Proposal Identification Number

HIGHER EDUCATION Passport Size

COMMISSION
Photograph here

H-9, Islamabad (Pakistan)

INTERNATIONAL RESEARCH SUPPORT INITIATIVE PROGRAMME

(IRSIP)
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.

Are you enrolled in a public sector or private sector Pakistani university for
1. Yes No
PhD?
2. Are you a full time AJK/Pakistani national PhD student? Yes No
Are you exempted from PhD course work?
3. Yes No
(Scholars who had enrolled for PhD before July 2005 are exempted)
4. If No, have you completed the course work? Yes No
Have you passed the subject test required for admission/ conversion to PhD
5. Yes No
(see note below for details)?
Is your topic of PhD research approved by BASR/DASR or university equivalent
6. Yes No
body?
7. Are you actively engaged in PhD thesis related research work? Yes No
Have you been invited/ accepted by a research group or foreign university to
8. Yes No
conduct your PhD thesis related research?
Note I:
a) International GRE subject test offered by ETS or Local GRE subject test offered by NTS.
b) HEC approved departmental test for subjects for which ETS/NTS subject test is not
available.

Note II: If your answer to all the above questions is yes except question no 3, then please
proceed to the next page and fill up the application as per instructions given at the end
of the application form.
In case your answer to any of the above questions is No (except for question no 3), we
regret that you are not eligible for this research fellowship.

Name: - ______________________________

Signature: -____________________________

CNIC Number: -_______________________

Date: - _______________________________

Page 1 of 7
DOCUMENT CHECKLIST:
(PLEASE ATTACH THE DOCUMENTS IN THE ORDER MENTIONED BELOW)
APPLICATION SET 1:
I. Application form Annexure-1
II. Foreign university acceptance letter(s), in order of preference Annexure-2
III. CV(s) of proposed foreign supervisor(s) Annexure-3
BASR/DASR approval showing approved PhD research topic &
IV.
synopsis
Annexure-4
V. PhD thesis synopsis (complete) Annexure-5
VI. Local PhD supervisor recommendation letter Annexure-6
VII. CV of local PhD supervisor Annexure-7
NOC from concerned HEC officer (if already availing any other
VIII.
HEC scholarship)
Annexure-8
NOC from department/organisation (if employed/ on study
IX.
leave)
Annexure-9
Annexure-
X. CV of applicant
10
Annexure-
XI. Copy of passport
11
Copies of academic documents including PhD coursework
Annexure-
XII. transcript showing credit hours and grades obtained in each
course. 12
Annexure-
XIII. Copy of GRE result certificate/card from ETS / NTS
13

APPLICATION SET 2:
I. Application form Annexure-1
II. Foreign university acceptance letter(s), in order of preference Annexure-2
III. CV(s) of proposed foreign supervisor(s) Annexure-3
IV. PhD thesis synopsis (complete) Annexure-4
BASR/DASR approval showing approved PhD research topic &
V.
synopsis
Annexure-5
VI. Copy of GRE result certificate/card from ETS / NTS Annexure-6

Note: Both sets are to be properly bound (ring/spiral/other).

All annexures to the application sets are to be properly
labelled (tagged).

Page 2 of 7
PERSONAL INFORMATION
1. Name
2. Father Name
3. CNIC No 4. Date of birth
Domicile (Dist & Gender
5. 6.
Province) (M/F)
Current Address
7. (to be used for
correspondence)
Permanent
8.
Address
9. E-mail (s)
10. Contact Nos: Mobile: Home:
Fax No: Office:

11. ACADEMIC QUALIFICATIONS

Grade/
Degree Year Field/ Subject Board/ University
Division
Matric
Intermediat
e
Bachelor
Masters
M. Phil
12. DETAIL OF COURSES TAKEN AT M. Phil LEVEL
Date/Semeste Course Type Total credits of
Course name Instructor name GPA
r Core/ Elective course

13. DETAIL OF COURSES TAKEN AT PhD LEVEL (also attach transcript)

Date/Semeste Course Type Total credits of
Course name Instructor name GPA
r Core/ Elective course

Page 3 of 7
14. Provide international/Local GRE score:
ETS GRE Subject Test Date
i- Score
subject
NTS
Subject Test Date
ii- GRE Score

subject
List scholarships or fellowships held at present or in the past (Give source or sponsor,
15.
amount, where held and duration).

16. Indicate any academic honours or prizes which you have received, with titles and dates.

List any books, articles or theses published by you, especially in your area of study (Give
17.
title, place and date of publication).

List professional societies, fraternities or other organizations in which you now hold
18. membership or in which you have been active in the past (indicate if you have held an
elective office).

19. Teaching experience: (include any teaching positions you have held or currently hold)

Occupational experience: (list positions held, beginning with the most recent
20.
employment, if any)
Duration
Name and address of employer Title/ Type of work
From To

DOCTORAL PROGRAM INFORMATION

University where
21.
enrolled for PhD
University
22. Dept/institute
Address
PhD Registration
23. 24. PhD Starting Date
No

Expected PhD Research topic & Synopsis

25. 26. approval date (by BASR/ DASR/
Completion date equivalent body)

Major Field of study

27. 28.
(e.g. chemistry) (e.g physical sciences)
Title of PhD
29.
research
Are you already availing any HEC Yes, If Yes provide N
30.
scholarship? following: o
Page 4 of 7
 i- Scholarship Name ii- Batch, PIN
LOCAL PHD SUPERVISORS DETAILS
31. Supervisors name
Supervisors Phone Supervisors e-
32. 33.
No mail
34. Institute/Dept
35. University
36. Address
LIST OF PHD FACULTY IN THE DEPARTMENT/INSTITUTE WHERE
37.
ENROLLED FOR PHD
No Name Designation
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
XIV.
RESEARCH DETAILS
38. Provide details on research conducted in Pakistan so far (minimum 200 words)

39. Goals of proposed visit to foreign university/ institute (minimum 200 words)

40. Brief justification and plan of study (minimum 200 words)

41. Which experiment or specific work you want to carry out abroad?

(To be filled in by Local Supervisor)

42. Recommendation by local PhD supervisor justifying the foreign visit of scholar.

43. Research facilities availability in Pakistan for scholars research topic.

44. What are the socio-economic benefits of this research?

Page 5 of 7
45. What is the time span by which country will start benefitting of this research?

How would the scholar conduct his PhD thesis related research if he doesnt get selected
46.
for 6 months research abroad?

Supervisor Name: Signature & stamp:

47. Is your Foreign Supervisor an ex-supervisor of your Local
Yes No
Supervisor?
FOREIGN VISIT INFORMATION
LIST OF FOREIGN UNIVERSITIES THAT OFFERED YOU PLACEMENT (In order of
48.
priority)
Universit
y Unive
Ranking rsity Bench Fee
Co (Over all Ranki Amount
Supervisor
No University Department unt world ng 9 (As per
name
ry ranking) subje offer
as per ct letter)
Times wise)
ranking

RECENT 10 RESEARCH PUBLICATIONS BY PROPOSED FOREIGN SUPERVISOR

49.
(provide CV also)
Supervisor name Publication list

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

Page 6 of 7
UNDERTAKING BY THE APPLICANT (compulsory for all candidates)

I Mr./Ms. ______________________ Son/Daughter of Mr .___________________certify that

the statements made by me in this form 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 the Selection Committee would be final and

binding. I understand that the award will be withdrawn as well as recovery of full

amount spent on me along with any penalty in connection with the award if any

misrepresentation or omission is discovered even after completion of fellowship

award under the 'International Research Support Initiative Program'.

Date: __________________ Applicants

Signature___________________________

Page 7 of 7