Human Resource Development (HRD)

/

Human Resource Development (HRD)

Garden Campus

Abdul Wali Khan University Mardan

Email:
Web: www.awkum.edu.pk
Contant No: 0937-843363 /

Passport Size Photograph

Overseas Master/MS/MPhil/PhD Scholarships Batch-XVI

1. PROPOSED FIELD OF STUDY:-

i. / Discipline
ii. / Subject
iii. / Master/MS/MPhil/PhD

PERSONAL INFORMATION: (PLEASE USE CAPITAL LETTERS)

2. FULL NAME:______

(As given in the Matric/SS Certificate)

3. FATHER’S NAME: ______

4. DATE OF BIRTH: ______5. AGE: (on 20-06-2016): ______

(DD) (MM) (YYYY) (Years) (Months)

6. Marital Status: □Single □ Married 7. GENDER: □Male □ Female

8. CNIC #: ______9. Passport #:______

10. POSTAL ADDRESS: ____________

______CITY: ______

11. PERMANENTADDRESS:_________

______CITY: ______

12. TELEPHONE NO. (OFF) ______(RES.): ______(Mobile): ______

(City Code-Phone No.)

13. E-MAIL ADDRESS: ______

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

14. DOMICILE : Distt.)______Province______

15. ACADEMIC RECORD:

Certificate/
Degree / Year of Passing / Subjects / Marks Obtained / Total Marks / % / Division/CGPA / Gold Medal
(if any) / Board/
University
SSC/
(Equivalent)
HSSC/ (Equivalent)
Bachelor BA/BSc
BA/BSc (Hons)
Master
MS/MPhil
Other

16. 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

17. ENGLISH LANGUAGE PROFICIENCY:

(Please attach attested copy of the result card, otherwise score will not be considered).

Test Type / Test Date / Result Date / Expiry Date / Score
IELTS
TOEFL

18. LIST OF RESEARCH PUBLICATIONS IN HEC RECOGNIZED JOURNALS:

S.No / Research Topic / Name of HEC Recognized Journal

19. ADMISSION STATUS:

(In case 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______

20. Bank Deposit Slip No.______dated _____/_____/_____ for Rs. 1,500/- in favour of the Treasurer, Abdul Wali Khan University Mardan.

Date: ______/______/______Signature of the Applicant

21. PLEASE TICK THE LIST OF DOCUMENTS ATTACHED WITH THE APPLICATION FORM:

a.  / Attested photo copy of CNIC
b.  / Attested photo copies of all educational testimonials
c.  / Attested photo copy of valid TOEFL/IELTS score Card
d.  / Admission letter
e.  / Detailed CV/Resume
f.  / Bank Deposit Slip for Rs. 1,500/- (Original)

SEND APPLICATION FORM TO:

Human Resource Development (HRD)

Garden Campus

Abdul Wali Khan University Mardan, Khyber Pakhtunkhwa, Pakistan

Email:

Contact No: 0937-843363

1