APPLICATION FOR M.Phil.,

M.Phil. LEADING TO Ph.D.

& Ph.D.

AT

NATIONAL INSTITUTE FOR BIOTECHNOLOGY AND GENETIC ENGINEERING (NIBGE), FAISALABAD

HAVING AFFILIATION WITH

PAKISTAN INSTITUTE OF ENGINEERING AND APPLIED SCIENCES (PIEAS), ISLAMABAD.

Please read the instructions given in information Leaflet carefully before filling this form. USE ONLY BLOCK LETTERS

1. REGISTRATION NUMBER
(TO BE ALLOTTED BY PIEAS) / 2.
PLEASE
AFFIX A RECENT
PHOTOGRAPH HERE

3. PERSONAL INFORMATION ABOUT THE APPLICANT

Full Name
Father’s Name
Your name and father’s name as written above will appear in your degree and transcript. Any change to this information made later will cost Rs.1500/- per change
E-mail Address
Date of Birth / Please provide the NADRA computerized NIC number
- / - / CNIC Number / - / -
Date / - / Month / - / Year
Religion means Islam, Christianity, Ahmedi or Buddhist etc. / Sect means Sunni or Shia etc
Religion / Sect
Male/Female / Marital Status
Nationality / Domicile
Permanent Address
Postal Address
Phone Number with City Code / Mobile Phone Number

4. DETAILS OF EDUCATIONAL QUALIFICATION OF THE CANDIDATE

Certificate / Degree / Name of the Institute/ Dept. where studied or still studying / Name of the Board/University / Year of Passing / Subject/ Group / Div./Grade/ CGPA / Marks %
A / Matric / O level
B / F.Sc. / A-level
C / B.Sc. / B.Sc. (Hons.)
D / M.Sc. / BS (4 years)
E / MBBS / DVM
F / MS / M.Phil.
G / Have You Studied Biology and Chemistry in F.Sc. / A Level? Please tick (√ ) one / Yes / No
H / Have You Studied Biology and/or Chemistry in B.Sc.? Please tick (√ ) / Yes / No
I / Have you taken the National Testing Service (NTS)? exam Please tick (√ ) one: / Yes / No / If Yes then what is the score
J / Have you taken the GRE subject Test exam? Please tick (√ ) one: / Yes / No / If Yes then what is the score
K / Title of the final degree ------e.g. M.Sc./ M.Sc. (Hons)/M..Phil.
L / Result status of final degree examination Please tick (√ ) one: / Declared / If No then what is the expected Date of result declaration………………...
Yes / No
5. EMPLOYMENT RECORD (if any)
Name of the department / Designation / Govt. or Private / Salary per Month / Starting Date / Ending Date / Reason of Leaving
6. ADDITIONAL INFORMATION FOR MBBS CANDIDATES
One Year of House job Completed? (Please tick one) / Yes / No
Nature of House Job / Starting Date / Ending Date
(a) / - / - / - / -
(b) / - / - / - / -
Date / - / Month / - / Year / Date / - / Month / - / Year
7. DETAILS OF APPLICATION PROCESSING FEE
Application Processing Fee is Rs. 1800/- Application received without Application Processing Fee will not be entertained. The demand draft from any bank should be payable to ‘NIBGE’ drawn on National Bank of Pakistan (AARI) Branch, Faisalabad (Bank Account 1060-1).
Bank Draft/Pay Order No. / Dated / Name of the Bank with Branch/City
8. DECLARATION BY THE CANDIDATE
I hereby affirm that the information given in this application is true and correct to the best of my knowledge and I understand that:
1. Any wrong information by me will be sufficient cause for cancellation of this application or immediate dismissal later on even if I have been selected for admission to an M.Phil. / M. Phil. Leading to Ph.D. / Ph.D Biotechnology programme at NIBGE.
2. If selected for admission I will abide by all the rules and regulations now in force or may become effective after I have joined.
Signature of the Applicant: ______
Date: ______

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