1

HIGHER EDUCATION
OMMISSION COMMISSION Attach Photograph
here
H-9, ISLAMABAD (PAKISTAN)
www.hec.gov.pk/ffsp (Affix 1-Photograph
here)
Application Form
For “ CHINA/UNESCO – THE GREAT WALL
FELLOWSHIPS PROGRAMME 2011-12”
Rs. 300/- Online
Deposit Slip (in Original) No: Date:

Name of Bank Branch:

GRE International Score obtained (optional): ______________________________________

NTS Test Score (above 50): Test Date: Roll No:

Centre:
Note: NTS-HEC Test score obtained (optional).
Program Applying For

Undergraduate Program Research Program

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):

(Tick (one of the following):
Federal Capital KPK Punjab Sindh Urban Sindh Rural
FATA FANA AJK Balochistan
Date of Birth: Age on (21-04-2011):
Day Month Year
Correspondence Address (Where you want 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 (COMPULSARY):

Research Publication (Use extra sheet where required):

Published in Impact
Published in Local
Sr. Area of International Journal Date of factor of
Title of Research paper Journal (Give full
No Research (Give full name of Publication research
name of journal)
Journal) journal
 2
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 decimal.

%age. Out of
CGPA.
(as Marks (Total)
(as
Grade/ Div. menti obtained.
mention
(as oned (as
Name of ed in
Education Degree /
Year of
Passin
Institution /Board
Major Subjects
mentioned
in you
in
your
your
mentioned
in your
Certificat University final
al Level e
g Final Year final
Transcri
final
Certificate Transc Transcript /
pt /
/ Degree) ript / Degree)
Degree)
Degre
e)

SSC/O-level

HSC/A-level

Bachelors
BSc (Below
16 Years
degree)
Masters
Degree MSc
in Science.
(16 years
degree)
M.Phill, (if
completed).
More than
16 years
degree
PhD Degree

Any Other

Choice of Host Universities / Institutions in China

1. First Choice of Host University/Institution in China

a. Name of University

b. Field of Study

2. Second Choice of Host University/Institution in China

a. Name of University

b. Field of Study

3. Third Choice of Host University/Institution in China

a. Name of University

b. Field of Study
 Employment Details ( Starting form the Current Job)
Name of Category of Designation with Nature of Job
Employer with Employer(Federal/Prov Grade (BPS, Period served Job details
Address (in Govt, Semi-Govt, Group etc. if (Regular/ (Teaching
case of more Autonomous, applicable) Contract , R&D,
than one Corporation, Private) From To etc.) Service,
employment Technical
use extra or Private
sheets where etc)
necessary)

Total Length of Service:

Year Month Day

Application Channel (Whether Public or Private)

Your Employer is:

Public Private

Are you applying Through Proper Channel or with Permission of your

Employer (Private or Public):
Yes No

If employed, would you be able to obtain study leave, from your

employer, for the entire study period?
Yes No

Undertaking
I solemnly verify that the particulars listed above are correct to the best of my
knowledge. In case any misrepresentation is identified by HEC/ UNESCO at any stage,
my scholarship will immediately be terminated. Consequently I'll be liable to pay back
the entire amount, released by HEC/ UNESCO under various expenditure heads,
against my scholarship (i.e. stipend, Grant to university, air fare etc.).

Name of Candidate:

Signature: ___________________________________
Date: