Application Form

COMSATS Lancaster Split PhD Program

Subject: ____________________

COMSATS Institute of Information Technology

i)

Personal Information (Please type/write in block capital letters)

Name:
Fathers Name:
Gender
Male

Female

Date of Birth:
Qualification:
(Last degree with CGPA or
Percentage)
Present Address:
Permanent Address:
Email:
Personal Contact:
(Phone Number)
CNIC Number:

ii)

Academic Background/Professional Training

a)

Academic Background (Please start from highest qualification and go in descending order)

Degree Held

Year of
Award

Field

Institution

Note: * Please write only one which is written on the transcript/ degree

Grade/ Division/
CGPA/ Percentage*

b)

Professional Training (Please start from most recent training and go in descending order)

Course

Diploma/
Certificate

Field of Study

Institution

Grade/ Division

GAT (Subject), GRE (Subject) Test Score: _________________

GAT (Subject), GRE (Subject) Test Date: __________________

IELTS Test Band: __________________________________

iii) Employment History (Please start from your recent job and go in descending order)
Name of
Organization

Post Held with

Pay Scale

iv) Research Publications (Include

Page Numbers and Authors in Sequence)

Job Profile

Period
From
To

name of the Journal, Volume Number, Year of Publication,

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(Use extra sheets if required)

v)

Extra/Cocurricular Activities/ Hobbies/ Interests (if any)

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vi) References (Provide two Academic References)
Reference 1:
Name: ____________________________ Position: ______________
Address: ________________________________________________
__________________________________Phone No.: ____________
Reference 2:
Name: ____________________________ Position: ______________
Address: ________________________________________________
__________________________________Phone No.: ____________

By signing below and submitting this application form I, ____________________ ,

confirm that the information I have provided is accurate to the best of my knowledge
and that I authorize you to contact the references provided above for further
information.

Date:_____________

____________________
Signature of the Applicant

Application Checklist
Please tick mark each item attached with the application form
1
2
3
4

CV/Resume
Attested photocopies of all educational degrees/ certificates
Two most recent photographs
One page statement of purpose to pursue higher studies in the
particular field with the consent of supervisor at Lancaster

5
6
7
8
9

university and local supervisor at CIIT.

Brief description of research interests
Valid and Acceptable GRE(General/Subject)
Attested copies of NTS GAT Subject test result card
Two letter of reference from academic/research supervisors
NOC from the campus administration

FOR OFFICE USE

Application Received by:_________________________ Date _____________
Checked by:__________________________________ Date _____________
Short Listed

Not Short Listed

if not, reason(s)___________________

____________________________________________________________
Signature & Name of Dealing Officer___________________________________
Date_________________