Anda di halaman 1dari 6

2

HIGHER EDUCATION COMMISSION


H-9, ISLAMABAD (PAKISTAN)

www.hec.gov.pk/ffsp,

Application Form
For Scholarship titled, The Stipendium
Hungaricum Scholarship Programme
2016/2017

Attach Photograph here


(1-Photos, Put Name
and Attestation at the
back)

Use Capital Letters (Forms may be typed using MS Word 12) and write N.A,
where Not Applicable
o

Scholarship applied for (Please tick the relevant box)


Technical Degree
Degree
Master Degree (Research)
Doctoral (PhD) studies

Bachelor

Attach portion of payment receipt of HBL online payment facility of amount Rs. 500/- (in
Original) No: ________________, to be deposited in HEC online Account No. 17427900133401
in HBL, Shalimar Recording Company Branch, Sector H-9, and Islamabad.
Name of Bank Branch: HBL PWD, ISLAMABAD

Date:

Personal Details
Full Name: MUSHTAQ HUSSAIN KHAN
(as given in Matric/S.S.Certificate)
Fathers Name:
AKBER HUSSAIN KHAN
Computerized National ID Card
No: 82101-9272078-1
Marital status:
Single
BAGH AJK
(Tick (one of the following):
ICT

KPK

FATA

GB

Date of Birth:
3 MONTHS

31
Day

12

Married

Domicile (City /District, give both):

Punjab

Sindh Urban

AJ& K

Balochistan

1989

Month

Sindh Rural

Age on (01-03-2016):

27 YEARS AND

Year

English Proficiency / Language Course:


TOEFL Score______ & Dated. _______________

IELTS Score_______& Dated. ________


International GRE /GMAT

Any Other

(Please specify) ___________


Correspondence Address (Where you wish to receive letters form HEC): HOUSE # 19-A,
STREET # 5, SOAN
GARDEN ISLAMABAD PAKISTAN
City: ISLAMABAD
Permanent Address ( if different form the above Correspondence Address ):
POST OFFICE BAGH
AZAD JAMMU AND KASHMIR PAKISTAN
City:

VILLAGE AND

BAGH

Telephone No (Office)
Cell): +92-3115905734

(Residence)

(Personal

E-Mail Address (COMPULSORY): mushtaq.khan89@gmail.com

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)

An Empirical
Investigation on
Behavioral
Determinants of
Perceived Investment
Performance; Evidence
from Karachi Stock
Exchange

Behavioral
Finance

Research
Journal of
Finance and
Accounting

The diversification
puzzle: role of
asymmetric
information and insider
trading

Corporate
Finance

Published in
Local
Journal
(Give full
name of
journal)

Date of
Publica
tion

Impa
ct
Facto
r

10Dec2014

Under
Review:
Lahore
Journal of
Economics

Use Extra sheets where necessary

Academic Details

Instituti
on OR
Board
Universit
y

Major
Subjects
(Science/Arts
/Engg:/Medic
al etc)

Grade/
Div. (as
mentione
d in you
Final
Year
Certificat
e/
Degree)

CGPA.
(as
mentio
ned in
your
final
Transcr
ipt /
Degree
)

Marks
obtaine
d.
(as
mentio
ned in
your
final
Transcr
ipt /
Degree
)

Out
of
(Total
)

%age.
(as
mention
ed in
your
final
Transcri
pt /
Degree)

Educati
onal
Level

Name of
Degree /
Certificat
e

SSC/Olevel

MATRIC

SCIENCE

SECON
D

497

850

58.47
%

FSC

PRE-ENG

SECON
D

655

110
0

59.54
%

BBA

ACCOUNT
ING AND
FINANCE

FIRST

1846

240
0

76.91
%

HSC/Alevel
Bachelor
s Degree
(14
years)

Year
of
Passi
ng

Equiv
alent
% of
mark
s by
IBBC/
HEC
(in
case
of
Forei
gn
degre
e or
CGPA

Bachelor
s/
Masters
Degree
16 years
Masters /
MPhil/MS
(18
years)
PhD (if
already
enrolled)

MBA

FINANCE

FIRST

3.67

MS

FINANCE

FIRST

3.77

Date of enrolment in PhD: FEB 1, 2016


CAPITAL UNIVERSITY OF SCIENCE AND TECHNOLOGY ISLAMABAD PAKISTAN

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

Note: In case of O Level & A Level, add equivalence from IBBC, Islamabad (Use extra sheet where
necessary). In case of professional degree, B.Sc. (Engineering), B.Sc. (Nursing), MBBS / BDS please
attach Valid Registration number from Professional Registration Body (PM& DC, PEC, PNC etc.)

Name of Foreign University / Institution where you intend to continue higher


studies under this scholarship and have established contacts / obtained
placement. (A Letter of confirmation from Supervisor / Host University will
be required).
a.

Name of University / City

b.

Proposed Area of Studies

c.

d.

Who will supervise your


studies (Name of
Supervisor, email address,
university address)?
Attach Confirmation letter /
Placement letter from
institution / supervisor

Employment Details (Starting from the Current Job, use extra sheet
where necessary)
Name of
Employer with
Address (in

Category of
Employer(Federal/Prov
Govt, Semi-Govt,

Designation with
Grade (BPS, Group
etc. if applicable)

Period served

Nature of
Job
(Regular/

Job
details
(Teachin

case of more
than one
employment
use extra
sheets where
necessary)

Autonomous,
Corporation, Private)

From

To

Contract
etc.)

g, R&D,
Service,
Technical
, other
etc.)

PLEASE WRITE N.A. IF NOT APPLICABLE


Total Length of Service:
Year(s)

Month(s)

Day(s)

If selected, will you be able to obtain study leave, from your


employer, for the entire study period and would rejoin same employer
after graduation?
Yes
No
Nomination by the Employer:
Name:
Designation of the Authorized Officer
of Your Institution:
Official Seal:
Undertaking
I solemnly verify that the particulars listed above are correct to the best of my knowledge.
Further, I am neither under HEC bond or availed any HEC / Hungarian scholarship recently and
also under HEC bond. In case any misrepresentation is identified by HEC at any stage, my
scholarship will immediately be terminated. Consequently I'll be liable to pay back the entire
amount, released by HEC under various expenditure heads, against my scholarship (i.e.
stipend, Grant to university, air fare etc.).
Name of Candidate:
CNIC Number: ________________________________________
Signature: ___________________________________
Date:

E-Mail address of Candidate (Mandatory): ______________________


Cell (For emergency Contact):

_______________________________

Advance copy
Forwarded Copy

EMPLOYER NO OBJECTION CERTIFICATE


(For Employed Persons only)
This is to certify that Mr. /Ms. _________________________________ Son/Daughter of
Mr.___________________________is a full time employee of this organization and working
as _____________________________Since __________.

His/her educational, employment

particulars and other statements as stated in this application form have been checked
and verified with the original documents. It is hereby affirmed that in the event of
his/her selection for the award of this Foreign Scholarship on the terms and conditions
of scholarship scheme, he/she will be released on study leave for the prescribed
duration of higher studies under the above said scholarship scheme.

Signature:

_________________________

Name & Designation: _________________________


(Head of Organization/Employer)
Full Address:
________________________________
Office Stamp: _________________________
Contact & Fax Number (Official & Fax)
_______________

1. Attested Copy of CNIC

Yes

No

2. Attested Copy of Passport

Yes

No

3. Attested Copies of All Degree Certificate

Yes

No

4. Attested Copies of All Transcripts

Yes

5. Online transfer of Rs. 500/- fee

No
Yes

No
6. Admission / Conformation letter
7. Online application form (duly filled in)

Yes

No
Yes

No

8. Foreign Fitness Form /Medical Fitness


9. English Proficiency (IELTS, TOEFL etc.)
10. Police Clearance
11. Any other document (Please specify)

Yes
No
Yes
No
Yes
No
____________________________________