandatory
CNIC Nes Yes
Photographs Yes No
Matrid/O levelCertificate Yes Na
Matrio/.oLevel Marksheet Yes No
Intermediate/AlLevel Certificate Yes Yes
Intermediate/ ALevel Marksheet Yes Yes
Passport Copy.(fforelgn naliona) Yes No
CNICBForm Copy Yes No
Statement of EntrylIAdmit Card (for awal Yes No

Admission Officer Comments

Ok

Test Details

Test Schedule on Mar, 15 2021 7:00 PM at Lab 01 at First Floor Larkana Campus

Interview Details

Interview Not Scheduled

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 Undertaking

I, Ghulam Fiza son/daughter of Tahir Hussain solemnly affirm and undertake that I willbe provisionally
admitted in SZABIST University in BSCS Progranm name will appear automatically program under the
category of "Result Awaited" students. Iam fully aware that my admission is conditional subject to passing
my pre-requisite qualification with the required grades/percentage / CGPA as per SZABIST policy. In case, I
failto clear my examination (in which Ihave already appeared) or fail to meet the required eligibility
criteria for admission in the given program by the end of first semester, I shall withdraw my admission
otherwise SZABIST reserves the right to cancel my admission. Ishall also not ask for a fee refund in case of
cancellation of my provisional admission. In such case, Ishall only be entitled to receive my provisional
transcript of the courses, which Iwould have done in my first semester.

Ghulam Fiza Friday, February 13, 2021

Signature of Applicant Date

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