application form for undergraduate program batch iii

8/6/2019 Application Form for Undergraduate Program Batch III

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APPLICATION FORM FOR 4-YEARS UNDERGRADUATE PROGRAM(i.e: B.E/B.Sc (Engineering), MBBS, BDS, BBA, B.Com (Hons.), B.Pharmacy, BCS, BSc (Hons.) etc.)

Instructions to fill the form:

. Type the Application Form using Microsoft word OR write in CAPITAL LETTERSusing Black Ink.

. Incomplete Form will not be considered.

. Do not leave any column blank, if Not Applicable please write N/A.

. Do not overwrite or cross any information on the form.

. Attach photocopies of all educational testimonials with the form.6. An amount of Rs. 500/- as application processing and test fee (non refundable) may be deposited in theHEC Online A/C No. 17427900133401 in Habib Bank Limited, Shalimar Recording Company Branch, H-9,

Islamabad.. Send us original bank receipt. (Photocopy of the bank receipt or any other form of payment is not acceptable).

Eligibility Criteria

a Is your age less than or equal to 22 Years on 13thAugust 2010 Yes No

b Have you obtained 60% Marks in F.A/F.Sc/A-Level/Equivalent Yes No

If a and b both are Yes then proceed further

Bank Slip Details

Original Bank Slip worth Rs. 500/- No: ____________________ Date:________________________________

Drawn on Bank: Branch:

Choice of Test Centre

Select centre where you will take NTS test (Tick (one of the following):Islamabad Peshawar Quetta Karachi

(Please note: Request for change of center will not be entertained once choice is exercised. In case candidate does not tickthe choice of center for NTS test he/she will be placed as per his /her domicile.)

Admission IntensionI intend to get admission in 4-years undergraduate program in the discipline given below in order of preference:

i) ________________ ii) ____________________

iii) ________________ iv) ____________________

(Please note: It is not necessary to recommend the candidate for admission as per his/her choice. It depends on theavailability of seats in the Institutions/ Universities and candidates merit. However HEC will facilitate the students for admission

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HHIGHERIGHER EEDUCATIONDUCATION CCOMMISSIONOMMISSIONH-9, IH-9, ISLAMABADSLAMABAD (P(PAKISTANAKISTAN))

www.hec.gov.pk/balochistan-fata

PROVISION OF HIGHER EDUCATIONOPPORTUNITIES FOR STUDENTS OF

BALOCHISTAN AND FATA

Attach Photograph here

(2-Photos, Put Nameand Attestation at the

back)


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but the final responsibility to secure admission at any Public Sector University / Degree awarding Institute lies at the candidatethemselves)

Personal Details

Full Name:(As given in Matriculation / S.S.Certificate)

Fathers Name:

Guardian Name:(In case of death of father)

Relationship with Guardian:

Applicants CNIC / Form-B No: (Attach Attested Photocopy of CNIC or Form B)

Fathers / Guardians CNIC No: ________________________ (Attach Attested Photocopy)

Date of Birth: Gender: Male Female Day Month Year

Age as on (13-08-2010)

Day Month Year

(Please note: Age should be less than or equal to 22 years at the time of closing date of receipt of application i.e. 13-08-2010)

Address

i) Postal Address(Where you want to receive letters from HEC):

____________________________________________________________________________________________

_____________________________________________ City__________________________________________

District/Agency/FR______________________________ Province _______________________________________

(Please note: Postal address should be of major city for timely receipt of letters from HEC)

ii) Permanent Address (if different from the above postal address):

____________________________________________________________________________________________

_________________________________________________________ City_______________________________

District/Agency/FR_________________________________ Province: ___________________________________

Phone No: (Compulsory)

i) Residence (with city code):______________________________

ii) Mobile Number: _________________________________

iii) Fathers/ Guardian Office Number (with city code): _________________ Mobile No: ______________

iv) Any other contact Number (with city code): _____________________

E-mail Address: (Compulsory)

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Email:_________________________________________________________

(Note: If you dont have any email account create it as most of the future correspondence will be done using E-mail address.Do not change your E-mail address and frequently check your mails.)

Domicile: Candidates Domicile (Tick (one of the following and attach attested photocopy)FATA:

Name of Agency/FR ________________________

1 Bajaur 2 Khyber 3 Kurram 4 Mohmand 5 Orakzai

6NorthWaziristan

7SouthWaziristan

8 FRPeshawar

9FR Kohat

10FRBannu

11 FR Lakki 12 FR D.I. Khan 13 FR Tank

ii. Balochistan:

Name of District ___________________________

1 Kalat 2 Mastung 3 Khuzdar 4 Awaran 5 Washuk

6 Kharan 7 Lasbela 8 Ketch 9 Gawadar 10 Panjgur

11 Naseerabad 12 Jaffarabad 13 Jhal Magsi 14 Bolan 15 Quetta

16 Pishin 17 Loralai 18 Chagi/Dalbadin 19 Nushki 20 Sibi

21 Harnai 22 Ziarat 23 Kohlu 24 Sherani 25 Zhob

26 Dera Bugti 27 KillaAbdullah

28 Musa Khail 29 Barkhan 30 KillaSaifullah

Fathers Domicile: (Tick (one of the following and attach attested photocopy)

i) FATA Name of Agency/FR ________________________

ii) Balochistan Name of District ___________________________

To Be Filled by Already Enrolled Students in Public Sector Universities/Institutions Only

Name of Institution /University____________________________________________________________________

Program Name ______________________________ Duration of

Program________________________________

Date of Enrollment____________________________ Total Semester/Years Attended_______________________

Current Semester/Year of Study_________________ Subject__________________________________________

(Note: Please attach copy of Reference Letter of your Institution showing that you are a full time student)

Educational Details

EducationalLevel

Name ofCertificate(Give Exact

Title, as writtenin the

testimonial)

Year ofPassing

Marksobtained

(as mentioned inyour final yearMarks Sheet )

TotalMarks

Name ofInstitution /

SchoolName of Board /

University

SSC / Matric

OR*O-level

FA/FScOR*A-level

* O-level and A- level applicants will have to provide equivalence of grades/percentages and attestation from IBCC(Inter Board Committee of Chairmen) without which applications will not be processed.

** The candidate whose 12th Class result is awaited may give the detail of 11th Class result with at least 60% marks and hopecertificate from Head of Institute/College.

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Place of Study: The candidates who have studied in the Institutions located in the districts of Balochistan orAgency or FRs in FATA fall under the category BALOCHISTAN IN and FATA IN category. Those who have studiedin the Institutions outside Balochistan and FATA/FRs fall under BALOCHISTAN OUT and FATA OUTcategory.Please tick the relevant box.

Degree Balochistan In Balochistan Out FATA In FATA OutSSC

HSSC

Undertaking given by Father/Guardian:

I solemnly verify that the particulars stated above are correct to the best of my knowledge and belief. In case anydiscrepancy is identified by HEC at any stage, the scholarship of my Son/daughter/ward can be immediatelyterminated and I will have no right of appeal or seek relief from court of law. Consequently I'll be liable to pay backthe entire amount, released by HEC under various expenditure heads, against the scholarship.

Name: ___________________________________

CNIC Number: ___________________________________

Signature: ___________________________________

Date: ___________________________________

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

Two passport size recent photographs (Attested at the back)

An amount of Rs. 500/- as application processing and test fee (non refundable) may be deposited in the HEC

Online A/C No. 17427900133401 in Habib Bank Limited, Shalimar Recording Company Branch, H-9,

Islamabad.

Send us original bank receipt. (Photocopy of the bank receipt or any other form of payment is not acceptable)

Please attach the attested photocopies of followings:

SSC/O-level certificate & marks certificate. (Equivalence from IBCC in case of O-level candidate)

HSSC / A-level certificate & marks certificate. (Equivalence from IBCC in case of A-level candidate)

Applicants Computerized CNIC or B- Form

Applicants Domicile Certificate

Fathers or Guardians Computerized CNIC

Fathers or Guardians Domicile Certificate

Signature of the Candidate: __________________________

Related Information

The Application forms completed in all respect along with all the required documents should be reach by the

registered post or courier service till 13th August 2010 during office hours (till 4:00 pm).

The tentative date for NTS test is 28th August 2010. Roll No. slips will be available online only and applicants

are advised to download their roll No. slips from HEC and NTS website (www.hec.gov.pk/balochistan-fataand

www.nts.org.pk) after 20th August 2010.

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http://www.hec.gov.pk/balochistan-fatahttp://www.hec.gov.pk/balochistan-fatahttp://www.nts.org.pk/http://www.hec.gov.pk/balochistan-fatahttp://www.nts.org.pk/


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Prefernce will be given to already enrolled students in 4 to 5 year Undergraduate program in Public Sector

Universities/ Institutions. The candidates who are in process of taking admission are advised to provide copy

of admission letter/ or any documentry proof maximum by 30th August 2010.

Send the complete filled application form to: Project DirectorBalochistan & FATA Scholarship ProgramHigher Education CommissionH-9, IslamabadTel: 051-90808057 & 051-90808122

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application form for undergraduate program batch iii

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