Roll No._________________________
(To be filled by HEC)
.
HIGHER EDUCATION COMMISSION
H-9, Islamabad, Pakistan
HIG HER
EDUC ATIO N
CO MM
ISSION
Affix attested
recent
photograph
APPLICATION FORM
Master leading to PhD Scholarships for teachers of
Weaker Universities
Phone: (051) 9040651 Fax: (051) 9258746 E-mail: [email protected]
Rs. 500/-Bank draft No. ______________Date________ Bank: __________________
1. Field of Proposed Study: (Only Check  one Field of Study clearly, Broad Discipline)
Note: HEC reserve the right for final decision on allotment of discipline based on your qualification)
Life Sciences
Physical Sciences
Engineering and Technology
Business Education
Social Sciences
Arts/Humanities
2. Country Applying for ( in order of preference):
Note: HEC reserve the right for final decision)
Germany
Austria
France
3. Category (according to employment status): (Please tick only one)
Regular Public Sector University
Teacher of Weaker University
4. TEST CENTER (Tick  the city name where you want to appear for the test)
□
□
□
□
Islamabad
Peshawar
□
Lahore
Karachi
Quetta
5. NAME (USE CAPITAL LETTERS)
i. Title ____________ ii. Full Name:
_______________________________________________
(as given in the Matric/SS Certificate)
(MR. / MS.)
6. FATHER’S NAME:
________________________________________________________________
7. N.I.C: ____________________________ 9.
GENDER:
8. DATE OF BIRTH: _____ _____ _____ 10. AGE:
Day
Month
□ Male □
Female
67890 Years
Year
11. PRESENT POSTAL ADDRES: _______________________________________________
________________________________________________________ CITY: ______________
12. PERMANENT ADDRESS:
___________________________________________________________________________
________________________________________________________ CITY: _______________
13. TELEPHONE NO. (OFF) ____________ (RES.): ______________ (Cell): ______________
(City Code-Phone No.)
14. E-MAIL: __________________________________________________________________
(Mandatory, most of the future correspondence will be done using e-mail address)
15. ACADEMIC RECORD
(Candidates from annual system must fill % marks & division whereas candidates from semester system should fill in CGPA only)
Certificate/Diploma/Degree
Year of
% marks
Passing
obtained
Division
CGPA
Institution
Board/ University
SSC/Matric/’O’ Level
(10 years)
HSSC/Intermediate/’A’ Level
(12 years)
Bachelors (BA, BSc, B.Sc(Hons),
etc) (14 & 15 years)
Bachelors (B.E, LLB, MBBS
B.Sc(Hons), etc) (16 years)
Masters (e.g. MA, MSc , etc)
(16 years)
M.Phil/MS/ME etc (If Completed)
(18 years)
16.
Proposed field of studies: _______________________________________________________
17.
Specific area of research (if any): _________________________________________________
18.
Employment Status:
Employer’s Name
Address of the Organization
Pay Scale
Designation
Period of Service
From
To
Current Employer
Last Employer
(only last one)
19. Total Period of service (in years):______________________________________________
20. Date of appointment: ________________________________________________________
21. UNDERTAKING BY THE APPLICANT:
It is solemnly affirmed that I have read and understood the conditions of the award of this
program/scheme advertised in press and that the decision of National Scholarship Management
Committee (NSMC) would be final and binding. In the event any information contained herein is found to
be untrue, I shall be liable to disciplinary action, which may result in my termination of service and
recovery of full amount spent on me in connection with this award. I also undertake that after
completion of my studies abroad, I will come back to Pakistan and serve for 5 years in parent
department/government/semi-government institution.
Date: __________________
Signature of the candidate:__________________________
(To be filled by the organization)
22.
All candidates applying through proper channel may submit advance copy and this
should be certified by Head of Organization.
ATTESTATION BY THE VICE CHANCELLOR / RECTOR
i)
Certified that the statement made above has been verified and found correct. Attested copies of
certificates, degrees along with copy of C.V. of the candidate duly verified are enclosed.
ii)
Certified that Mr./Ms. _______________________________________ is employed on full
time/permanent basis at our university since ___________________________ and he/she is not employed
on ad-hoc/contract basis.
iii)
It is further certified that the incumbent if awarded the Scholarship by HEC will be allowed study
leave for the period of the award.
Date: _____________
Signature
_________________________
(VC / Rector)
Advance Copy
Forwarded Copy
Designation: _________________________
Office Stamp: _________________________
[Please tick one]
Application Checklist
a.
Did you clearly mark the Field of proposed study?
YES
NO
b.
Have you completed all sections of the application form?
YES
NO
c.
Are you holding any HEC scholarship from any other source?
YES
NO
d.
Is your age in-accordance with the terms of this program?
YES
NO
e.
Do you have any 3rd Div. in your academic qualification/career?
YES
NO
f.
Have you mentioned your email address properly?
YES
NO
g.
Have you singed the undertaking?
YES
NO
h.
Have your form been attested by your head of department? (for teachers/R&D and Govt. servants only)
YES
NO
i.
Would you be able to get study leave sanctioned for the whole study period if required?
YES
NO
OFFICE COPY
Roll No. _____________________
(To be filled in by HEC)
.
HIGHER EDUCATION COMMISSION
H-9, Islamabad, Pakistan
HIG HER
EDUC ATIO N
CO MM
ISSION
ROLL NUMBER SLIP
Affix attested
recent
photograph
Master leading to PhD Scholarships for teachers of
Weaker Universities
Phone: (051) 9040651 Fax: (051)9258746 E-mail: [email protected]
(TO BE FILLED IN BY THE APPLICANT EXCEPT WHERE ADVISED OTHERWISE)
1. Name (in full) _____________________________________________________________________
2. Father’s Name _____________________________________________________________________
3. N.I.C. No. ___________________________________
4. Test Center _______________________
(should be the same as selected in the original form)
5
Postal Address: _____________________________________________________________________
________________________________
Signature of the Applicant
………………………………………………………………………………………………………………..
Student Copy
ROLL NO . _________________________
(To be filled in by HEC)
.
HIGHER EDUCATION COMMISSION
H-9, Islamabad, Pakistan
HIG HER
EDUC ATIO N
CO MM
ISSION
ROLL NUMBER SLIP
Affix attested
recent
photograph
Master leading to PhD Scholarships for teachers of
Weaker Universities
Phone: (051) 9040651 Fax: (051)9258746 E-mail: [email protected]
(TO BE FILLED IN BY THE APPLICANT EXCEPT WHERE ADVISED OTHERWISE)
Name (in full) ________________________________________________________________________
Father’s Name ________________________________________________________________________
N.I.C. No.
________________________________________________________________________
Postal Address:
Test Centre ________________________
(should be the same as selected in the original form)
__________________________________
Signature of the candidate
Bring this coupon with you otherwise you may not be allowed to sit in the test.