Attach 1 Extra Photograph
CONVOCATION REGISTRATION FORM
DOW UNIVERSITY OF HEALTH SCIENCES
NAME OF DEGREE/DIPLOMA: ___________________
PHOTOGRAPH
NAME OF INSTITUTE: __________________________
PASSING YEAR OF THE BATCH: _________________
NAME: ______________________________________________________________________
FATHER’S NAME: ____________________________________________________________
CLASS ROLL NO: ______________
CNIC NO: _________________________________
CELL NO: _________________________ E-MAIL: __________________________________
LOCAL MAILING ADDRESS (Complete): ____________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
NO OF ACCOMPANYING PERSONS ON THE DAY OF CONVOCATION (For 2 Complimentary
Guest) For Each Extra Guest Pay Rs. 1200/- & Fill Extra Guest Bank Voucher)
1. NAME: _________________________________________________________________
RELATIONSHIP WITH THE STUDENT: ______________________________________
2. NAME: __________________________________________________________________
RELATIONSHIP WITH THE STUDENT: _______________________________________
NUMBER OF ADDITIONAL GUEST(S): ____________
NOTE:
ATTACH SUPPORTIVE DOCUMENTS:
1) ORIGINAL BANK PAYMENT SLIP OF RS. 5000/- WITH THE FORM.
STUDENT’S COPY OF BANK VOUCHER IS REQUIRED FOR ALL FORMALITIES FROM TIME TO TIME
ACCOUNT NO. 214134955, UBL – SAFOORA CHOWK BRANCH, KARACHI
2) 2 PHOTOGRAPHS
3) FINAL YEAR MARKSHEET
FOR OFFICIAL USE
R. #: __________
Receiving Date: ____________
Checked By: __________
CONVOCATION GOWN WILL BE HANDED OVER ONE WEEK BEFORE CONVOCATION SECRETARIAT
FROM DIMC ON REFUNDABLE SECURITY DEPOSIT BY THE TAILOR.
NOTE: ONLY PASSED GRADUATES IN FINAL YEAR EXIT EXAMINATION ARE ELIGIBLE TO ATTEND
CONVOCATION. ANY PARTICIPANT FOUND IN CONVOCATION, NOT PASSED IN FINAL YEAR EXAM
WILL BE SUBJECTED TO SEVERE DISCIPLINARY ACTION.