WILLINGNESS FORM FOR 14th CONVOCATION 2015 Please tick () the relevant box:

To

The Controller of Examinations University of Engineering and Technology, Taxila

I, _____________________________________, Regd. No. _________________________,

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

Present Address: ____________________________________________________________

_______________________________________ E-mail Address: ____________________

Ph/Cell No. _________________ will attend the 14th Convocation – 2015 in order to receive

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

PART – II Particulars of Guest

Name___________________________________________________________________

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

Address: __________________________________________________________________

__________________________________________________________________________

Note: - Only One guest for each graduate will be allowed to attend the Convocation-2015 on payment of Rs. 1000/- as guest registration fee. The amount can be paid through HBL Bank Draft only otherwise additional amount Rs. 350/- as Bank Commission for Bank Drafts of other Banks are required. Bank Challans are available at HBL, UET Taxila Branch.

Signature ____________________

Dated: _____________

__________________________________________________________________________ UNDERTAKING

I _________________________________ s/o, d/o __________________________________

Student of UET, Taxila in ________________________ discipline Regd. No. __________________

do hereby declare and undertake that I have completed my degree before 30-09-2015 from the

University in the Session _________ under the above Registration Number.

I undertake that on the day of Convocation being held in November-2015, I shall fully abide by the Discipline, Rules and Regulations of the University, and shall not misbehave in any manner whatsoever during the said Convocation.

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

Signature___________________________

Note: Please attach photocopy of CNIC and two recent small 1”x1” size photographs alongwith.

BSc

CE

EE

ME

CP

SE

TE

EnC

EnV

IE

MCT (Chakwal)

ECT (Chakwal)

MSc / PhD

CE

EE

ME

CP

SE

TE

IE

EM

CS