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HIGHER EDUCATION COMMISSIONSECTOR H-9 ISLAMABAD

Phone: (051) 90408033, Fax: (051) 90408035Website: www.hec.gov.pk Affix Recent

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APPLICATION FORM FOR SCHOLARSHIP OFINDIGENOUS 5000 PHD FELLOWSHIP PROGRAM PHASE II. BATCH II

Fee Paid Rs. Bank Receipt No. Dated: 2013-08-16 04:16:40

Application Id : 56162 Total Amount : Rs. 300/=

(Please enclose original fee Receipt)

PARTICULARS OF THE APPLICANT (IN CAPITAL LETTERS)

1. Name of Applicant: SADDAM HUSSAIN ANSARI

2. Father's Name: DR.MOHAMMAD KHAN ANSARI

3. National Identity Card No: 41203-6114844-5

4. Address: JAN CLINIC DR MOHAMMAD KHAN ANSARI MAIN ROAD KHAIR PUR NATHAN SHAHDISTRICT DADU - , KHAIR PUR (NS) , PAKISTAN

5. Email: ENGINEERANSARI84@YAHOO.COM

6. Mobile:

7. Fax: --

9. Domicile: SINDH RURAL

10.Domicile District DADU

11.Domicile City KHAIR PUR (NS)

11. Marital Status: SINGLE

12.Gender: MALE

13. Date of Birth: 27-11-1989

14. Discipline: ENGINEERING & TECHNOLOGY

15. Subject: ELECTRICAL ENGINEERING

16. Category: 16 YEAR OF EDUCATION COMPLETED

COVER LETTER

Dear Sir/Madam,

I hereby submit my application form under Indigenous 5000 PhD fellowship program Phase II. Batch II.Thank You.

Regards:

SADDAM ANSARI

GENERAL TEST DETAILS

Test Type Roll No Test Date Obtained Marks Total Marks

Gat General 13129-10182 2013-01-06 57 100

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FULL DETAILS OF EDUCATION

Level Program Field of StudyBoard /University/ Institute

Country Year ofPassing

ObtainedMarks

TotalMarks Division Grade

Master's/Bachelor's16 YearsDegree

B.E ElectricalEngineering

MehranUniversityof Eng. &Technology,Jamshoro

Pakistan 2011 3.51 4 1st A

HigherSecondarySchoolCertificate

Intermediate Science(Pre-engineering)

BISELarkana Pakistan 2007 817 1100 1st A

SecondarySchoolCertificate

Matric Science BISELarkana Pakistan 2005 605 850 1st A

WORK EXPERIENCE

Job Title Industry Employer Job Period More Info

LABENGINEER

Education/Training ISRA UNIVERSITYHYDERABADSINDH,6539,Sindh,Pakistan

October,2012to-date

conducting labs Basic electrical engineering labbasic electronics Plc matlab

QUESTIONAIRE

Are you Pakistani / AJK National. YES1.You do not have any 3rd division or D grade in degree/Certificate of entire academic career. NO2.Are you availing any other HEC scholarship. NO3.Have completed minimum of 16 years of academic education YES4.

DOCUMENTS REQUIRED(PLEASE ENSURE THAT THE FOLLOWING DOCUMENTS HAVE BEEN ATTACHED WITH THE APPLICATION FORM)

NOC from Employer(only from employed applicants).1.Photocopies of all eductional testimonials attested by Grade 17 officer.2.Attested Copy of Computerized National Identity Card.3.Original Deposit Slip(300 in Favour of HEC) non refundable.4.One passport size photoghaph.5.Attested photocopy of valid NTS General Result card.6.

DISCLAIMER/UNDERTAKING

I Mr./Ms SADDAM ANSARI certify that the statements made by me in the forgoing columns are true, complete and correct to the best ofmy knowledge and belief. It is solemnly affirmed that I have read and Understood the conditions of the award of this program advertised inthe press and from the web page of HEC Indigenous Scholarship Program and that the decision of the National Scholarship ManagementCommittee (NSMC) would be Final and binding. I understand that the award will be withdrawn as well as recovery of full amount spent onme in the connection with the award if any misrepresentation or omission is discovered even after my selection for fellowship award underthe Indigenous PhD Fellowship Scheme.

Date: 16-AUGUST-2013 Signature of Applicant:

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TO BE FILLED BY EMPLOYED APPLICANTS ONLY

This is to Certify that Mr./Ms SADDAM ANSARI is an employee of this organization as ______________________________since_________________________ His /her educational, employment particulars and other statement as stated in the foregoing columnshave been checked and verified with the original documents. It is hereby affirmed that in the event of his/her selection for award ofIndigenous PhD fellowship program, he/she will be granted/relieved for the award period without any gap. In case scholars join thedepartment before completion of the degree for which he/she is awarded he/she has to seek NOC from Higher Education Commission,Islamabad. .

Date: 16-AUGUST-2013 Signature ofApplicant:

Name and designation Department:

Contact number Full address:

Official stamp of HRdepartment.

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