Day
Month
Year                 
further correspondence with you. 
Please add the title you normally use e.g. Mr,Ms. Etc.  
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Female
□ 
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Any other hostel
□
Own
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Other
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Telephone
Mobile
Email:
Alternate email: 
We expect that you check your sms / email at least once every working day. 
Telephone
Mobile
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Registration No.
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Application Form
Executive MBA
2014-16
Please affix
attested
Form #
photograph
(For University Use Only)
1
.
5
× 1.5 inch only
All fields in the application form are mandatory.
1
.
Personal Information
University Roll Number &
(For University Use Only)
Full Name (as it appears on your ID)
This is the name to be used for
Title
Father’s / Guardian’s / Sponsor’s Name
Date of Birth
Candidate s Date of Birth
Sex
Male
Candidate s NIC No.
Proposed Residence
University Hostel
Permanent Address
Your permanent home address. This address
will also be used as the address for
correspondence unless you have a different
mailing address
Email
Please ensure you provide functional email
address here. We will send out initial
acknowledgment email to this email address.
Mailing Address
(If different from permanent address)
2
.
Previous Education
Are you applying as a result awaiting candidate.
Are you enrolled in any another Programme.
Yes
No
Yes
No                                                                                                                     

                                                                                       
Referee 1 (Academic)
Referee 2 (Professional)          
Name:
Name:      
Job Title:
Job Title:        
Address:
Address:        
Tel:
Tel:     
Email:
Email:                      
Title                             
If you are enrolled in any other programme please provide the following details:
Name of Institution
Degree Programme
End Date
Qualification:
Please give details starting with the most recent of all educational institutions attended and degrees awarded.
Name of Institution & Location
Major Subjects
Degree
CGPA/Grade/
Dates
Awarded
Percentage
From
To
References:
Admission to EMBA requires two references, preferably one academic and one professional, although both references
from professionals would be acceptable.
Please outline your career objectives and how this degree will help you to achieve them.
Note: This response is of significant importance in your application processing.

                                                                                                                                              
Other (Please Specify)  
Name:
NIC No:
Relationship (if any):     
Provide details of an initiative taken by you that helped improve a situation.
Employment Record
Please list your employment history or other professional work including internship, starting with the most recent.
From
To
Organization
Details of your main responsibilities
Salary
How do you think you can bring diversity to the department?
Please state to which other
Universities you are applying?
We require this information for our own records.
It does not affect your application in any way..
Sources of information about GCUMSD
Please indicate using the numbers 1 and 2 the first and
Second most important sources of information which
influenced you to apply for admission to GCUMSD
Newspaper Advertisement
Website
Recommendation from students
Open House
Postgraduate prospectus
Employer
Recommendation from tutor
Information from MSD
Please give details of any special need, disability or illness that you would like us to be aware of.
Who will finance your education?
C I - h. 1. ~~

                                                                                                                                 
Declaration by the Applicant:
1
.
I pledge to fully abide by the Rules and Regulations of the G.C. University.
2
.
I affirm that I have not taken admission in any other institution; I also affirm that I will not take admission in any institution during my
stay in this University. If proved otherwise at any stage or time, my admission may be cancelled forthwith and all my dues paid to the
University forfeited..
3
.
I affirm that I was neither expelled/rusticated by any Institution at any time, nor was ever any disciplinary action taken against me, nor
did I ever take part in any unlawful activity.
4
.
I affirm that if at any stage the documents submitted by me for admission are proved forged, fake or carry a misstatement or clerical
error which may affect my merit, I shall be held responsible and that the University will be within its right to cancel my admission and
to take the necessary action against me..
Signature
Date
(of applicant)
Good luck with your admission process.
Declaration by the Father/Guardian/Sponsor:
I declare that in the event of admission of my son/daughter/ward to the G.C. University (I). I (father/guardian) will consider myself responsible
for the payment of University fee and other dues, and that (2) I, will also be responsible for making up any loss/ damage caused by the applicant
to the University property during the course of his/her stay in the University, (3) If, during the course of his/her studies, the applicant takes part
in political activities or becomes a member of political or student s organization, I will be personally responsible for it and affirm that the Vice
Chancellor will be within his rights to strike the applicant s name off the University Rolls; (4), I affirm that the Vice Chancellor can debar a
student from appearing in the University Examination for lecture shortage, (5) that the Vice Chancellor is authorized to strike a student s name
off the University Rolls as a punishment for the infringement of University Rules and Discipline (6) that if the documents submitted by my
son/daughter/ward for admission are proved incorrect at any stage found to be fake or contain a misstatement or error which may affect his/her
merit, I will be held responsible and the University will have the authority to cancel his admission and to take disciplinary action against
him/her.
Signature of the individual who will pay for candidate, s education.
Payment Method:
Please enclose payment of Rs. 2000/- (Rs. 800/- to process your application and Rs. 1200/- for GCUMAT registration). Payment must be
made through bank pay order/draft in favor of the “Treasurer, G.C.University Lahore”.
Application Checklist:
Have you attached the following documents with your application:
1
.
One photocopy of National Identity Card.
2
.
One attested photocopy of Matric/School Certificate.
3
.
One attested photocopy of Intermediate Certificate.
4
.
One attested photocopy of Bachelor s degree.
5
.
One attested photocopy of Master s degree (if applicable).
6
.
One photocopy of Father/Guardian/Sponsor s National I.D Card.
7
.
Three attested passport size photographs.
8
.
GMAT score (If available).
9
.
Bank draft/Pay order of Rs. 2000/-
1
0
.
Reference letters 1 & 2.
(Office Use Only)
Please bring the original certificates with you at the time of the interview.
.
NOTE: Please send the application forms via courier. Our staff is busy and cannot entertain
walk-in-applicants.
For further information on our Programmes visit the Management Studies Department website:
www.gcumsd.edu.pk
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