Collecting Branch Copy
DUHS A/C Office Copy
Application Form Copy
Applicant’s Copy
DOW UNIVERSITY OF
HEALTH SCIENCES
DOW UNIVERSITY OF
HEALTH SCIENCES
DOW UNIVERSITY OF
HEALTH SCIENCES
DOW UNIVERSITY OF
HEALTH SCIENCES
________________________________
(Name of Degree/Diploma/Certificate)
________________________________
(Name of Degree/Diploma/Certificate)
________________________________
(Name of Degree/Diploma/Certificate)
________________________________
(Name of Degree/Diploma/Certificate)
UBL Account No. 101-3400-6
Baba-e-Urdu Road Branch, Karachi-0401
UBL Account No. 101-3400-6
Baba-e-Urdu Road Branch, Karachi-0401
UBL Account No. 101-3400-6
Baba-e-Urdu Road Branch, Karachi-0401
UBL Account No. 101-3400-6
Baba-e-Urdu Road Branch, Karachi-0401
Due Date: Sep 23, 2016
Due Date: Sep 23, 2016
Name: ________________________________ Name: ________________________________
Father’s Name: _________________________ Father’s Name: _________________________
Passing year of the Batch: ________________ Passing year of the Batch: ________________
CNIC No: _____________________________ CNIC No: _____________________________
Extra guest charges
Rs. 1200/- Extra guest charges
TOTAL Rs. 1200/-
(Use separate form for each extra guest)
Rs. 1200/TOTAL Rs. 1200/-
(Use separate form for each extra guest)
Due Date: Sep 23, 2016
Due Date: Sep 23, 2016
Name: ________________________________ Name:________________________________
Father’s Name: _________________________ Father’s Name: ________________________
Passing year of the Batch: ________________ Passing year of the Batch: ________________
CNIC No: _____________________________ CNIC No: ____________________________
Extra guest charges
Rs. 1200/TOTAL Rs. 1200/-
(Use separate form for each extra guest)
Extra guest charges
Rs. 1200/TOTAL Rs. 1200/-
(Use separate form for each extra guest)
________________________________
Receiving Branch Stamp & Signature
________________________________
Receiving Branch Stamp & Signature
________________________________
Receiving Branch Stamp & Signature
________________________________
Receiving Branch Stamp & Signature
_________________
Student’s Signature
_________________
Student’s Signature
_________________
Student’s Signature
Note: You need to produce this Receipt
whenever required during proceedings.
_________________
Student’s Signature