Higher Education Commission
English Language Teaching Reforms (ELTR) Phase II
ELTR SCHOLARSHIPS FOR ENGLISH TEACHERS
H-9, Islamabad-Pakistan
Application No & Receiving Date: ______________
(For HEC use only)
1. Program Applied For:
__________________ Registration No. ___________________
Attach 2 Latest
photographs
with Name
written at the
back
2. University where Enrolled: _________________________________________________
3. Bank Receipt Date: _____________Amount: ________ Bank Branch: ________________
4. Candidate Name: ________________________ Father’s Name: ____________________
5. Gender: _____________ Religion: ___________ Nationality: ______________________
6. Domicile: ____________ _____Marital Status: ______________ Date of Birth: __________________________
7. Age (as on Advertised closing Date): ______________________ CNIC: _________________________________
8. Postal Address: _____________________________________________________________________________
9. Mobile Number: __________________________ E-mail: ____________________________________________
10. Obtained NOC? (For College faculty from the Directorate of Colleges & University faculty from Vice Chancellor /
Registrar) ___Yes / No___ Attached Agreement on Judicial Stamp paper @ Rs. 100 _____Yes / No___________
11. Academic Qualifications:
Degree / Certificate
Board / University
Field of
Study
Start
Year
End
Year
Obtained
Marks
Total
Marks
%age /
Grade
12. Employment Record / Experience (if any)
Post Held
Designation
Institute / University
Start Date
End Date
Scale
Status
Permanent
Contract
Visiting
13. Undertaking by the Candidate:
I certify that all information provided by me in the above application form is correct. I have read and understood
the conditions of the award of this scholarship advertised by the HEC.In case any information is found to be
incorrect, it will disqualify my candidature.
Date: ______________________
14. Recommendations by VC / Registrar / Principal:
___________________________________________________________________________________________
Signature of VC / Registrar / Principal: __________________
Official Stamp: ____________________________________
Sample Agreement between Candidate & HEC (ELTR-Scholarships)
(On Judicial Paper of Rs. 100)
1. I___________________S/O-D/O_____________, working as ________ in Govt. College/University
___________________, from _________to_______________(date) do hereby undertake in the following terms:
2. I hereby declare that I will attend this program till its completion duration and will serve for a period of one year
immediately following the completion of the program.
3. I also hereby undertake that in case of dropout from the course at any stage and for any reason whatsoever, I
shall refund the full tuition fee and stipend to ELTR Project HEC.
Deponent
Head of Department/Institution
Signature________________
Name:_____________________