Human Resource Development Division

Application form for CAS-TWAS Presidents Fellowship Pro ramme

Full Name of Scholarship/Fellowship Field of Study/Training Duration

Personal Details!
Mr. Title Other Mrs. Specify other Ms. Dr.

Full Name (as shown on NIC) Fathers Name (as shown on NIC) C NIC Num er! Date of "irth Domicile #ender Male City of Domicile Female

$nder which le%el you are applying& Please Tick/Check the required field correctly PhD '(C ()s*+,,) Deposited Challan Num er - Date (if applica le) Name of '". "ranch - /ddress Correspondence /ddress 0ermanent /ddress Telephone ()es) Telephone (0ersonal) (mail /ddress (Compulsory)

City City Telephone (1ff*)

(nglish .anguage 0roficiency (where applica le!

2hich of (nglish .anguage Course /ttended "#$TS TO#F$

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Date Test Ta4en

1%erall Score

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0ost and Current Studies

5* Certificate 6ualification Title Field of Study /ggregate in 0ercentage 7a8ors +. Certificate 6ualification Title Field of Study /ggregate in 0ercentage 7a8ors 9* Certificate 6ualification Title Field of Study /ggregate in 0ercentage 7a8ors :* Certificate 6ualification Title Field of Study /ggregate in 0ercentage 7a8ors +* Certificate 6ualification Title Field of Study /ggregate in 0ercentage 7a8ors Total -ears of Study .))re)ate i( CP,. "oard/$ni%*/Institut e Total -ears of Study .))re)ate i( CP,. "oard/$ni%*/Institut e SSC Masters %SC MPhill Total -ears of Study .))re)ate i( CP,. "oard/$ni%*/Institut e SSC Masters %SC MPhill ,raduatio( PhD ,raduatio( PhD Total -ears of Study .))re)ate i( CP,. "oard/$ni%*/Institut e SSC Masters %SC MPhill ,raduatio( PhD Total -ears of Study .))re)ate i( CP,. "oard/$ni%*/Institut e SSC Masters %SC MPhill ,raduatio( PhD SSC Masters %SC MPhill ,raduatio( PhD

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;* 1ther (specify)

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#)(/#/T

(If /pplica le) Field and Su 8ect of Test Date Test Ta4en 1%erall Score (0ercentage)

/re you currently enrolled in a .ocal 0hD 0rogram< within 0a4istan (If /pplica le)
Name of $ni%ersity City Date of (nrollment Course of 2or4 Completed& Date of Completion (if applica le) C#0// 0ercentage of Course 2or4 (if applica le) )esearch 0roposal /ppro%ed for 0hD Name - Designation of Super%isor -es 1o PhD 1um er -es 1o

)esearch 0u lication (1nly for )esearchers or 0hD Candidates) if /pplica

5* Title of )esearch 0aper /rea of )esearch Impact of )esearch =* Title of )esearch 0aper /rea of )esearch Impact of )esearch 9* Title of )esearch 0aper /rea of )esearch Impact of )esearch :* Title of )esearch 0aper /rea of )esearch Impact of )esearch Note ! $se (>tra Sheet for more pu lications $ocal Date of Pu licatio( $ocal Date of Pu licatio( $ocal Date of Pu licatio( $ocal Date of Pu licatio(

le

"(ter(atio(al

"(ter(atio(al

"(ter(atio(al

"(ter(atio(al

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(mployment 'istory (use e>tra sheet for more employer)

5* Name - /ddress of the (mployer Federal Category of (mployer .uto(omous Designation Nature of ?o ()egular< contract etc) ?o Details =* Name - /ddress of the (mployer (0re%ious) Category of (mployer Federal Pro'. ,o't Corporatio( "0S (if applica le) 0eriod Ser%ed Semi3,o't Pri'ate .uto(omous Designation Nature of ?o ()egular< contract etc) ?o Details Pro'. ,o't Corporatio( 4PS (if applica le! Period Ser'ed Semi3,o't Pri'ate

Important Instructions!
*. +. /. 0. .pplica(ts must meet eli)i ility Criteria .pplica(ts must ha'e 563768 i( fi(al required de)ree for scholarship .pplica(t must e Pakista(i (atio(als (dual (atio(ality is (ot allowed! .ll the fields of this form must e filled properly. %#C has ri)hts to re9ect improper a(d i(correct filled forms. 2. .pplicatio( Packets are to e properly ou(d (ri()/spiral/other! a(d a((e:ures should e properly la eled/ta))ed. 5. Copy of Challa( form should e attached with applicatio( form where applica le Documents /ttached *. .ttested Copy of 1"C -es 1o +. .ttested Copy of Passport -es 1o /. .ttested Copies of .ll De)ree Certificate -es 1o 0. .ttested Copies of Tra(scripts -es 1o 2. Copy of Challa( Form -es 1o 5. Forei)( Scholarship Form i( required 1o. (where applica le! -es 1o 7. Forei)( Fit(ess Form (where applica le! -es 1o ;. .(y other (please specify! <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< Declaration Date " solem(ly 'erify that the particulars listed a o'e are correct to the est of my k(owled)e. "( case a(y misreprese(tatio( is ide(tified y %#C/ co(cer(ed authorities at a(y sta)e= my scholarship will immediately e termi(ated. "f " am selected y co(cer(ed authorities " will tra'el to the co(cer(ed quarters for studies. Si)(ature of .pplica(t <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<

"ote! H#C is onl$ facilitatin and has no financial lia%ilit$& final selection is to %e made %$ the authorities concerned'

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Advance copy Forwarded Copy

EMPLOYER NO OBJECTION CERTIFICATE

(For (mployed 0ersons only) This is to certify that Mr./Ms. <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< So(/Dau)hter of Mr.<<<<<<<<<<<<<<<<<<<<<<<<<<<is re)ular/co(tract/adhoc employee of this Or)a(i>atio( as <<<<<<<<<<<<<<<<<<<<<<<<<<<<<Si(ce <<<<<<<<<<. %is/%er educatio(al= employme(t particulars a(d other stateme(ts as stated i( this applicatio( form ha'e ee( checked a(d 'erified with the ori)i(al docume(ts. "t is here y affirmed that i( the e'e(t of his/her selectio( for the award of Forei)( Fu(ded Scholarship o( the terms a(d co(ditio(s of scholarship scheme= he/she will e released o( study lea'e for the prescri ed duratio( of the a o'e said scholarship scheme.

Signature!

@@@@@@@@@@@@@@@@@@@@@@@@@

Name - Designation! @@@@@@@@@@@@@@@@@@@@@@@@@ ('ead of Department/Institution) Full /ddress! @@@@@@@@@@@@@@@@@@@@@@@@@ 1ffice Stamp: Signature _________________________ ______________________

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