2.
POSTGRADUATE DEGREE:
Ph.D.___________________ Engg.
3.
DISCIPLINE:
[
] CIVIL [
] ELECTRICAL [ ] ELECTRONICS
[
] MECHANICAL [
] COMPUTER [
] SOFTWARE
[
] TELECOMMUNICATION [
] INDUSTRIAL
[
] ENGINEERING MANAGEMENT
(Tick one)
PERSONAL DETAILS: All entries should be in capital letters
4.
ATTESTED
PHOTOGRAPH
Name
Fathers
Name
Date of Birth
Religion
Mailing
Address
Permanent
Address
Domicile
CNIC No.
Phone Res.
Phones
Office
Fax No.
(*) If Pakistani National, Please enter Domicile District and National Identity Card Number:
5.
ACADEMIC INFORMATION:
Examination
Year
Held
Max.
Marks
Obtained Percent/
Marks
CGPA
Honours/
Awards/
Distinction
Institution/
University
Area of
Specialization
1st Yr BSc
Engg
2nd Yr BSc
Engg
3rd Yr BSc
Engg
4th Yr BSc
Engg
Aggregate
BSc Engg.
MSc Engg
Local
Developed Test
Note: Term/ Semester system graduates should fill in against each year the sum of marks
obtained in corresponding two semesters.
6.
Country
Passport No and Expiry Date
7.
Job Title/
Designation
Organization/
Department
From
To
(mm-year) (mm-year)
Grade/
Salary
(per month)
Nature of Duties/
Major Assignment
8.
9.
List names, titles, and address of three academicians and request them to forward their
recommendations to this office on the supplied form:
Sr#
Name
Title
Address
1.
2.
3.
10.
FINANCIAL ASSISTANCE:
If you are seeking admission as postgraduate student, then please complete the following:
a).
No/Yes.
If yes, please write the name and address of your sponsor who will bear your salary
and will pay tuition fees and other expenses (attach letter).
----------------------------------------------------------------------------------------------------------------------b).
Yes
No
11.
Date : _______________
________________________________
Signature of the Head of the Organization
Official Seal
12.
DECLARATION
____________________________________________________________________________
(Tick one)
Further, I have carefully read the rules/regulations in the prospectus and if admitted, I will
abide by the terms and conditions laid there in.
_________________________
Signature of the Applicant
13.
_____________________
Date
BSc Engg
(100)
MSc Engg
(Courses +Thesis)
(50+50)
Letter of
Recommendations
(3x10)
Research Plans
PhD Synopsis
(70)
Total (300)
________________________
Dean of Faculty
_____________________
Chairman of the Deptt.
____________________
Director, BPGS
VICE-CHANCELLOR
14
RESEARCH PLANS
(Ph.D. Program Applicants)
If you are applying for the Doctoral program, narrate the topic on which you wish to
conduct/research outlining the details. You may be requested to send a copy of your Master
Thesis for examination by a possible Supervisor.
Title:-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
___ _________________________________________
____________________________________________
__ __________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _
____________________________________________
____________________________________________
____________________________________________
____________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _
____________________________________________
____________________________________________
_____________________
Signature of Supervisor
__________________
Signature of Student
PhD Admission
Application #
Disciplines: _________________________
Name______________________________
Fee:________________
Challan No.__________
Dated:______________
1.
BSc Engineering
Documents Attached
Yes
2.
M.Sc. Engineering
No
Documents Attached
(Course Work)
Yes
Thesis
3.
No
Score
GRE(International Subject)/
GAT (Subject)
4.
Recommendation Letters
1.
Received
Complete
Yes
No
Yes
No
Yes
No
Yes
No
2.
3.
5.
6.
Research Plans/Area:
Scrutinized by:
1.
Signature
Scrutinizer # 01
2.
3.
Signature
Scrutinizer # 02
Signature
Director, PGS, of
Concerned Deptt.
Director, ASR&TD
Comments:
[1]
Each candidate shall submit two applications set (one original and One photocopies
set).
[2]
The application form, duly filled in by the candidate, shall be submitted in duplicate
in the office of the Dean concerned along with all documents/ testimonials.
[3]
Attach
attested
copies
of:
(i)
Matric,
(ii)
Intermediate,
(iii)
Provisional
Certificate/B.Sc. Engg. Degree (iv) Detailed marks certificates for all the university
examinations of the B.Sc. Engineering course. (v) M.Sc Engineering Degree & DMC
(vi) Experience Certificates (PhD candidates will submit transcripts and provisional
certificate of MSc Engg.)
[4]
[5]
[6]
Do not erase, cross over or over write anywhere in the form. Use a new form if
needed.
[7]
[8]
TECHNOLOGICAL DEVELOPMENT
UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA
(Form-A)
Signature:__________________
1. Name of Supervisor/Designation
Cell .No.______________Email:____________________
Address:
*PhD Area of Specialization: (Attach CV)
Signature:__________________
Cell .No.______________Email:____________________
2. Name of Co-Supervisor/Designation
Address:
*PhD Area of Specialization: (Attach CV)
Signature:__________________
Cell .No.______________Email:____________________
Signature:__________________
4. Name & Designation( Research Committee
External Member)
Address:
Cell .No.______________Email:____________________
Signature:_______________________
5. Name & Designation( Research Committee
Internal Member)
Address:
Cell .No.______________Email:____________________
Signature:_______________________
6. Chairman, Concerned Deptt.
Cell .No.______________Email:____________________
Signature:_______________________
7. Dean, Concerned Faculty
Signature:_______________________
____________________
Director PGS
* Area of Specialization must be relevant to the area of research scholar.
**External member from outside the University.
_____________________
Director (ASR&TD)
Average:
Middle 1/3
Good:
Top 1/3
Outstanding
Top 5%
Inadequate
Opportunity
to observe
Intellectual ability
Maturity
English comprehension
Undergraduate
performance
Academic Promise
What is your candid opinion of the applicants chances of completing the program applied for, considering:
Intellectual capacity, promise of productive scholarship, and potential for research; relative standing among
contemporary graduates; ability to follow a course in which the medium of instruction is English; and practical
experience, if any, in the chosen area of study?
Thus it is
Strongly recommended
Recommended
Do not recommended
_____________________________
Signature
________________________________
Date
_____________________________
Position / Job Title
________________________________
Name of Organization
Address:______________________________
_____ ___________________________
Phone /E-mail / Fax
______________________________________