Application #______PhD ENGINEERING ADMISSION-SPRING 2017
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APPLICATION FORM FOR ADMISSION IN PhD
UNIVERSITY OF ENGINEERING AND TECHNOLOGY – TAXILA
Please tick any one: PhD Part Time
PhD Full Time
(PLEASE TYPE OR PRINT IN BLACK)
1.ENTRY YEAR: ______
2.POSTGRADUATE DEGREE:
Ph.D.______Engg.
3.DISCIPLINE:
[ ] CIVIL [ ] ELECTRICAL [ ] MECHANICAL
[ ] COMPUTER [ ] SOFTWARE
[ ] TELECOMMUNICATION
[ ] INDUSTRIAL[ ] ENGINEERING MANAGEMENT
[ ] COMPUTER SCIENCE[ ]ELECTRONICS ENGG.
(Tick one)
4.PERSONAL DETAILS: All entries should be in capital letters
Name
Father’s NameDate of Birth / Religion
Mailing Address
Permanent Address
Domicile
CNIC No.
Phones Office / Phone Res.
Fax No. / E-mail
(*) If Pakistani National, Please enter Domicile District and National Identity Card Number:
5.ACADEMIC INFORMATION:
Examination / Year Held / Max. Marks / Obtained Marks / Percent/CGPA / Honours/ Awards/ Distinction / Institution/ University / Area of Specialization
1st Yr BSc Engg
2nd Yr BSc Engg
3rd Yr BSc Engg
4th Yr BSc Engg
Aggregate BSc Engg.
MSc Engg
GATE Subject Test
Note: Term/ Semester system graduates should fill in against each year the sum of marks obtained in corresponding two semesters.
6.FOR FOREIGN NATIONALS
CountryPassport No and Expiry Date
7.PROFESSIONAL EXPERIENCE: (For employed applicants only)
Job Title/Designation / Organization/ Department / From
(mm-year) / To
(mm-year) / Grade/
Salary
(per month) / Nature of Duties/
Major Assignment
Note: Use Additional sheet if required.
8.(PhD DEGREE APPLICANTS)
Title of MSc Engg Thesis: ______
(Attach abstract not more 500 words on a separate sheet)
9.(Ph.D. DEGREE APPLICANTS)
List names, titles, and address of three academicians and request them to forward their recommendations to this office on the supplied form:
Sr#
/Name
/ Title / Address1.
2.
3.
10.FINANCIAL ASSISTANCE:
If you are seeking admission as postgraduate student, then please complete the following:
a).Are you on a Scholarship? No/Yes.
If yes, please write the name and address of your sponsor who will bear your salary and will pay tuition fees and other expenses (attach letter).
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b).Will you seek financial aid from University.Yes No
11.PERMISSION FROM CURRENT EMPLOYER TO APPLY FOR ADMISSION
( To be submitted by all employed applicants)
Certified that Mr./Miss/Mrs .______Designation ______is currently employed by us. WE DO NOT HAVE ANY OBJECTION to his/her application/ admission in PhD (FULL TIME/ PART TIME) degree program at the Department of ______Engineering, at University of Engineering and Technology, Taxila.
Name : ______
Designation : ______
______
Date : ______Signature of the Head of the Organization
Official Seal
12.DECLARATION (by the applicant)
______
I solemnly declare that (Tick one)
[ ] I am not employed anywhere. If I get employed, I shall inform the Department
and shall provide No Objection Certificate from my employer.
[ ] I am EMPLOYED. Permission from my employer to apply for admission is
given above.
Further, I have carefully read the rules/regulations in the prospectus and if admitted, I will abide by the terms and conditions laid there in.
______
Signature of the Applicant Date
13.FOR Ph.D. ADMISSION
OFFICIAL USE ONLY (Do not write in this box)
BSc Engg(100) / MSc Engg
(Courses +Thesis)
(50+50) / Letter of
Recommendations
(3x10) / Research Plans
PhD Synopsis
(70) / Total (300)
PGS Board of ______Engineering in its meeting held on ______
Recommended for admission in______Engineering Full time/Part Time.
______
Dean of Faculty Chairman of the Deptt. Director, BPGS
Directorate of (ASR & TD)
Comments: ...... … ......
Director (ASR & TD)
VICE-CHANCELLOR
14RESEARCH PLANS
(Ph.D. Program Applicants)
If you are applying for the Doctoral program, narrate the topic on which you wish to conduct/research outlining the details. You may be requested to send a copy of your Master Thesis for examination by a possible Supervisor.
Title:-_ ______
______
(Please attach additional sheet as required)
______
Signature of Supervisor Signature of Student
PhD Admission
Application #
Disciplines: ______
Name______
Fee:______
Challan No.______
Dated:______
1. / BSc Engineering / % / Documents AttachedYes No
2. / M.Sc. Engineering
(Course Work)
Thesis / % / Documents Attached
Yes No
3. / GRE(International Subject)/
GAT (Subject) / Score
4. / Recommendation Letters
1.
2.
3. / Received / Complete
Yes No
Yes No
Yes No
5. / Research Plans/Area: /
Yes No
6. / Scrutinized by: 1.
Signature
Scrutinizer # 01 / 2.
Signature
Scrutinizer # 02 / 3.
Signature
Director, PGS, of Concerned Deptt.
Director, ASR&TD
Comments:
INSTRUCTIONS TO COMPLETE THE APPLICATION FORM
[1]Each candidate shall submit two applications set (one original and One photocopies set).
[2]The application form, duly filled in by the candidate, shall be submitted in duplicate in the office of the Dean concerned along with all documents/ testimonials.
[3]Attach attested copies of: (i) Matric, (ii) Intermediate, (iii) Provisional Certificate/B.Sc. Engg. Degree (iv) Detailed marks certificates for all the university examinations of the B.Sc. Engineering course. (v) M.Sc Engineering Degree & DMC (vi) Experience Certificates (PhD candidates will submit transcripts and provisional certificate of MSc Engg.)
[4]Applications not submitted on the prescribed form or incomplete as regards the production of certificates/Testimonials.
[5]This application is liable to be summarily REJECTED if any wrong information is supplied.
[6]Do not erase, cross over or over write anywhere in the form. Use a new form if needed.
[7]At least one of recommendation letter should be completed by a University Faculty member.
All forms must be completed and signed by the referees themselves; if not, your application will be invalid.
[8]For Foreign Nationals
The foreign nationals are required to get their applications sponsored by their respective governments. The applications should be submitted through the Government of Pakistan, Ministry of Education, Islamabad. They should furnish the following documents.
a)Educational Certificates (Attested copies) including details of syllabi and courses of studies prescribed for the B.Sc. degree/MSc degree or its equivalent in Engineering.
b)Nationality Certificate
c)Character Certificate
d)TOEFL
DIRECTORATE OF ADVANCED STUDIES, RESEARCH AND
TECHNOLOGICAL DEVELOPMENT
UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA
PhD RESEARCH COMMITTEE
Please fill in the following for theconstitution of committee and their willingness to act as Supervisor/Co-supervisor/Members.
Name of PhD ScholarDepartment:
Address:
Name of Specialization offered by Deptt.
Area of Research Scholar:
Signature:______/ Cell .No.______Email:______
- Name of Supervisor/Designation
Address:
*PhD Area of Specialization: (Attach CV)
Signature:______/ Cell .No.______Email:______
- Name of Co-Supervisor/Designation
Address:
*PhD Area of Specialization: (Attach CV)
Signature:______/ Cell .No.______Email:______
3. Name & Designation( Research Committee
External Member)
Address:
In how many RMCs you have been involved
as a member within/outside the University
* PhD Area of Specialization: (Attach CV) /
Signature:______/ Cell .No.______Email:______
4. Name & Designation( Research Committee
External Member)
Address:
In how many RMCs you have been involved
as a member within/outside the University
* PhD Area of Specialization: (Attach CV)
Signature:______/ Cell .No.______Email:______
5. Name & Designation( Research Committee
External Member)
Address:
In how many RMCs you have been involved
as a member within/outside the University
* PhD Area of Specialization: (Attach CV)
Signature:______/ Cell .No.______Email:______
6. Name & Designation( Research Committee
Internal Member)
Address:
In how many RMCs you have been involved
as a member within/outside the University
* PhD Area of Specialization: (Attach CV)
Signature:______/ Cell .No.______Email:______
6. Chairman, Concerned Deptt.
Signature:______/ 7. Dean, Concerned Faculty
Signature:______
______
Director PGS Director (ASR&TD)
* Area of Specialization must be relevant to the area of research scholar.
**External member from outside the University.
(Three Recommendations Letters)
UNIVERSITY OF ENGINEERING & TECHNOLOGY, TAXILA(PAKISTAN)
LETTER OF RECOMMENDATION
WARNING:AL LEAST ONE OF THESE LETTER OF RECOMMENDATION FORMS SHOULD BE COMPLETED BY A UNIVERSITY FACULTY MEMBER.
ALL FORMS MUST BE COMPLETED AND SIGNED BY THE REFEREES THEMSELVES; IF NOT, YOUR APPLICATION WILL BE INVALID.
______
Note to Applicant: Please complete the following before submitting this to the referee.
Name of Applicant: ______
Faculty: ______Field of Study: ______
TO THE PERSON EVALUATING THE APPLICANT:
The person whose name appears above is applying for admission to the program indicated above at the U.E.T, Taxila. In considering applicants to University of Engineering & Technology, Taxila particular emphasis is placed on comments from people, the applicant has chosen as referees. Your prompt submission of this form will be most helpful as the applicant cannot be considered without your comments.
The Research Directorate realizes that considerable time and effort is involved in preparing this evaluation. Your assistance in giving this appraisal is greatly appreciated.
Name of person completing this form:______
Position/Title:______Organization: ______
Address: ______
______
How long have you known the applicant/ ______years ______months ______
Do you feel Ph.D. study is appropriate for the applicant at this time? Why?
In comparison with other graduate school candidates that you have known, how would you rate the applicant with respect to the following qualities
Poor:Bottom 1/3 / Average:
Middle 1/3 / Good:
Top 1/3 / Outstanding
Top 5% / Inadequate
Opportunity
to observe
Intellectual ability
Maturity
English comprehension
Undergraduate performance
Academic Promise
What is your candid opinion of the applicant’s chances of completing the program applied for, considering:
Intellectual capacity, promise of productive scholarship, and potential for research; relative standing among contemporary graduates; ability to follow a course in which the medium of instruction is English; and practical experience, if any, in the chosen area of study?
Thus it is[ ]Strongly recommendedThat this applicant be admitted to
The University of Engineering &
[ ]Recommended Technology, Taxila, Pakistan.
[ ]Recommended with some reservation
[ ]Do not recommended
______
Signature Date
______
Position / Job Title Name of Organization
Address:______
Phone /E-mail / Fax
______
Please return directly to:
Dean, Faculty of ______,
University of Engineering & Technology, Taxila (Pakistan).