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: ___________________________________