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Ataturk Avenue (East) G-5/2, P.O.Box No.1296, Islamabad.

PABX : 2829296, 2829348, 2829311, Fax : 2276224
E-mail: aijazshah@pec.org.pk
http://www.pec.org.pk

Application Form for Merit Scholarship

1.

Photo

PERSONAL INFORMATION
Name: ____________________________________________
Fathers Name: _____________________________________
Valid PEC Registration #: _____________________________

Present Employers Address / Designation / Retired:

_______________________________________________________________________
_______________________________________________________________________
Scholarship applied for (Masters/B.E):__________________ Gender: _______________
Domicile: ___________________ Province: _____________ Nationality: _____________
Date of Birth: ________/________/________
(Month)
(Day)
(Year)
Present Address: __________________________________________________________
________________________________________________________________________
Permanent Address: _______________________________________________________
________________________________________________________________________
Applicant PEC Registration #:_______________________ NIC # : ___________________
Phone Number (Line #): ____________________Mobile #._________________________
Fax #: _________________________________E-mail:____________________________
2.
2.

QUALIFICATION:
Qualifications:

2.1

Matric
or Equivalent

2.2

F.SC
or Equivalent

2.3

B.E. /B.Sc.
Degree
Equivalent

2.4

M.E/ M.Sc Engg

or Equivalent

Engg.
or

Name of University /
College / Institute / Board

Year of
Passing

Obtained
Marks /Total
Marks

%age

Certificate/Degree
with discipline

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(If already having a
degree)

3.

ACADEMIC INFORMATION

3.1.

University Registration Number: _________________

3.2

Discipline / Program: __________________________________

3.3

Department/Faculty: _______________________________________________________

3.4

College/University: ________________________________________________________

3.5

City/Province: ____________________________________________________________

3.6

To the best of my knowledge, the information provided is complete and correct and that I am not
in receipt of any other scholarship, stipend or benefit from any other agency/source.

___________________
(Date)

3.7

___________________
Signature of the Student

It is certified that Mr. ___________________________S/o Engr. _________________________

is a full time regular student of B.E / Bsc. Engg. /ME/MSc. Engg. Program of our Department.
Name: __________________
(Head of the Department)

NIC # : ____________________

___________________
(Date)

Signature: __________________

Department/University: ____________________ Official Stamp: ____________________

Note: Please ensure provision of following documents with the application form.
1. Attested copy of credentials (Matric, FSc, BE/B.Sc Engg certificates)
2. Attested copy of NIC and Domicile
3. Two Passport size Photographs (duly attested at the back side)
4. Attested copy of ME/Msc Engg. enrollment certificate of the university /institution.

Applications must be sent to;

Deputy Registrar (Co-ordination)
Pakistan Engineering Council
Ataturk Avenue (East)
G-5/2, P.O.Box No.1296

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Islamabad.