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WILLINGNESS FORM FOR 12th

CONVOCATION 2013

Please tick () the relevant box:

ToThe Controller of ExaminationsUniversity of Engineering andTechnology, Taxila

I, _____________________________________, Regd. No. _________________________,

s/o, d/o _____________________ CNIC No.___________________________ (Attach Copy)

Present Address: __________________________________________________

_______________________________________ E-mail Address: ____________________

Ph/Cell No. _________________ will attend the 12th Convocation 2013 in order to receive

my degree if eligible along with following guest(s):-

PART IIParticulars of Guests

1. Name_________________________________________________________________

s/o, d/o ______________________________ CNIC No.__________________ (Attach Copy)

Address: __________________________________________________________________

__________________________________________________________________________

2. Name_________________________________________________________________

s/o, d/o ______________________________ CNIC No.__________________ (Attach Copy)

Address: __________________________________________________________________

__________________________________________________________________________

Note: - Two guests for each graduate will be allowed to attend the Convocation on payment of Rs.1000/- per guest. The amount can be paid through HBL Bank Draft (Add Rs. 350/- for BankDrafts of other Banks), Pay Orders or Bank Challans at HBL, UET Taxila.

Signature ____________________Dated: _____________

__________________________________________________________________________

UNDERTAKING

I _______________________ s/o, d/o ________________________ Student of UET, Taxila in________________________ discipline Regd. No. __________________ do hereby declare andundertake that I have completed my degree before 15-08-2013 from the University in the Session

_________ under the above Registration Number.

I undertake that on the day of Convocation being held in the months of November, I shall fully abide

by the Discipline, Rules and Regulations of the University, and shall not misbehave in any mannerwhatsoever during the said Convocation.

I hereby undertake/agree that in case of any disciplinary violation or misbehaviour or misdemeanor onmy part during the said convocation, the University administration shall be entitled to withhold mydegree and I shall have no right to call in question any such disciplinary action initiated against me.

Note: Please attach photocopy of CNIC and two recent small 1x1 size photograph

BSc

CE

EE

ME

CP

SE

TE

ECT

MCT

MSc /

PhD

CE

EE

ME

CP

SE

TE

IE

EM

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Signature___________________________

Note: Please attach photocopy of CNIC and two recent small 1x1 size photograph