‘Aft attested Chief Minister Education Endowment Fund (CMEEF) recent Scholarships Application Form for Graduate National photograph Program (MS/MPhil/PhD) Eligibility The candidate must have domicile of Khyber Pakhtunkhwa. The candidate must be fulfiling the admission criteria (merit) or have a valid offer of admission, in the approved discipline for MS/MPhil/PhD in approved institution/university. Have minimum 50% score in GRE/GAT (General or Subject) for MS/MPhil, while 60% score in GRE/GAT (General or Subject) for PhD The candidate's age must be less than 50 years on the last date of the receipt of the application as advertised by the institutions. The candidate must have first-class academic career (minimum first division or CGPA, of 3.00/4.00 or 3.75/5 in a semester system) Must not be in recipient of any other scholarship for the degree programme, Monthly income of the candidate's parents/guardian (from all sources) shall not exceed Rs, 100,000/- Provision of bond/undertaking. Instruction for Filling out Scholarships Form ‘* Download the form, fillit carefully and submit to PMU-HED through the institution «Ensure that you have attached all required documents by completing the checklist. ‘* Answer all questions. Those nol applicable should be marked "N/A". * Do not provide false or incomplete information. Provision of false information shall lead to cancellation of scholarship and legal proceedings. ‘© Use extra sheet (if required). Check List * Affix attested recent photograph * Attested copy of CNIC * Attested copies of all educational testimonials * CV/Resume ‘© Copy of Synopsis/ Research Proposal * Attested copy of domicile ‘* Three passport size photographs (blue back ground) * Valid GRE/GAT (Subject) certificate * NOC from parent department (for employed candidates only) ‘© Income certificate duly countersigned by the Sub Registrar. Detail of movable/immovable properties and assets as provided in the application form ‘© Detail proof of expenditure/utilty bills etc. * Any other supporting document required to substantiate the facts given in the application form Page of 11T, Personnel information: Full Name: NIC No: Father Name: NIC No: Passport No: Passport Expiry Date: Date of Birth: Domicile Gender: ‘Age on closing date for admission in the institute: Malling Address: Permanent Address (if different from above): Email: Contact Nos Mobile 7. Mobile 2. Home: Fax: Office: References in Pakistan: Provide contact details ie. name, postal address, email, relationship with the applicant, phone number of person who can be contacted in Pakistan on your behalf (e.g parent, siblings, spouse etc) Marital Status: Single: Married: If married please specify number of people financially dependent on you Do you have any other Nationality Yes No If Yes, provide detail Page 2 of LL2. a) Academic Qualifications: ction | Beat | tarts | tow | cara | tosttion | tonsa aiversy Tce" | obtained | Marks SSCIMaIRE TSSCTntemediate Bachelors (BAB Hons. ete.) Masters or equivalent M. Phil GREIGAT (Subject/General) Medals (GoldiSilver/Bronze) ‘Other (please specify) 2.) 1 tof scholarships or fellowships held at present or in past (Give source or sponsor, amount, where held & duration 2.¢) Indicate any academic honors/medals or prizes which you have received, with titles and dates 3a) Offer detail for MS/PhD/DPhil Program: Name of University Date of ‘Commencement of Classes Date of Completion University RefilD. ‘Subject Area Code Major] Specialization Title of MSIPhD) DPhil Details of Supervisor Name |Email |Contact] 3.b) Closing date of admission of the institution: 3.) Detail of Courses opted at MS/MPhil/PhD Level Course Name Date/Semester Course Type Core/Elective Total Credits of Course Page 3 of LL3.d Research Pul Please attach the copy with yo ion (Use extra sheet where req ur application red): Sr.No Title of Area of Impact Factor of Research Research Date of Journal in which paper Journal (Give full | — Publication ‘our paper was, ‘name of Journal) published 1 z 7 5 e 4) Employment Details Name of Employer | Category of Designation Period | Nature of | _ Job details with Address (use Employer(Federal/ | with Grade served Job (Teaching, extra sheets where Prov Govt, Semi- | (BPS, Group (Regular/ | R&D, Service, necessary) Govt, Autonomous, | ete. From | to | Contract | Technical, other Corporation, applicable) ete.) ete) Private) Last Drawn Gross Salary: (attach pay slip) (Rs.) ——/month Page 4 of 115, Family Information: Father’s Information: Full Name: Age: Ts your father alive: Yes No If yes please provide the following: Telephone Number: Mobile Number: Email Address: Is your father currently employed? Yes No Current Employment (if applicable) Designation: Date of Joining(dd/mm/yy) ‘Spouse's Information (please leave blank if not applicable) Full Ave: Telephone Number: Mobile Number: Email Address: Is your spouse currently employed? Yes No Current Employment (iFapplicabley Organization 6. Total Income: @ Please specify monthly income information for each member of your Tamily, including yourself and your spouse (if applicable), Use a separate sheet if needed. Specify monetary values in Rupees. Particulars Monthly Salary irom other sources (if any)| Total Father Mother Guardian Sele Spouse ‘Oihers(s) Total Page § of 11(b) Please specify Annual income information from the sources mentioned below: @. Agriculture Income: RS By Income from Savings (Intereste/Dividends) BS ©, Pension: RS Real Estate Holdings: RS ©, Support from Relative(s) BS T Other (please specilyy BS, Total Annual houschold income: BS. (©) Do you foresee a significant Increase or decrease In your Family income next year? No Yes yes, please explain: 7. Total Assets: (2) Is the house you live in owned by your family? Yes Year of Purchase: Original Purchase Present market value(Rs.) Price (Rs.): No Please explain why (e.g. living with grandparents, inherited, ete) House plot size (in Kanals’Marlas or Sq, Feet) Address: (b) Does your family own any other plot(s), house(s), shop(s) or any other type of land(s) Yes No If you answered YES to the above, please provide the following information on cach of these picce(s) of lands) Number of Locality ‘Area (Kanals/Marlas or Sq, Feet) Plois Howes Buildings Tand ‘Other Specityy Page 6 of 11(©) Please specify individual assets for each member of your family, including yourself and your spouse (if applicable) Use a separate sheet if needed. Specify monetary values in Rupees. Faia TArcalcaton on Savingsand | Landand | Agricatwrat | Seaocaton Business | Tayertments | Bulding Tana | Aeteuearal Tae in Vote Gan Saf Spo Tie (@) Does your family ov anyautonmbiles@) Yes No are ‘anafatored Vear | gine OC | Value tn 5) YS VaR Vehicle? Tah E Total Average Family Expenses(Annvall Rupees a) Educational Expenses by Food ©) Medical Expenses ‘@)_ Rent or Mortgage (it applicable) ©) Fuel and Vehicle Maintenance: 1) Loan Payments D Clothing hy Electricity Bill 3) Mobile Phone Bill 7) Entertainment: 1) Servants” Salaries: 1 Taxes mm, Telephone Bil: wa, Vacations: ‘9, Other (please specityy: ‘Total Annual Expenses Tithe monthly/annual disposable income is negative, Kindly explain the reasous Tor the gap and any arrangements through which the differential is being met by the family. Page 7of 11Are there any outstanding loans? Yes No If yes, please indicate loans taken from: Particular “Amount (RS) ‘Repayment due on (mm/yy) Bank (specify name): Relative (specify relationship) Credit Card Employer: ‘Oiheriplease specify: 9, Detail of Fee/Living Expenses on the Degree Programme: 9-a) Requirement of funds for degree: (tease mention all the amounts in Pak Rupes) Total expenses for the Requirement PerSemester | PerYear | ftzrec course Duration of Study (Rs) Rs (RS) Rupees Tuition Fess Boarding Todging Transport Books Mise Total @ 9-b) List the Agencies, Foundations and/or Governments to which you have Applied for Financial Aid “Agency/Foundations/Government | _ Applications Date | Award Ni cations Date] Expected Amount RBs.) Page 8 of 1110. Statement of Purpose 'a) How will the proposed degree be of benefit to Pakistan/Khyber Pakhtunkhwa {(b) What skills and knowledge do you hope to gain from your studies? How do you propose to use them (possible, list specific actions) in Pakistan/Khyber Pakhitunkhwa? (©) Is there anything else you would like to add in support of your application for this scholarship? (@) How do you relate the proposed studies to your previous stady/achievements and your present jab/occupation? Page 9 of 1(©) Where would you like to join in Pakistan after completion are not already employed in Pakistan] ‘of your MS/MPhiIPhD studies? [only for those applicants wha] Page 10 of 1111, FOR EMPLOYED APPLICANTS ONLY NOC BY THE HEAD OF DEPARTMENT Tiss to Certify that M/s. Son/Daughter of Mr. isregular employee of this Organization as singe Js/Her educational, employment pariiculars and other statements as stated in the foregoing columns have been checked and verified wih the original documents It is hereby atfimed that in the event of his/her selection for the ‘award of scholarship. He/She willbe released on study leave for the totel duration of the study program which on average months years. Date: ‘Signature: Name & Designaiion: (Head of Department/insiiution) Full Address: Office Stamp: Signature 12. Undertaking: I solemnly verify that the particulars listed above are correct to the best of my knowledge. In case any misrepresentation is identified by the Department at any stage, my scholarship will immediately be terminated. Consequently I will be liable to pay back the entire amount, released by Department under various expenditure heads, against my scholarship. The Department shall reserve the right to initiate legal proceedings at any stage in case of violation of any agreement with the Department. If selected, I will comply with all the terms and conditions, bond to serve for the defined period, directions issued and other requirements prescribed by the Department. Decision of the Scholarship Management Committee shall be final and cannot be challenged in any court of law & I will abide by the decision. Applicant Signature: Date: Attestation (for candidates who are not currently employed): Thereby verify that information provided, educational and other statements as stated in the foregoing columns have been checked and verified with the original documents Name of Attesting Authority Designation: C.N.LC No. Signature & Stamp: Contact No. Page 11 of IL