2
HIGHER EDUCATION COMMISSION
H-9, ISLAMABAD (PAKISTAN)
www.hec.gov.pk/ffsp,
Attach Photograph here
Application Form
For “Commonwealth Scholarships, for PhD Studies Tenable in UK
, 2015”
(1-Photos, Put Name
and Attestation at the
back)
Use Capital Letters (Forms may be typed using MS Word) and write N.A, where “Not Applicable”
Doctoral (PhD) studies
Scholarship applied for (Please tick the relevant box)
Attach portion of payment receipt of HBL online payment facility of amount Rs. 1000/- (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:
(as given in Matric/S.S.Certificate)
Father’s Name:
Computerized National ID Card
Marital status:
Single
(Tick (one of the following):
ICT
KPK
FATA
Married
GB
Date of Birth:
No:
Domicile (City /District, give both):
Punjab
Sindh Urban
AJK
Balochistan
/
Sindh Rural
Age on (30-10-2014):
Day
Month
Year
Correspondence Address (Where you wish to receive letters form HEC):
City:
Permanent Address ( if different form the above Correspondence Address ):
City:
Telephone No (Office)
(Residence)
(Personal Cell):
-
E-Mail Address (COMPULSORY):
Research Publication (Use extra sheet where required):
Sr.
No
Title of Research
paper
Area of Research
Use Extra sheets where necessary
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
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
Educatio
nal Level
Name of
Degree /
Certificate
Year of
Passin
g
Institution /
Board
University
Major Subjects
(Science/Arts/
Engg:/Medical
etc)
Grade/ Div.
(as
mentioned
in you Final
Year
Certificate /
Degree)
CGPA.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Marks
obtained.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Out of
(Total)
%age.
(as
mentione
d in your
final
Transcrip
t/
Degree)
Equivale
nt % of
marks
by
IBBC/H
EC (in
case of
Foreign
degree
or CGPA
SSC/Olevel
HSC/Alevel
Bachelor’s
Degree
(Below 16
years)
Bachelors
/ Master’s
Degree 16
years
(including
BE/MBBS
/BDS)
Masters
/MPhil/MS
(18 years)
PhD (if
already
enrolled)
(Please mention the date of enrolment in PhD, expected PhD completion date along with current status of PhD)
Name of UK University / Institution where you intend to do PhD and have established contacts /
obtained placement. (A Letter of confirmation is required). List of UK institutions can be found at
http://bit.ly/cscuk-uk-universities;
a.
Name of University / City
b.
Proposed Area of PhD Research
Studies
c.
Who will supervise your research
(Name of Supervisor, email
address, university address)?
d.
Attach Confirmation letter /
Placement letter from UK
institution (mandatory document)
Please note that the candidate should hold full time regular university teaching post before applying.
Name of Employer
with Address (in
case of more than
one employment
use extra sheets
where necessary)
Category of
Employer(Federal/Prov
Govt, Semi-Govt,
Autonomous, Corporation,
Private)
Designation with Grade
(BPS, Group etc. if
applicable)
Period served
From
To
Nature of
Job
(Regular/
Contract
etc.)
Job details
(Teaching,
R&D,
Service,
Technical,
other
etc.)
Employment Details (Starting from the Current Job, use extra sheet where necessary)
Total Length of Service:
Year(s)
Month(s)
Day(s)
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:
CNIC Number: ________________________________________
Signature: ___________________________________
Date:
Advance copy
Forwarded Copy
EMPLOYER NO OBJECTION CERTIFICATE
(For Employed Persons only)
This is to certify that Mr. /Ms. _________________________________ Son/Daughter of
Mr.___________________________is a regular full time faculty of this university working as
_____________________________Since __________. His/her educational, employment particulars and other
statements as stated in this application form 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 Commonwealth Scholarship on the terms
and conditions of scholarship scheme, he/she will be released on study leave for the prescribed duration of
Doctoral studies (PhD) under the above said scholarship scheme.
Signature:
_________________________
Name & Designation: _________________________
(Registrar/Vice-Chancellor of Institution)
Full Address: _________________________
Office Stamp: _________________________