Proposal Identification Number
HIGHER EDUCATION COMMISSION
H-9, Islamabad (Pakistan)
Recent
photograph here
PARTIAL SUPPORT FOR PHD STUDIES ABROAD
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 citizen?
Yes
No
2.
Are you enrolled for a full PhD program in a foreign university?
Yes
No
3.
Are you in last year of your PhD studies?
Yes
No
4.
Do you have a satisfactory progress report from your PhD supervisor?
Yes
No
5.
Do you have a valid NOC from your employer in Pakistan (if any)?
Yes
No
6.
You are not receiving any other scholarship from Govt of Pakistan?
Yes
No
Note:
If your answer to all the above questions is yes, then please proceed to the next page and
fill up the application as per instructions given in the form.
In case your answer to any of the above questions is No, we regret that you are not eligible
for this scholarship.
Name: - _______________________________
Signature: -____________________________
CNIC Number: -_______________________
Date: - _______________________________
Page 1 of 7
PERSONAL INFORMATION
1.
Full Name
2.
Father Name 
3.
Passport Number 
4.
Passport expiry date 
5.
dd/mm/yyyy
6.
Visa expiry date 
dd/mm/yyyy
CNIC No 
7.
Date of birth 
dd/mm/yyyy
8.
Domicile 
10.
Mailing Address Abroad 
11.
Mailing Address in Pakistan 
12.
E-mail 
13.
Contact Nos:
14.
9.
Gender 
Mobile 
Home 
Fax No 
Office 
Reference in Pakistan 
Provide contact details i.e name, postal address, email, phone number of a person who can be contacted in Pakistan on your
behalf. (e.g parents, siblings, spouse etc)
DOCTORAL PROGRAM INFORMATION
15.
Title of PhD research 
16.
Student ID/
Registration number 
17.
PhD starting date 
18.
Expected PhD completion date 
Page 2 of 7
19.
Major 
e.g. organic chemistry
20.
Field of study 
e.g Physical Sciences
21.
PhD supervisor name 
22.
Supervisor’s Phone Numbers 
23.
Supervisor’s e-mail 
24.
Institute/Dept 
25.
University 
26.
University Address 
DETAIL OF COURSES TAKEN AT PhD LEVEL
27.
Course name
Date/Semester
Course Type
Core/ Elective
Instructor name
Total credits of
course
GPA
28.
List scholarships or fellowships held at present or in the past (Give source or sponsor, amount, where
held and duration) 
29.
Indicate any academic honours or prizes which you have received, with titles and dates. 
30.
List any books, articles or theses published by you, especially in your area of study (Give title, place
and date of publication). 
Page 3 of 7
31.
List professional societies, fraternities or other organizations in which you now hold membership or in
which you have been active in the past (indicate if you have held an elective office). 
32.
Teaching experience: (include any teaching positions you have held or currently hold) 
Funding Requirements
33.
Amount of tuition fee required for last year of PhD 
Please attach a letter from university admin/fee office.
34.
Duration for which Living allowance is required 
Please mention in months maximum up to 12 months
Employer Details
35.
Give details of your employer (if employed in Pakistan and are on study leave at present)
Name and address of employer 
Title/Designation 
Study leave valid up to 
36.
Where would you like to join in Pakistan after completion of your PhD studies? [ only for those applicants
who are not already employed in Pakistan]
Choice 1 
Choice 2
Choice 3
Page 4 of 7
37.
(To be filled in by PhD Supervisor)
Remarks by PhD supervisor. 
Supervisor Name:
Signature & stamp:
Page 5 of 7
FOR EMPLOYED APPLICANTS ONLY
ATTESTATION BY THE HEAD OF DEPARTMENT
This is to Certify that Mr./Ms. ______________________ Son/Daughter of Mr. ___________________ is regular employee of this
Organization as _____________________________Since __________.
His/Her educational, employment particulars and other statements as stated in the foregoing columns 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 'International Research Support Initiative Program', he/she will be released on study leave for the total
duration of the research program which on average is 6 months.
Date: _____________
Signature:
_________________________
Name & Designation: _________________________
(Head of Department/Institution)
Full Address:
_________________________
Office Stamp:
Signature
_________________________
_________________________
(Please Tick One)
Advance copy
Forwarded Copy
UNDERTAKING BY THE APPLICANT (compulsory for all applicants)
I Mr./Ms. ______________________ Son/Daughter of Mr .___________________certify that the statements made by me in the
forgoing columns are true, complete and correct to the best of my knowledge and belief. It is solemnly affirmed that I
have read and understood the conditions of the award of this program advertised in the press and from the web page
of HEC and that the decision of HEC or the National Scholarship Management Committee (NSMC) would be final and
binding. I understand that the award will be withdrawn as well as recovery of full amount spent on me in the
connection with the award if any misrepresentation or omission is discovered even after my selection for fellowship
award under the 'Partial Support for PhD Studies Abroad” scholarship.
Date:
__________________
Applicant’s Signature___________________________
Page 6 of 7
DOCUMENTS CHECKLIST (PLEASE ATTACH THE DOCUMENTS IN ORDER AS MENTIONED BELOW)
Application form
Annexure-1
Copy of Pakistani CNIC
Annexure-2
Copy of Pakistani passport
Annexure-3
PhD admission letter
Annexure-4
PhD thesis synopsis
Annexure-5
Up to date progress report signed by PhD supervisor
Study leave from employer (if applicable)
Annexure-6
University fees office letter
Annexure-8
CV of applicant
Annexure-9
Copies of academic documents (matric and onward)
Annexure-10
Page 7 of 7
Annexure-7