Human Resource Development (HRD)
Abdul Wali Khan University Mardan
Phone No. 0937-9230654
Email:
[email protected]
Web: www.awkum.edu.pk
Passport Size
Photograp
h
Bacha Khan Overseas PhD & Indigenous MPhil/PhD Scholarship Programme
1. SCHOLARSHIP APPLIED FOR:
(i)
(ii)
Indigenous or
Overseas
MS/MPhil or
PhD
2. PROPOSED FIELD OF STUDY:
(i)
Discipline
(ii)
Subject
(iii)
Title of
Research Project
3. PERSONAL INFORMATION: (PLEASE USE CAPITAL LETTERS)
4. FULL NAME:_________________________________________________________________
(As given in the Matric/SS Certificate)
5. FATHER’S NAME: _________________________________________________________
6. DATE OF BIRTH: ____ ____ ______
7. AGE: ______
(on 22-09-2014): _____ _____
(DD) (MM) (YYYY)
8. Marital Status:
□Single □ Married
Years) (Months)
9. GENDER:
□Male □ Female
10. CNIC #: ________________________________11. Passport #:________________________
12. POSTAL ADDRESS: __________________________________________________________
_________________________________________________________CITY: ________________
13. PERMANENTADDRESS:______________________________________________________
________________________________________________________ CITY: _________________
14. TELEPHONE NO. (OFF) ____________ (RES.): ___________ (Mobile): ______________
(City Code-Phone No.)
1
15. E-MAIL ADDRESS: __________________________________________________________
(Mandatory, most of the future correspondence will be done through e-mail address)
16. DOMICILE: Distt.)___________________Province______________________________
17. Do you have any Hec/Govt/University Scholarship:
Yes
□ No□
18. ACADEMIC RECORD:
Certificate/
Degree
Year of
Passing
Subjects
Marks
Obt
Total
Marks
%
Division/
CGPA
Gold
Medal
(if any)
Board/
University
SSC/
(Equivalent)
HSSC/
(Equivalent)
Bachelor
BA/BSc
BA/BSc
(Hons)
Master
MS/MPhil
Other
19. EMPLOYMENT DETAILS (STARTING FROM CURRENT JOB):
Total Length of Service on Closing Date of Application:
Day
Name of
Employer
with Address
Category of
Employer
(Government
/Private)
Month
Designation
with Grade
(BPS, Group
etc. if
applicable)
Period served
From
To
Year
Nature of
Job
(Regular/
Contract
etc.)
Job details
(Teaching,
R&D,
Service,
Technical
etc)
2
20. IELTS/TOEFL, GAT (General, Subject):
(Please attach attested copy of the result card, otherwise score will not be considered).
Test Type
Test Date
Result Date
Expiry Date
Score
Applicable for Overseas Scholarship
IELTS/TOEFL
Applicable for Indigenous Scholarship
GAT (General)
GAT (Subject)
21. Admission Status:
(In case of admission confirmation, please attach copy of the admission offer letter).
a.
Name of University ________________________________________________________
b.
Country __________________________________________________________________
c.
Programme ______________________________________________________________
d.
Research Topic ____________________________________________________________
e.
Starting Date of Study Programme __________________________________________
f.
Completion Date of Study Programme (Tentative)_______________________________
g.
Annual Tuition Fee________________________________________________________
22. Bank Deposit Slip No._____________ dated _____/_____/_____ for Rs. 1,000/- in favour of
the Treasurer, Abdul Wali Khan University Mardan.
Date: ______/______/______
Signature of the Applicant
Note: Upon selection for MPhil/PhD Scholarship, the applicant will be required to execute a
Bond with Abdul Wali Khan University Mardan to serve the university at least for 05 years
after completion of study and also an agreement/undertaking for refund of any penalty
imposed by the university in addition to the actual expenditures incurred by the university on
his/her PhD Scholarship in case he/she fails to return to Pakistan. During the currency of the
scholarship, the scholars will be entitled to stipend as permissible by the university. Scholars
will be entitled to salary and emoluments as faculty member upon successful completion of
studies and return to the university.
3
23. PLEASE TICK THE LIST OF DOCUMENTS ATTACHED WITH THE APPLICATION
FORM:
a. Attested photo copy of CNIC
b. Attested photo copies of all educational testimonials
c. Attested photo copy of valid TOEFL/IELTS score card
d. Attested photo copy of valid GAT (General, Subject) score card
e. Admission letter , If any
f. Detailed CV/Resume
g. Research proposal (around 1000 - 2000 words)
h. Statement of Purpose
i.
Bank Deposit Slip for Rs. 1,000/- (Original)
SEND APPLICATION FORM TO:
Director,
Human Resource Development (HRD),
Abdul Wali Khan University Mardan,
Khyber Pakhtunkhwa, Pakistan
Phone No. 0937-9230654
Email:
[email protected]
4