Ek 1 TRKYE CUMHURYET HKMET BURSLARI BAVURU FORMU APPLICATION FORM FOR GOVERMENT SCHOLARSHIPS PROVIDED BY THE REPUBLIC OF TURKEY

FORMULE DE DEMANDE DES BOURSES DU GOUVERNEMENT DE LA REPUBLIQUE DE LA TURQUIE I-BURSUN TR / TYPE OF SCHOLARSHIP / TYPE DE LA BOURSE ( Akademik Yl / Academic Year / Anne Scolaire : 2010 2011) Ltfen kutulardan birini iaretleyiniz / Please mark only one of the box / Prire de faire un seul choix Lisans / Undergraduate / Etudes ssuprieures Aratrma / Research / Recherche Yksek Lisans / Master / Master Doktora / Doctorate (Ph.D) / Doctorat

Trk Dili Yaz Kursu / Turkish Summer Course / Cours dt de la langue Turque

II-ADAY BLGLER / PERSONAL INFORMATION / RENSEIGNEMENT PERSONNEL Pasaporta gre doldurunuz / Fill out personal informations as seen on your passport / Remplacez selon votre passeport 1- Ad 2- Doum yeri First name(s) Place of birth Peshawar Wajahat Prnom(s) Lieu de naissance 3- Soyad 4- Doum tarihi Family name Tareen Date of birth 15 / 11 / 1985 Nom de famille Date de naissance 5- Baba ad 6- Anne ad Fathers name Sakhi Ullah Khan Traeen Mothers name Tahira Batool Mukhtair Nom de pre Nom de mre 7- Meden hli Marital status Etat civil 9- Uyruu Citizenship Nationalit 11- Bedensel Engeli Physical disability Handicap corporel/le 12- Pasaport no Passport number Numro du passeport 13- Adres Address Adresse Bekr / Single / Clibataire Evli / Married / Marie(e) Pakistani Var / Yes / Oui Yok / No / Non AD7906711 8- Cinsiyeti Gender Sexe 10- lke ad Name of country Nom de pays Var ise ad nedir? If yes, please specify? Si vous avez, quest-ce que cest? Verili tarihi Issue date Date de validation : Sresi Valid until Priode Bayan / Female / Femme Erkek / Male / Homme

Fotoraf --Attach Recent Passport Photograph --Fixer ici Une phopographie Rcente

:28/04/2009 Tel / Telephone / Tlphone

:27/04/2014

:0092915818127 :00923006302659 :wajahattareen@gmail.com

223, street 6, phase 3, K-1,Hayatabad, Peshawar, 24000

Cep / Mobile phone / Phone de portable E-posta / E-mail / E-poste

III-ETM DURUMU / EDUCATIONAL BACKGROUND / ETUDES EFFECTUEES Blm/Bran Seviye Level Niveau Okul ad / S

lke ad Balang tarihi Starting date La date de dbut Mezun olduu tarih Date of graduation La date du diplme Mezuniyet derecesi Graduation grade Degr du diplme

chool name / Nom de l'cole

Country anch name Section/B Nom de ranche pays Department Engineering Electrical Electrical Power Pakistan Pakistan United Kingdom

/Br

Lise High school Lyce niversite University Universit Yksek Lisans Master Master Doktora Doctorate (Ph.D) Doctorat

Qurtuba College Hayatabad, Peshawar N.W.F.P.University of Engineering & Technology,Peshawar Brunel University,UK

2001 2003 2009

2003 2007 2010

A A Merit

IV - BLD DLLER / KNOWN LANGUAGES / CONNAISSANCE LINGUISTIQUE (Mkemmel - yi - Orta / Excellent - Good - Fair / Excellente - Bonne - Moyenne) Dil / Languages / Langues Okuma / Reading / Lire Anlama / Comprehension / Comprhension Konuma / Speaking / Parler Yazma / Writing / Ecrire 1 2 English Urdu Excellent Good Good Good Excellent Excellent
: Var / Yes / Oui

Good Good
Yok / No / Non

MER diploma (Turkish Learning Center) / TMER diplme ( Cours de Turc)

TMER diplomas (Trke renim Merkezi) / T

V- BU KISMI LISANS, YKSEK LSANS, DOKTORA VE ARATIRMA BURSUNA BAVURAN ADAY DOLDURACAKTIR THIS SECTION IS FILLED BY THE UNDERGRADUATE, MASTER, DOCTORATE AND RESEARCH APPLICANTS CETTE SECTION EST RESERVEE AUX CANDIDATS QUI DEMANDENT DES BOURSES POUR LE LICENCE, LE MAITRISE, LE DOCTORAT ET LE RECHERCHE renim Kurumu Tercihi / Education Institution Preference / Cette Section Est Reserve niversite Ad Faklte-Enstit Ad Blm-Ana Bilim Dal The name of University The name of Faculty or Institute Department Main Branch of Science of Faculty or Institute Nom de I Universit Le nom de Facult ou Institut Succursale principale de la Science de la Facult ou Institut 1 Istanbul Technical University Faculty of Electrical and Electronics Engineering Electrical Engineering 2 3 Middle East Technical University Hacettepe University Graduate School of Natural and Applied Sciences Faculty of Engineering Electrical And Electronics Engineering Department of Electrical And Electronics Engineering

VI- BU KISMI TRK DL YAZ KURSUNA BAVURAN ADAY DOLDURACAKTIR THIS SECTION IS FILLED BY THE TURKISH SUMMER COURSE APPLICANTS CETTE SECTION EST RESERVEE AUX CANDIDATS QUI DEMANDENT DINSCRIPTION POUR LES COURS DE TURQUE EN ETE Ltfen ehir ismi yaznz / Please indicate three cities of your choice / SVP, indiquez trios villes (Ankara, zmir, Bursa, stanbul, Kayseri, Antalya, Samsun) 1 Istambul 2 Ankara 3 Izmir

VII- BU KISMI ARATIRMA BURSUNA BAVURAN ADAY DOLDURACAKTIR THIS SECTION IS FILLED BY THE RESEARCH APPLICANTS CETTE SECTION EST RESERVEE AUX CANDIDATS QUI DEMANDENT DES BOURSES POUR LA RECHERCHE
Trkiyede yapmak istediiniz almay aklaynz / Please explain in detail the studies you are planning to undertake in Turkey / Pri re dexposer en dtail les tudes que vous comptez effectuer en Turquie

Adres / Address / Adresse : Mill Eitim Bakanl, Atatrk Bulvar No: 98, 6.Kat, C Blok 06648 - Bakanlklar / ANKARA / TRKYE, Internet / Web / Web : http://digm.meb.gov.tr Telefon / Telephone / Tlphone : + 90 312 413 17 02 (Sn. / Mr. / M. Hasbi ACAR), Faks / Fax / Fax : + 90 312 418 82 89, , e-posta / e-mail / e-poste : digmib@meb.gov.tr

Ek 1

-T.C. Hkmet burslar artnamesini okudum, bavuru formunu doru ve eksiksiz doldurdum -I have read the terms and conditions for the Turkish Government scholarships. I confirm that information in the application form is right and complete -Jai lu les conditions de bourses du Gouvernement Turc. Jai rempli juste et accompli

Tarih / Date / Date

: 02 / 04 / 2011

mza / Signature / Signature :

Adres / Address / Adresse : Mill Eitim Bakanl, Atatrk Bulvar No: 98, 6.Kat, C Blok 06648 - Bakanlklar / ANKARA / TRKYE, Internet / Web / Web : http://digm.meb.gov.tr Telefon / Telephone / Tlphone : + 90 312 413 17 02 (Sn. / Mr. / M. Hasbi ACAR), Faks / Fax / Fax : + 90 312 418 82 89, , e-posta / e-mail / e-poste : digmib@meb.gov.tr