2

HIGHER EDUCATION COMMISSION

H-9, ISLAMABAD (PAKISTAN)
Attach Photograph here
www.hec.gov.pk/ffsp,
Application Form (1-Photos, Put Name
and Attestation at the
For Scholarship titled, “ The Stipendium Hungaricum back)

Scholarship Programme 2016/2017”

Use Capital Letters (Forms may be typed using MS Word 12) and write N.A, where “Not Applicable”
o Scholarship applied for (Please tick the relevant box) Technical Degree Bachelor Degree Master Degree Doctoral (PhD)
studies

Attach portion of payment receipt of HBL online payment facility of amount Rs. 500/- (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 No:

Marital status: Single Married Domicile (City /District, give both): /

(Tick (one of the following):
ICT KPK Punjab Sindh Urban Sindh Rural
FATA GB AJ& K Balochistan
Date of Birth: Age on (01-03-2016):
Day Month Year

English Proficiency / Language Course: IELTS Score_______& Dated.________ TOEFL Score______

& Dated. _______________ International GRE /GMAT Any Other (Please specify)___________

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. Title of Research Area of Research Published in International Published in Local Date of Impact
No paper Journal (Give full name of Journal (Give full Publication Factor of
Journal) name of journal) Journal in
which
your paper
was
published

Use Extra sheets where necessary

 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

Marks Equivale
CGPA.
obtained. %age. nt % of
Grade/ Div. (as
(as (as marks
(as mentione
Major Subjects mentione mentione by
Educatio Name of
Degree /
Year of
Passin
Institution /
Board
(Science/Arts/
mentioned
in you Final
d in your
final
d in your
Out of
(Total)
d in your IBBC/H
nal Level Engg:/Medical final final EC (in
Certificate g University Year Transcrip
etc) Transcrip Transcrip case of
Certificate / t/
t/ t/ Foreign
Degree) Degree)
Degree) Degree) degree
or CGPA

SSC/O-
level

HSC/A-
level

Bachelor’s
Degree ( 14
years)
Bachelors
/ Master’s
Degree 16
years
(including
BE/MBBS
/BDS)

Masters
/MPhil/MS
(18 years)
PhD (if (Please mention the date of enrolment in PhD, expected PhD completion date along with current status of PhD)
already
enrolled)

Note: In case of O’ Level & A’ Level, add equivalence from IBBC, Islamabad (Use extra sheet where necessary). In case of professional
degree, B.Sc. (Engineering), B.Sc. (Nursing), MBBS / BDS please attach Valid Registration number from Professional Registration
Body (PM& DC, PEC, PNC etc.)

Name of Foreign University / Institution where you intend to continue higher studies under this
scholarship and have established contacts / obtained placement. (A Letter of confirmation from
Supervisor / Host University will be required).
a. Name of University / City

b. Proposed Area of Studies

Who will supervise your studies

c. (Name of Supervisor, email
address, university address)?
Attach Confirmation letter /
d. Placement letter from institution /
supervisor
 Name of Employer Category of Designation with Grade Nature of Job details
with Address (in Employer(Federal/Prov (BPS, Group etc. if Period served Job (Teaching,
case of more than Govt, Semi-Govt, applicable) (Regular/ R&D,
one employment Autonomous, Corporation, Contract Service,
use extra sheets Private) etc.) Technical,
From To
where necessary) other
etc.)

PLEASE WRITE N.A. IF NOT APPLICABLE

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 and would rejoin same employer after graduation? 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. Further, I am neither under HEC
bond or availed any HEC / Hungarian scholarship recently and also under HEC bond. In case any misrepresentation is
identified by HEC at any stage, my scholarship will immediately be terminated. Consequently I'll be liable to pay back the
entire amount, released by HEC under various expenditure heads, against my scholarship (i.e. stipend, Grant to university,
air fare etc.).

Name of Candidate:

CNIC Number: ________________________________________

Signature: ___________________________________

Date:

E-Mail address of Candidate (Mandatory): ______________________

Cell (For emergency Contact): _______________________________

 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 full time employee of this organization and 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 this Foreign Scholarship on the terms and
conditions of scholarship scheme, he/she will be released on study leave for the prescribed duration of higher
studies under the above said scholarship scheme.

Signature: _________________________

Name & Designation: _________________________

(Head of Organization/Employer)

Full Address: ________________________________

Office Stamp: _________________________

Contact & Fax Number (Official & Fax) _______________

1. Attested Copy of CNIC Yes No

2. Attested Copy of Passport Yes No
3. Attested Copies of All Degree Certificate Yes No
4. Attested Copies of All Transcripts Yes No
5. Online transfer of Rs. 500/- fee Yes No
6. Admission / Conformation letter Yes No
7. Online application form (duly filled in) Yes No
8. Foreign Fitness Form /Medical Fitness Yes No
9. English Proficiency (IELTS, TOEFL etc.) Yes No
10. Police Clearance Yes No
11. Any other document (Please specify) ____________________________________

Important Note before applying to any program:

It is the sole responsibility of student(s) applying for any professional degree (viz. Medical, Engineering, Agriculture etc.) to first
get confirmed its accreditation from the respective Councils i.e. Pakistan Engineering Council (PEC), Pakistan Medical & Dental
Council (PMDC), Agriculture Council, & Nursing Council etc.