HIGHER EDUCATION COMMISION

Sector H-9 Islamabad

Phone: 05190808113, Fax: 02133536579
Website:www.hec.gov.pk/hrdiuestp

HEC/HRD/UESTP/2016/2417
APPLICATION COVER
UESTP Scholarship for MS/MPhill Leading to PhD in selected fields

PHASE-I BATCH-V

Address To :

Mr. Rizwan Ahmed Khan

Project Director HRD
Human Resource Development Division Higher Education Commission of
Pakistan Sector H-9, Islamabad – Pakistan

From :
ENGR.ZAHOOR AHMAD
HOUSE #35,SALAM GARDAN,ARBAB ROAD PESHAWAR CITY, PESHAWAR, PAKISTAN
+923139389582

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NOTE: This Page must be pasted on the envelope being sent to HEC.(via courier)
 HIGHER EDUCATION COMMISION
Sector H-9 Islamabad Affix Recent
Phone: 05190808113, Fax: 02133536579 Photograph
Website:www.hec.gov.pk/hrdiuestp

HEC/HRD/UESTP/2016/2417
APPLICATION FORM
UESTP Scholarship for MS/MPhill Leading to PhD in selected fields

PHASE-I BATCH-V

Fee Paid Rs. ___________ Challan Form No. 0843063 Dated: 28-Apr-2016

Bank Name: HBL Bank Branch: Tehkal bala branch

Application Id: 2417 Total Amount: Rs. 300/= (Please enclose Original fee Receipt)

PARTICULARS OF THE APPLICANT (IN CAPITAL LETTERS)

1. Name of Applicant: ENGR.ZAHOOR AHMAD

2. Father's Name: GUL SYED KHAN

3. CNIC: 1420249708683

4.Permanent Address : LAKI GHUNDAKI MIRZAKHEL,P.O TEHSIL AND DISTT KARAK, KARAK, PAKISTAN

5. Mailing Address: HOUSE #35,SALAM GARDAN,ARBAB ROAD PESHAWAR CITY, PESHAWAR, PAKISTAN

6. Email: [email protected]
7. Mobile: +923139389582
8. Fax:
9. Domicile : KHYBER PAKHTUNKHWA
10. Domicile District: KARAK

11. Domicile City: KARAK

12. Marital Status: SINGLE

13. Gender: MALE

14. Date of Birth: 15-Mar-1993

15. Age(on closing date): 23 YEARS,1 MONTHS,15DAYS

16. Nationality: PAKISTAN

COUNTRY OPTIONS
Country Option 1 Country Option 2 Country Option 3
Italy Turkey Belgium

SCHOLARSHIP DETAILS

Intended Program to Join MS/MPhill Leading to PhD

PEC/PCATP Registration Number 39092
PEC/PCATP Subject Civil
Discipline Civil Engineering
Field of Study Civil Engineering
Major of Degree Civil Engineering
Proposed Area of Research Transportation Engineering
SCHOLARSHIPS TEST CENTER DETAIL

Preferred Test Center Peshawar

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EDUCATION DETAILS

CGPA/ Total
Field of Start End Date
Level Program Discipline Institute Marks Marks/ %age Div. Grade
Study Date
Obtained CGPA
Secondary
School
30-Aug- 29-May-
Certificate / Matric Science BISE Kohat 869.00 1050.00 82.76 1st A1
2007 2009
Matriculatio
n / O - level
Higher
Secondary
Science
School Intermedia BISE 01-Sep- 21-May-
(Pre- 850.00 1100.00 77.27 1st A
Certificate / te Peshawar 2009 2011
engineering)
Intermediat
e/ A - level
University of
Bachelor B.Sc Engineering
Engineering & Civil 01-Nov- 06-Jun-
(16 Years) (Engineeri & 2.65 4.00 64.05 1st B
Technology, Engineering 2011 2015
Degree ng) Technology
Taxila

PUBLICATION DETAILS

EMPLOYMENT DETAILS

QUESTIONNAIRE
1 I affirm that I am not availing any other Scholarship. Yes
2 Do not have any third division throughout the academic career Yes
On selection would you be able to get leave sanctioned for the whole study period
3 Yes
(For Government employee)
4 Have completed minimum of 16 years of academic education? Yes
Are you less than or exact 40 years of age on closing date of application? (Only for full time regular faculty members
5 of public sector Universities/Colleges and employees of the public sector R & D organizations) Or Are you less than Yes
or exact 35 years of age on closing date of application?
6 Are you a Pakistani / AJK National? Yes

DOCUMENT REQUIRED

(PLEASE ENSURE THAT FOLLOWING DOCUMENTS ARE ATTACHED WITH THE APPLICATION FORM)

1 Attested photocopy of CNIC Attached?

2 One passport size photograph Attached?

Original Online Deposit slip of Rs. 300 non-refundable in favour of the DIRECTOR General Attached?
3 Finance,Higher Education Commission,H-9, Islamabad on account number 1742-79001334-1,HBL
Branch Islamabad as processing fee
4 NOC from employer for in service candidates -Only for Government employees Attached?

5 Research Proposal -for PhD candidates only Attached?

6 Attested copy of valid PEC or PCATP Registration Attached?

7 Statement of Purpose in relevant field of study Attached?

8 Attested photocopy of domicile Certificate Attached?

9 Attested photocopies of all educational testimonials. Attached?

DISCLAIMER/UNDERTAKING

It is solemnly affirmed that the statements made by me in the forgoing columns and this application form are true, complete and
correct to the best of my knowledge and that I have read and understood the conditions of the award of this program / scheme
advertised in press and that the decision of National Scholarship Management Committee (NSMC) would be final and binding. In the
event any information contained herein is found to be untrue / misrepresented / omitted during or after scholarship award, I shall be
liable to disciplinary action, which may result in cancellation of the scholarship and termination from current service / job and recovery
of full amount spent on me (along with 25% penalty) in connection with this award.
I also undertake that after completion of my studies abroad, I will come back to Pakistan and serve for 5 years in Pakistan.

Signature:

ZAHOOR AHMAD

Date: 28-Apr-2016

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TO BE FILLED BY CURRENT EMPLOYER / 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 certificates, degrees along with copy
of C.V. of the candidate duly verified are enclosed.
ii)Certified that Mr./ Ms.ZAHOOR AHMAD is employed on full time/permanent basis at our university / college / organization
since_______________________________and he / she is not employed on ad-hoc / 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.

Signature:_____________________________

Date:______________________________

(VC/Rector/Chairman R & D Org. / Secretary)

Office Stamp:
Forwarded Copy
Designation:

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