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ISLAMIA COLLEGE PESHAWAR

Affix attested
APPLICATION FORM recent
photograph
OVERSEAS SCHOLARSHIP FOR PhD Phase-
Phase-II
Peshawar Khyber Pukhtunkhwa – Pakistan

Please read the following statements carefully and answer in Yes or No only. It is mandatory to answer all the
questions otherwise application will not be entertained.

1. Are you a Pakistani / AJK National?


YES NO
th
2. Are you less than or exact 35 years of age on closing date i.e. 30 April 2011?
YES NO
(Only for full time regular faculty members of public sector universities / Colleges and employees of the
public sector R & D Organizations) YES NO
Are you less than or exact 40 years of age on 1st July, 2011
3. Have completed minimum of 16 yeas of academic education? YES NO
On selection would you be able to get leave sanctioned for the whole study period
4. (Only for Government employees)? YES NO
Please tick “Yes” in case non government employee / unemployed / student)
Have secured admission in PhD or MS / MPhil leading to PhD in the specified
5. disciplines in the HEC identified world top ranked discipline wise universities OR under YES NO
process?

Have GRE/GMAT score, in case applying for Physical Sciences, Engineering &
6. Technology and Business Education?
YES NO
Or
Have more than 50% marks in NTS, in case applying for Agriculture & Veterinary
Sciences, Biological & Medical Sciences, Social Sciences and Arts & Humanities? YES NO

7. Have more than two second divisions throughout the academic career?
YES NO
8. Have less than 50% marks in academic career?
YES NO
9. Availing any other (HEC/Government) scholarship?
YES NO

Note: If your reply is “YES” for serial number 1,2,3,4,5, & 6 and “NO” for 7,8, & 9, please proceed further
and fill out the rest of the application form.

Name of Applicant ________________________________________

Signature of Applicant ____________________________________

CNIC Number ___________________________________________

Date ___________________________________________________
ISLAMIA COLLEGE PESHAWAR
Affix attested
APPLICATION FORM recent
photograph
OVERSEAS SCHOLARSHIP FOR PhD Phase-
Phase-II

Peshawar Khyber Pukhtunkhwa – Pakistan

Discipline: (Tick  the relevant category)


Veterinary Physical Business
a c e
Sciences Sciences Education
Arts &
Engineering g Humanities
Biological Social
b d & f
Sciences Sciences
Technology

Country where admission is secured: (Tick  the appropriate box)

a UK c New Zealand e Japan g China

b Australia d USA f Germany h France

Admission secured in the Program: (Tick  the appropriate box)

a Master b Master leading to PhD c PhD

Enrollment detail for Master / PhD abroad:

Name of University Field of Specific Area of Date of Admission Expected


/ Country Specialization Research only in Master / PhD Completion Period

Category (according to employment status): (Tick  only one)

a Public Sector University d Public Sector R & D Organization

b Public Sector College e Public Sector Organization / DAI

c Private Sector Organization / Institute f All Others


Personal Information: (Please use CAPITAL letters)

Full Name _________________________________________________ (As given in the Matric / SSC)

Father’s Name ________________________________________________________________________

Date of Birth _____/_____/_______ Age (on 30th April 2011) _______ ________
(DD/MM/YYYY) Years Months

Marital Status Single Married Gender Male Female

CNIC # ______________________________ Passport # ______________________________________

Postal Address _________________________________________________________________________

________________________________________________ City _________________________________

Permanent Address _____________________________________________________________________

________________________________________________ City _________________________________

Phone No with City Code Office ______________ Res ______________ Mobile ____________________

Email _________________________________________________________________________________
(Mandatory for future correspondence)

Domicile City ___________________ District ____________________ Province ____________________

Academic Record
(Candidates from annual system must fill % marks & division whereas candidates from semester system should fill in CGPA only)

Major Passing % marks


Certificate/Diploma/Degree Division CGPA Institution Board/University
Subjects Year obtained

SSC/Matric/O Level
10 years
HSSC/Intermediate/
A Level
12 years
Bachelors
(BA,BSc, BSc (Hons) etc
14 & 15 years
Bachelors (BE, LLB,
MBBS, BSc (Hons) etc
16 years
Masters (MA, MSc)
16 years
MPhil/MS/ME etc
(if completed)
18 years
GRE/GMAT Score
(For only those applicants who are applying for Physical Sciences, Engineering & Technology and Business Education)

Name (As appeared in GRE/GMAT Report): (GMAT is applicable only for business discipline)

Last Name (Sur/Family Name) First Name

Rept.Code:_____________ Inst.Code:_______________ Test Date:


Month Year
Score:

GRE/NTS VERBAL QUANTITATIVE ANALYTICAL TOTAL

Score % below Score % below Score % below Score % below

GENERAL

Academic Score
(For only those applicants who are applying for Veterinary Sciences, Biological Sciences, Social Sciences and Arts & Humanities)

Please calculate as per HEC Academic Evaluation Formula (HEC-AEF) available on HEC website
www.hec.gov.pk/ossphas2batch5

Degree/Certificate % Marks
>=90 >=80 >=70 >=60 >=50
SSC/Matric/O Level
10 years
HSSC/Intermediate/A Level
12 years
Bachelors (BA,BSc, BSc (Hons) etc
14 & 15 years
Bachelors (BE, LLB, MBBS, BSc (Hons) etc
16 years
Masters (MA, MSc)
16 years
MPhil/MS/ME etc (if completed)
18 years
Having one or more board / university 1st position

More than 70% marks in all the examinations

Have MBBS or BDS degree

Total Score
Employment Status

Pay Period of Service


Employer’s Name Address of Organization Designation
College/University/Organization Scale From To

Current Employer

Last Employer (Only Last One)

UNDERTAKING BY THE APPLICANT

It is solemnly affirmed that I have read and understood the conditions of the award of this program / scheme
advertised in press and that the decision of Foreign Scholarship Awarding Committee (FSAC) would be final
and binding. In the event any information contained herein is found to be untrue, I shall be liable to disciplinary
action, which may result in my termination from service and recovery of full amount spent on me in connection
with this award.

I undertake that I am not currently recipient of any other HEC scholarship.

I also undertake that after completion of my studies abroad, will come back to Pakistan and serve ICUP
for 5 years in Pakistan.

Date______________________ Signature of Candidate ______________________

---------------------------------------------------------------------------------------------------------------------------------------

(To be filled by the organization)


All candidates who are government employees should apply through proper channel. Advance copy will
not be entertained.
Attestation by the Vice Chancellor/Rector/Chairman R & D org/Secretary (Ministry/Dept)
i. Certified that the statement made above has been verified and found correct. Attested copies of the
certificates, degrees along with copy of CV of the candidate duly verified are enclosed.

ii. Certified that Mr./ Ms. __________________________________ is employed on full time/permanent


basis at our university/college/organization since ____________________and he/she is not employed on
adhoc/contract basis.

iii. It is further certified that the incumbent if awarded the scholarship by HEC will be allowed study leave
for the period of the award.

Date____________________ Signature _________________________


VC/Rector/Chairman R&D org/Secretary
Designation________________________
Office Stamp_______________________
Forwarded Copy
Please check the list of documents attached with the application form:

Attested photocopy of confirmed admission letter for PhD or leading to PhD Program at one of the HEC
approved universities.

Attested photocopy of GRE/GMAT/ NTS Score.

Attested photocopy of CNIC.

Attested photocopies of all educational testimonials.

CV / Résumé with latest 2 passport size photographs.

Statement of purpose for pursuing higher studies (max. 500 words).

Research Proposal.

Rs.1000/- (Non Refundable) in the name of Deputy Treasurer, ICP as application processing fee.

Note: All above documents should be in proper order and stapled.