here
H-9, ISLAMABAD (PAKISTAN)
(Put Name and
PROVISION OF HIGHER EDUCATION OPPORTUNITIES FOR Attestation at the
back)
STUDENTS OF BALOCHISTAN AND FATA PHASE-II
http://www.hec.gov.pk
Eligibility Criteria
a Is your age less than or equal to 22 Years on 18, August 2017 Yes No
Personal Details
Age as on (18.08.2017) 18 11 12
(e.g:21 Years 02 Months 11 Days) Years Months Days
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i) Postal Address (Where you want to receive letters from HEC):
(Please note: Postal address should be of major city to receive letters from HEC)
ii) Permanent Address (if different from the above postal address):
Phone No:
iii) Fathers/ Guardian Office Number (with city code): __Nill_ Mobile No: ___ 0333-9960567 __ ____
iv) Any other contact Number (with city code): __________Nil ___________
(Note: If you dont have any email account create it as most of the future correspondence will be done by E-mail.
Do not change your E-mail address
Check your e-mails frequently.)
Domicile: Candidates Domicile (Tick ( one of the following and attach attested photocopy)
i. FATA:
Name of Agency/FR: __________ South Waziristan Agency ___________
Educational Details
* If Information regarding Educaitonal Field found incorrect, the application would not be proceeesed.
Marks obtained
Name of Certificate (as mentioned in Name of Institution /
Educational (Give exact title, as Year of Total
your final year School / College
Level written in the Passing Marks Sheet ) Marks
testimonial)
* O-level and A- level applicants will have to provide equivalence of grades/percentages and attestation from IBCC
(Inter Board Committee of Chairman) without which applications will not be processed.
Note:Does your intermediate level Institute / College lies in territory defined for Balochistan & FATA (
if Yes tick
IN
If NO tick OUT
Bank Slip Details
Original Bank Slip worth Rs. 200/- No: __1689206___Date : __ 31 July 2017 _ __
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Choice of Test Centre
Select centre where you will appear for Apptitute test (Tick (one of the following):
Islamabad
(Note: Request for change of center will not be entertained once choice is exercised. In case candidate does not tick the
choice of center for test he/she will be placed according to his /her domicile.)
Check the list of attested documents to be attached with the application form:
One passport size recent photographs (Attested at the back)
Rs. 200/- origional bank receipt. (Photocopy of the bank receipt or any other form of payment is not
acceptable).
Applicants CNIC
Applicants Domicile/Local Certificate
Fathers or Guardians CNIC
Father or Guardians Domicile/Local Certificate
Undertaking by Applicant:
I solemnly verify that the particulars stated above are correct to the best of my knowledge and belief. In case
any discrepancy is identified by HEC at any stage, the scholarship shall be immediately terminated and I will
have no right of appeal or seek relief from court of law. Consequently I'll be liable to pay back the entire amount,
released by HEC under various expenditure heads, against the scholarship.
Signature: ___________________________________
Date: _____31/07/2017_______
The Application forms completed in all respect along with all the required documents should be reach by the
registered post or courier service by 18th August 2017 at address.
Bahram Jan
Sr. Project Manager
Provision of Higher Education Opportunities for Students of Balochistan and FATA (Phase-II)
Higher Education Commission
H-9, Islamabad
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