CENTRAL UNIVERSITY OF PUNJAB
Application Form for Admission of International Students

(Session 2016-17)


Note: The information marked * is mandatory

* Candidate`s Name
* E-Mail
* Mobile No.
* Father`s Name
    E-Mail     Mobile No.
* Mother`s Name
    E-Mail     Mobile No.
* Date of Birth
Passport No.
Valid Upto
* Nationality
* Gender
* Person with Disability
* Communication Address
* House No    * Street:    *Village/Town: *State * Country
* Programme Applied for admission in CUPB, according to preference
Preference I
Preference II


Educational qalifications
Examination
Course Name
Board/ University
Year of passing
% Marks
Marks Obtained
Maximum Marks
Roll No.
Subjects
O Level
Graduation
Post Graduation
Other Degree / Diploma


Source of Sustainance
Address for communication including full name
Permanent address
Tel. No. with STD code
Fax number


Any Other Information
Upload Your Sign

Note: There is no counselling fee.