HEC`s Application Form

2
HIGHER EDUCATION COMMISSION
H-9, ISLAMABAD (PAKISTAN)
Attach Photograph here
www.hec.gov.pk/ffsp,
Application Form
For Scholarship titled, “ The Stipendium Hungaricum
Scholarship Programme 2016/2017”
(1-Photos, Put Name
and Attestation at the
back)
Use Capital Letters (Forms may be typed using MS Word 12) and write N.A, where “Not Applicable”
Scholarship applied for (Please tick the relevant box)
o
Technical Degree
studies
Bachelor Degree
Master Degree
Doctoral (PhD)
Attach portion of payment receipt of HBL online payment facility of amount Rs. 500/- (in Original) No: ________________, to be
deposited in HEC online Account No. 17427900133401 in HBL, Shalimar Recording Company Branch, Sector H-9, and Islamabad.
Name of Bank Branch:
Date:
Personal Details
Full Name:
(as given in Matric/S.S.Certificate)
Father’s Name:
Computerized National ID Card
Marital status:
Single
(Tick (one of the following):
ICT
KPK
FATA
Date of Birth:
Married
GB
Day
Month
Domicile (City /District, give both):
Punjab
Sindh Urban
AJ& K
Balochistan
/
Sindh Rural
Age on (01-03-2016):
Year
English Proficiency / Language Course:
IELTS Score_______& Dated.________
International GRE /GMAT
& Dated. _______________
No:
TOEFL Score______
Any Other (Please specify)___________
Correspondence Address (Where you wish to receive letters form HEC):
City:
Permanent Address ( if different form the above Correspondence Address ):
City:
Telephone No (Office)
(Residence)
(Personal Cell):
-
E-Mail Address (COMPULSORY):
Research Publication (Use extra sheet where required):
Sr.
No
Title of Research
paper
Area of Research
Use Extra sheets where necessary
Published in International
Journal (Give full name of
Journal)
Published in Local
Journal (Give full
name of journal)
Date of
Publication
Impact
Factor of
Journal in
which
your paper
was
published
Academic Details
Note: Candidates must fill division/percentage or CGPA whichever is applicable in the respective examination and as per their
certificates/degrees). In Column “%age of Marks” means that you have to give the actual percentage e.g. if your percentage becomes 60.52.
You need to write down this actual percentage with decimal figures also. Do not round of your percentage, give exact number in two digits after
Educatio
nal Level
Name of
Degree /
Certificate
Year of
Passin
g
Institution /
Board
University
Major Subjects
(Science/Arts/
Engg:/Medical
etc)
Grade/ Div.
(as
mentioned
in you Final
Year
Certificate /
Degree)
CGPA.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Marks
obtained.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Out of
(Total)
%age.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Equivale
nt % of
marks
by
IBBC/H
EC (in
case of
Foreign
degree
or CGPA
SSC/Olevel
HSC/Alevel
Bachelor’s
Degree ( 14
years)
Bachelors
/ Master’s
Degree 16
years
(including
BE/MBBS
/BDS)
Masters
/MPhil/MS
(18 years)
PhD (if
already
enrolled)
(Please mention the date of enrolment in PhD, expected PhD completion date along with current status of PhD)
Note: In case of O’ Level & A’ Level, add equivalence from IBBC, Islamabad (Use extra sheet where necessary). In case of professional
degree, B.Sc. (Engineering), B.Sc. (Nursing), MBBS / BDS please attach Valid Registration number from Professional Registration
Body (PM& DC, PEC, PNC etc.)
Name of Foreign University / Institution where you intend to continue higher studies under this
scholarship and have established contacts / obtained placement. (A Letter of confirmation from
Supervisor / Host University will be required).
a.
Name of University / City
b.
Proposed Area of Studies
c.
Who will supervise your studies
(Name of Supervisor, email
address, university address)?
d.
Attach Confirmation letter /
Placement letter from institution /
supervisor
Name of Employer
with Address (in
case of more than
one employment
use extra sheets
where necessary)
Category of
Employer(Federal/Prov
Govt, Semi-Govt,
Autonomous, Corporation,
Private)
Designation with Grade
(BPS, Group etc. if
applicable)
Period served
From
To
Nature of
Job
(Regular/
Contract
etc.)
Job details
(Teaching,
R&D,
Service,
Technical,
other
etc.)
PLEASE WRITE N.A. IF NOT APPLICABLE
Employment Details (Starting from the Current Job, use extra sheet where necessary)
Total Length of Service:
Year(s)
Month(s)
Day(s)
If selected, will you be able to obtain study leave, from your employer, for the entire study
period and would rejoin same employer after graduation?
Yes
No
Nomination by the Employer:
Name:
Designation of the Authorized Officer
of Your Institution:
Official Seal:
Undertaking
I solemnly verify that the particulars listed above are correct to the best of my knowledge. Further, I am neither under HEC
bond or availed any HEC / Hungarian scholarship recently and also under HEC bond. In case any misrepresentation is
identified by HEC at any stage, my scholarship will immediately be terminated. Consequently I'll be liable to pay back the
entire amount, released by HEC under various expenditure heads, against my scholarship (i.e. stipend, Grant to university,
air fare etc.).
Name of Candidate:
CNIC Number: ________________________________________
Signature: ___________________________________
Date:
E-Mail address of Candidate (Mandatory): ______________________
Cell (For emergency Contact):
_______________________________
Advance copy
Forwarded Copy
EMPLOYER NO OBJECTION CERTIFICATE
(For Employed Persons only)
This is to certify that Mr. /Ms. _________________________________ Son/Daughter of
Mr.___________________________is a full time employee of this organization and working as
_____________________________Since __________. His/her educational, employment particulars and other
statements as stated in this application form have been checked and verified with the original documents. It is
hereby affirmed that in the event of his/her selection for the award of this Foreign Scholarship on the terms and
conditions of scholarship scheme, he/she will be released on study leave for the prescribed duration of higher
studies under the above said scholarship scheme.
Signature:
_________________________
Name & Designation: _________________________
(Head of Organization/Employer)
Full Address: ________________________________
Office Stamp: _________________________
Contact & Fax Number (Official & Fax) _______________
1. Attested Copy of CNIC
Yes
No
2. Attested Copy of Passport
Yes
No
3. Attested Copies of All Degree Certificate
Yes
No
4. Attested Copies of All Transcripts
Yes
No
5. Online transfer of Rs. 500/- fee
Yes
No
6. Admission / Conformation letter
Yes
No
7. Online application form (duly filled in)
Yes
No
8. Foreign Fitness Form /Medical Fitness
Yes
No
9. English Proficiency (IELTS, TOEFL etc.)
Yes
No
10. Police Clearance
Yes
No
11. Any other document (Please specify)
____________________________________
Important Note before applying to any program:
It is the sole responsibility of student(s) applying for any professional degree (viz. Medical, Engineering, Agriculture etc.) to first
get confirmed its accreditation from the respective Councils i.e. Pakistan Engineering Council (PEC), Pakistan Medical & Dental
Council (PMDC), Agriculture Council, & Nursing Council etc.