Beruflich Dokumente
Kultur Dokumente
Eligibility Criteria
a
Yes
No
Yes
No
Personal Details
Full Name:
(As given in Matriculation / S.S.Certificate)
Fathers Name:
Guardian Name:
(In case of decesed father)
Gender:
Day
Month
Year
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Male
Female
Admission Intension
I intend to get admission in Undergraduate program in the discipline given below in order of preference:
i)
________________
ii)
____________________
iii)
________________
iv)
____________________
(Please note:
It is not necessary to recommend the candidate for admission as per his/her choice. It depends on the
availability of seats in the Institutions/ Universities and candidates merit. However, HEC will facilitate the students for admission
but to secure admission at any Public Sector University / Private Category W University/Degree awarding Institute is the
responsibility of the candidate)
Address
i) Postal Address (Where you want to receive letters from HEC):
____________________________________________________________________________________________
_____________________________________________
City__________________________________________
ii) Permanent Address (if different from the above postal address):
____________________________________________________________________________________________
_________________________________________________________ City_______________________________
District/Agency/FR_________________________________ Province: ___________________________________
Phone No:
_________________________________
iii) Fathers/ Guardian Office Number (with city code): _________________ Mobile No: ______________
iv) Any other contact Number (with city code): _____________________
E-mail Address: (Compulsory)
Email: _________________________________________________________
(Note:
If you dont have any email account create it as most of the future correspondence will be done by E-mail.
Do not change your E-mail address
Check your e-mails frequently.)
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Domicile: Candidates Domicile (Tick (one of the following and attach attested photocopy)
i.
FATA:
1
6
11
Mohmand
FR Kohat
4
9
ii. Balochistan:
Name of District: ___________________________
1
Kalat
2
Mastung
3
Khuzdar
6
Kharan
7
Lasbela
8
Ketch
11
Naseerabad 12
Jaffarabad
13
Jhal Magsi
16
Pishin
17
Loralai
18
Chagi/Dalbadin
21
Harnai
22
Ziarat
23
Kohlu
26
Dera Bugti
27
Killa
28
Musa Khail
Abdullah
4
9
14
19
24
29
5
10
Awaran
Gawadar
Bolan
Nushki
Sherani
Barkhan
5
10
15
20
25
30
Orakzai
FR
Bannu
Washuk
Panjgur
Quetta
Sibi
Zhob
Killa
Saifullah
Fathers Domicile: (Tick (one of the following and attach attested photocopy)
i)
FATA
ii)
Balochistan
Educational Details
Educational
Level
Name of Certificate
(Give Exact Title, as
written in the
testimonial)
Marks obtained
Year of
Passing
(as mentioned in
your final year
Marks Sheet )
SSC / Matric
OR
*O-level
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Total
Marks
Name of Institution /
School/University
FA/FSc
OR
*A-level
* O-level and A- level applicants will have to provide equivalence of grades/percentages and attestation from IBCC
(Inter Board Committee of Chairman) without which applications will not be processed.
Date:________________________________
Branch:
Peshawar
Quetta
Karachi
Lahore
(Note: Request for change of center will not be entertained once choice is exercised. In case candidate does not tick the
choice of center for test he/she will be placed according to his /her domicile.)
Undertaking by Applicant:
I solemnly verify that the particulars stated above are correct to the best of my knowledge and belief. In case
any discrepancy is identified by HEC at any stage, the scholarship shall be immediately terminated and I will
have no right of appeal or seek relief from court of law. Consequently I'll be liable to pay back the entire amount,
released by HEC under various expenditure heads, against the scholarship.
Signature:
Date:
___________________________________
___________________________________
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The Application forms completed in all respect along with all the required documents should be reach by the
registered post or courier service by 26 August 2016 at address.
Project Coordinator
Provision of Higher Education Opportunities for Students of Balochistan and FATA (Phase-II)
Higher Education Commission
H-9, Islamabad
Tel: 051-90400000
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