HEC Application Form

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1
OMMISSION HIGHER EDUCATION

COMMISSION

Application Form For “ CHINA/UNESCO – THE GREAT WALL FELLOWSHIPS PROGRAMME 2011-12”
Rs. 300/- Online Deposit Slip (in Original) No: Name of Bank Branch: Date:

www.hec.gov.pk/ffsp

H-9, ISLAMABAD (PAKISTAN)

Attach Photograph here (Affix 1-Photograph here)

GRE International Score obtained (optional): ______________________________________

NTS Test Score (above 50): Centre:
Note: NTS-HEC Test score obtained (optional).

Test Date:

Roll No:

Program Applying For Undergraduate
Full Name: Father’s Name: Program

Research Program Personal Details
(as given in Matric/S.S.Certificate)
Computerized National ID Card

No:

Marital status: Single (Tick (one of the following): Federal Capital FATA Date of Birth: KPK FANA Punjab AJK

Married

Domicile (City /District): Sindh Rural

Sindh Urban Balochistan

Age on (21-04-2011):

Day Month Year Correspondence Address (Where you want to receive letters form HEC): City: Permanent Address ( if different form the above Correspondence Address ): City: Telephone No. (Office) E-Mail Address (COMPULSARY): (Residence) (Personal Cell):

Research Publication (Use extra sheet where required):
Sr. No Title of Research paper Area of Research Published in International Journal (Give full name of Journal) Published in Local Journal (Give full name of journal) Date of Publication Impact factor of research journal

2 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 decimal.
%age. (as menti oned in your final Transc ript / Degre e) CGPA. (as mention ed in your final Transcri pt / Degree) Marks obtained. (as mentioned in your final Transcript / Degree) Out of (Total)

Education al Level

Name of Degree / Certificat e

Year of Passin g

Institution /Board University

Major Subjects

Grade/ Div. (as mentioned in you Final Year Certificate / Degree)

SSC/O-level

HSC/A-level Bachelors BSc (Below 16 Years degree) Masters Degree MSc in Science. (16 years degree) M.Phill, (if completed). More than 16 years degree PhD Degree Any Other

Choice of Host Universities / Institutions in China
1. First Choice of Host University/Institution in China a. b. Name of University Field of Study

2. Second Choice of Host University/Institution in China a. b. Name of University Field of Study

3. Third Choice of Host University/Institution in China a. b. Name of University Field of Study

Employment Details ( Starting form the Current Job)
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 Nature of Job (Regular/ Contract etc.) Job details (Teaching , R&D, Service, Technical or Private etc)

From

To

Total Length of Service: Year

Month

Day

Application Channel (Whether Public or Private)

Your Employer is:
Public Private

Are you applying Through Proper Channel or with Permission of your Employer (Private or Public):
Yes No

If employed, would you be able to obtain study leave, from your employer, for the entire study period?
Yes No

Undertaking
I solemnly verify that the particulars listed above are correct to the best of my knowledge. In case any misrepresentation is identified by HEC/ UNESCO at any stage, my scholarship will immediately be terminated. Consequently I'll be liable to pay back the entire amount, released by HEC/ UNESCO under various expenditure heads, against my scholarship (i.e. stipend, Grant to university, air fare etc.).
Name of Candidate: Signature: ___________________________________

Date:

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