Planning & Development Department
Abdul Wali Khan University Mardan
Phone No. 0937-9230654
Email:Web: /
Passport Size Photograph
BACHA KHAN MPhil/PhD SCHOLARSHIP PROGRAMME
1. SCHOLARSHIP APPLIED FOR:
(i) / Indigenous or Overseas(ii) / MS/MPhil or PhD
2.PROPOSED FIELD OF STUDY:
(i) / Discipline(ii) / Subject
(iii) / Title of Research Project
3. PERSONAL INFORMATION: (PLEASE USE CAPITAL LETTERS)
4. FULL NAME:______
(As given in the Matric/SS Certificate)
5. FATHER’S NAME: ______
6. DATE OF BIRTH: ______7. AGE: (on Friday14th June, 2013): ______
(DD) (MM) (YYYY) (Years) (Months)
8. Marital Status:□Single□Married9. GENDER: □Male □Female
10. CNIC #: ______11. Passport #:______
12. POSTAL ADDRESS: ____________
______CITY: ______
13. PERMANENTADDRESS:_________
______CITY: ______
14. TELEPHONE NO. (OFF) ______(RES.): ______(Mobile): ______
(City Code-Phone No.)
15. E-MAIL ADDRESS: ______
(Mandatory, most of the future correspondence will be done through e-mail address)
16.DOMICILE:Distt.)______Province______
17. Do you have any Hec/Govt/University Scholarship: Yes□No□
18. ACADEMIC RECORD:
Certificate/Degree / Year of Passing / Subjects / Marks Obt / Total Marks / % / Division/CGPA / Gold Medal
(if any) / Board/
University
SSC/
(Equivalent)
HSSC/ (Equivalent)
Bachelor BA/BSc
BA/BSc (Hons)
Master
MS/MPhil
Other
19. EMPLOYMENT DETAILS (STARTING FROM CURRENT JOB):
Total Length of Service on Closing Date of Application:
Day Month Year
Name of Employer with Address / Category of Employer (Government /Private) / Designation with Grade (BPS, Group etc. if applicable) / Period served / Nature of Job (Regular/ Contract etc.) / Job details (Teaching, R&D, Service, Technical etc)From / To
20. IELTS/TOEFL, GAT (General, Subject):
(Please attachattested copy of the result card, otherwise score will not be considered).
Test Type / Test Date / Result Date / Expiry Date / ScoreApplicable for Foreign Universities
IELTS/TOEFL
Applicable for Local Universities
GAT (General)
GAT (Subject)
21. Admission Status:
(Incase of admission confirmation,please attach copy of the admission offer letter).
a. Name of University______
b.Country ______
c. Programme ______
d. Research Topic______
e. Starting Date of Study Programme______
f.Completion Date of Study Programme (Tentative)______
g.Annual Tuition Fee______
22. Bank Deposit Slip No.______dated _____/_____/_____ for Rs. 1,000/- in favour of the Treasurer, Abdul Wali Khan University Mardan.
Date: ______/______/______Signature of the Applicant
Note: Upon selection for MPhil/PhD Scholarship, the applicant will be required to execute aBond with Abdul Wali Khan University Mardanto serve the university at least for 05 years after completion ofstudy and also an agreement/undertaking for refund of any penalty imposed by the university in addition to the actual expenditures incurred by the university on his/her PhD Scholarship in case he/she fails to return to Pakistan. During the currency of the scholarship, the scholars will be entitled to stipend as permissible by the university. Scholars will be entitled to salary and emoluments as faculty member upon successful completion of studies and return to the university.
23. PLEASE TICK THE LIST OF DOCUMENTS ATTACHED WITH THE APPLICATION FORM:
Attested photo copy of CNICAttested photo copies of all educational testimonials
Attested photo copy of valid TOEFL/IELTS score card
Attested photo copy of valid GAT (General, Subject)score card
Admission letter , If any
Detailed CV/Resume
Research proposal (around 1000- 2000 words)
Statement of Purpose
Bank Deposit Slip for Rs. 1,000/- (Original)
SEND APPLICATION FORM TO:
Director,
Human Resource Development (HRD),
Abdul Wali Khan University Mardan,
Khyber Pakhtunkhwa, Pakistan
Phone No. 0937-9230654
Email:
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