Application No.

__________________________
(To be filled by SBBU, SBA) .

SHAHEED BENAZIR BHUTTO UNIVERSITY, Affix attested

SHAHEED BENAZIRABAD recent
APPLICATION FORM photograph
Faculty Development Program(FDP) Scholarships for Ph.D
Studies (Local)
Please tick  the choice of scholarship Local Overseas

1. Payment Information: (Tick  the relevant category.

Bank Draft Rs. 1000 in favor of Director Finance, Shaheed Benazir Bhutto University, Shaheed Benazirabad
Draft No____________________ Date:___________________________ Bank___________________________________

2. Please tick  your subject. Note: you can only choose one subject offered in the list. More than one ticked subject can lead
toward rejection of application.

Field of Study:
Computer Science/ Information Technologies
Mass Communication/ Media Studies
Business Administration
English

3. Specific Area of Research: _______________________________________________

4. Category (according to employment status): (Please tick only one)

a Public Sector University b Public Sector R&D Organization

Public Sector Degree Awarding
c Public Sector College d
Institute (DAI)
e Private Sector University f Public Sector Organization
g Private Sector Organization / Bank h Any Other

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5. PERSONAL INFORMATION: (PLEASE USE CAPITAL LETTERS)

6. FULL NAME_________________________________________________________________
(As given in the Matric/SS Certificate)

7. FATHER’S NAME: _________________________________________________________

8. DATE OF BIRTH: ____ ____ ____ 9. AGE (On April 30, 2017): _____ _____
(Day) (Month) (Year) (Years) (Months)

10. Marital Status □ Single □ Married 11. GENDER: □ Male □ Female

12. CNIC #: ________________________ 13. Passport #:_______________________________

14. POSTAL ADDRES: __________________________________________________________

___________________________________________________ CITY: _______________

15. PERMANENTADDRESS:____________________________________________________
___________________________________________________ CITY: _________________

16. TELEPHONE NO: (OFF) ____________ (RES.): ___________ (Mobile): ______________

(City Code - Phone No.)

17. E-MAIL: __________________________________________________________________

(Mandatory, most of the future correspondence will be done using e-mail address)

18. Domicile: (City) ___________________(Dist.)____________________Province_______________

19. ACADEMIC RECORD

(Candidates from annual system must fill % marks & division whereas candidates from semester system should fill in CGPA only)
Major % marks Board/
Certificate/Diploma/Degree Year of Passing Division CGPA Institution
Subjects obtained University
SSC/Matric/’O’ Level
(10 years)
HSSC/Intermediate/’A’ Level
(12 years)
Bachelors (BA, BSc,
B.Sc(Hons), etc)
(14 & 15 years)
Bachelors (B.E, BBA, MBA,
M.Sc B.Sc(Hons), etc) (16
years)
M.Phil/MS/ME etc (If
Completed) (18 years)

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 20. EMPLOYMENT STATUS:
Employer’s Name Address of the Organization Pay Designation Period of
(College / University / Scale Service
organization)
From To

Current Employer

Last Employer (only last one)

21. TOTAL PERIOD OF SERVICE (in years):_____________________________________

22. GAT (General) Score (For only those applicants who appeared in GAT (General) tests. Please attach copy of result card otherwise score
will not be considered).

Roll No: ______________________________

Name (As appeared in GAT result card): ____________________________________________________

Father Name (As appeared in GAT result card):______________________________________________

Test Date: ________ ___________ ___________

(Day) (Month) (Year)
For only those candidates who have 50% (Accumulative Raw Score) or above marks
GRE English Analytical Quantitative Accumulative

Raw Score

23. UNDERTAKING BY THE APPLICANT:

It is solemnly affirmed that I have read and understood the conditions of the award of this
program/scheme advertised in press and that the decision of Shaheed Benazir Bhutto University, Shaheed
Benazirabad would be final and binding. In the event any information contained herein is found to be
untrue, I shall be liable to disciplinary action, which may result in my termination from service,
cancellation of scholarship and recovery of full amount spent on me in connection with this award.
I undertake that I am not currently recipient of any other HEC scholarship.
I also undertake that after completion of my studies abroad, I will come back and serve at Shaheed
Benazir Bhutto University, Shaheed Benazirabad for 5 years. Shaheed Benazir Bhutto University,
Shaheed Benazirabad reserves the right to appoint me in any department/ project keeping in view
the national needs.

Date: __________________ Signature of the candidate:__________________________

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 24. Only for Government Employees

(To be filled by the organization)

28. All candidates applying through proper channel may submit advance copy and this should be
certified by Head of Organization.

ATTESTATION BY THE VICE CHANCELLOR / RECTOR / CHAIRMAN R &D ORG / SECRETARY (MINISTRY/DEPT/
ORGANIZATION HEAD.)

i) Certified that the statement made above has been verified and found correct. Attested copies of
certificates, degrees along with copy of C.V. of the candidate duly verified are enclosed.

ii) Certified that Mr./Ms. _______________________________________ is employed on full

time/permanent basis at our university/college/organization since ___________________________ and
he/she is not employed on ad-hoc/contract basis.

iii) It is further certified that the incumbent if awarded the Scholarship by Shaheed Benazir Bhutto
University, Shaheed Benazirabad, he/she would Serve the Shaheed Benazir Bhutto University, Shaheed
Benazirabad for 05 years after completion of Studies.

iv) After selection for the PhD degree he/she will be immediately released to join Shaheed
Benazir Bhutto University, Shaheed Benazirabad.
Date: _____________ Signature _________________________
(VC/Rector/Chairman R & D Org. / Secretary/Organization Head)

Forwarded Copy Designation: _________________________

Office Stamp: _________________________

Advance Copy

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25. Study Objective: Write a clear and detailed description of your study objectives and give your
reasons for wanting to pursue them. Describe the kind of program you expect to undertake and explain
how your study plan fits in with your previous training and your future objectives.
Note: Please limit your response to the size of this page. Recommended Font size “Times New Roman, 12
points”

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26. Please check the list of documents attached with the application form:

Attested photocopies of all educational testimonials. Equivalence of the foreign qualification/s

from HEC will be required with the application form.
Attested photocopy of CNIC
CV/Resume
Research Proposal
NOC from the employer for in-service candidates (only for Government employees)
Attested Copy of GAT (General) score result card

Original Bank Draft of Rs. 1000/.

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