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HIGHER EDUCATION COMMISSION

H-9, ISLAMABAD (PAKISTAN)
Attach Photograph here (1-Photos, Put Name and Attestation at the back)

www.hec.gov.pk/cw-uk

Application Form For Commonwealth Scholarships, for Masters / Split site / PhD /Fellowship Studies Tenable in UK , 2014
Use Capital Letters (Forms may be typed using MS Word) and write N.A, where Not Applicable Scholarship applied for (Please tick the relevant box)

PhD

Split site

Master

Fellowship

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: Date:

Personal Details
Full Name: Fathers Name:
(as given in Matric/S.S.Certificate)
Computerized National ID Card

No: /

Marital status: Single (Tick (one of the following): ICT KPK FATA Date of Birth: GB

Married

Domicile (City /District, give both ): Sindh Urban Balochistan Sindh Rural

Punjab AJK

Age on (20-10-2013):

Day Month Year Correspondence Address (Where you w ant 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 Journal in which your paper was published

Use Extra sheets where necessary

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
Grade/ Div. (as mentioned in you Final Year Certificate / Degree) CGPA. (as mentioned in your final Transcript / Degree) Marks obtained. (as mentioned in your final Transcript / Degree) %age. (as mentioned in your final Transcript / Degree) Merit Evaluati on Score (fill if possible or leave blank )

Educatio nal Level

Name of Degree / Certificate

Year of Passing

Institution / Board University

Major Subjects (Science/Arts/ Engg:/Medical etc)

Out of (Total)

SSC/Olevel HSC/Alevel Bachelors Degree Below 16 years Masters Degree 16 years (including BE/MBBS/ BDS) M.Phil., (if Completed) Doctorate (PhD) or Any Other
decimal.

Name of UK University / Institution where you intend to do Master / PhD / Fellowship, and have established contacts / obtained placement. (A Letter of confirmation is required)
a. Name of University / City

b.

Proposed Area of PhD Research Studies (if applicable)

c.

Who will supervise your research (Name of Supervisors & address)?

Employment Details (Starting from the Current Job, use extra sheet where necessary)
Total Length of Service: Year(s)
Name of Employer with Address (in case of more than one employment use extra sheets where necessary)

Month(s)

Day(s)
Period served Nature of Job (Regular/ Contract etc.) Job details (Teaching, R&D, Service, Technical, other etc.)

Category of Employer(Federal/Prov Govt, Semi-Govt, Autonomous, Corporation, Private)

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

From

To

If selected, will you be able to obtain study leave, from your employer, for the entire study period? 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. In case any misrepresentation is identified by HEC/ COMMONWEALTH UK at any stage, my scholarship will immediately be terminated. Consequently I'll be liable to pay back the entire amount, released by HEC/COMMONWEALTH UK under various expenditure heads, against my scholarship (i.e. stipend, Grant to university, air fare etc.). Name of Candidate: Signature: ___________________________________ Date: