Higher Education Commission Pakistan
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HIGHER EDUCATION COMMISSION
SECTOR H-9 ISLAMABAD
Phone: (051) 90408033, Fax: (051) 90408035
Website: www.hec.gov.pk
Affix Recent
Photograph
APPLICATION FORM FOR SCHOLARSHIP OF
INDIGENOUS 5000 PHD FELLOWSHIP PROGRAM PHASE II. BATCH II
Fee Paid Rs.
Bank Receipt No.
2013-08-16 04:16:40
Dated:
Application Id : 56162
Total Amount : Rs. 300/=
(Please enclose original fee Receipt)
PARTICULARS OF THE APPLICANT (IN CAPITAL LETTERS)
1. Name of Applicant:
SADDAM HUSSAIN ANSARI
2. Father's Name:
DR.MOHAMMAD KHAN ANSARI
3. National Identity Card No:
41203-6114844-5
4. Address:
JAN CLINIC DR MOHAMMAD KHAN ANSARI MAIN ROAD KHAIR PUR NATHAN SHAH
DISTRICT DADU - , KHAIR PUR (NS) , PAKISTAN
5. Email:
[email protected]
6. Mobile:
7. Fax:
--
9. Domicile:
SINDH RURAL
10.Domicile District
DADU
11.Domicile City
KHAIR PUR (NS)
11. Marital Status:
SINGLE
12.Gender:
MALE
13. Date of Birth:
27-11-1989
14. Discipline:
ENGINEERING & TECHNOLOGY
15. Subject:
ELECTRICAL ENGINEERING
16. Category:
16 YEAR OF EDUCATION COMPLETED
COVER LETTER
Dear Sir/Madam,
I hereby submit my application form under Indigenous 5000 PhD fellowship program Phase II. Batch II.
Thank You.
Regards:
SADDAM ANSARI
GENERAL TEST DETAILS
Test Type
Roll No
Test Date
Obtained Marks
Total Marks
Gat General
13129-10182
2013-01-06
57
100
19-Aug-13 3:13 PM
Higher Education Commission Pakistan
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FULL DETAILS OF EDUCATION
Level
Program
Field of Study
Board /
University
/ Institute
Country
Year of
Passing
Obtained
Marks
Total
Marks
Division
Grade
Pakistan
2011
3.51
4
1st
A
Master's
/Bachelor's
16 Years
Degree
B.E
Electrical
Engineering
Mehran
University
of Eng. &
Technology,
Jamshoro
Higher
Secondary
School
Certificate
Intermediate
Science
(Pre-engineering)
BISE
Larkana
Pakistan
2007
817
1100
1st
A
Secondary
School
Certificate
Matric
Science
BISE
Larkana
Pakistan
2005
605
850
1st
A
WORK EXPERIENCE
Job Title
Industry
Employer
Job Period
More Info
LAB
ENGINEER
Education/Training
ISRA UNIVERSITY
HYDERABAD
SINDH,
6539,
Sindh,
Pakistan
October,2012
to-date
conducting labs Basic electrical engineering lab
basic electronics Plc matlab
QUESTIONAIRE
1. Are you Pakistani / AJK National. YES
2. You do not have any 3rd division or D grade in degree/Certificate of entire academic career. NO
3. Are you availing any other HEC scholarship. NO
4. Have completed minimum of 16 years of academic education YES
DOCUMENTS REQUIRED
(PLEASE ENSURE THAT THE FOLLOWING DOCUMENTS HAVE BEEN ATTACHED WITH THE APPLICATION FORM)
1. NOC from Employer(only from employed applicants).
2. Photocopies of all eductional testimonials attested by Grade 17 officer.
3. Attested Copy of Computerized National Identity Card.
4. Original Deposit Slip(300 in Favour of HEC) non refundable.
5. One passport size photoghaph.
6. Attested photocopy of valid NTS General Result card.
DISCLAIMER/UNDERTAKING
I Mr./Ms SADDAM ANSARI certify that the statements made by me in the forgoing columns are true, complete and correct to the best of
my knowledge and belief. It is solemnly affirmed that I have read and Understood the conditions of the award of this program advertised in
the press and from the web page of HEC Indigenous Scholarship Program and that the decision of the National Scholarship Management
Committee (NSMC) would be Final and binding. I understand that the award will be withdrawn as well as recovery of full amount spent on
me in the connection with the award if any misrepresentation or omission is discovered even after my selection for fellowship award under
the Indigenous PhD Fellowship Scheme.
Date:
16-AUGUST-2013
Signature of Applicant:
19-Aug-13 3:13 PM
Higher Education Commission Pakistan
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TO BE FILLED BY EMPLOYED APPLICANTS ONLY
This is to Certify that Mr./Ms SADDAM ANSARI is an employee of this organization as ______________________________
since_________________________ His /her educational, employment particulars and other statement as stated in the foregoing columns
have been checked and verified with the original documents. It is hereby affirmed that in the event of his/her selection for award of
Indigenous PhD fellowship program, he/she will be granted/relieved for the award period without any gap. In case scholars join the
department before completion of the degree for which he/she is awarded he/she has to seek NOC from Higher Education Commission,
Islamabad. .
Date:
16-AUGUST-2013
Signature of
Applicant:
Name and designation
Department:
Contact number
Full address:
Official stamp of HR
department.
19-Aug-13 3:13 PM