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Post Graduate - Online Application

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A.

APPLICATIONDETAILS

REFERENCENO : 505754

Programmeof Study : PhD in ChemicalEngineeringby Research Mode of Study : Academic Year : Full Time 2012 Intake : Sept

For Research ProgrammesOnly Area of Specialization: Proposed Research Title : Proposed Supervisor: Reaction Engineering Heat transfer and kinetic studies in coal fired fluidized bed reactor AssociateProf Dr. Nurul Hasan

B.

PERSONALDETAILS MuhammadZia-ul-haq Male 19/12/1969 42 years Pakistani Ethnicity : Asian 26-A Street No. 1 Rahmania Road, Nazim Abad, Faisalabad , Pakistan. NRIC / Passport No : Place Of Birth : Marital Status : Religion : AC5907821 Faisalabad Married Islam

Full Name : Gender : Date of Birth : Age : Nationality: Mailing Address :

Postcode : Tel No :

38090 City : 0092-323-7618944

Faisalabad Mobile No :

State / Province : 0092-323-7618944

Punjab Email :

Country: Pakistan ziaulhaqnfc @yahoo .com

PermanentAddress @ Home Country (if different from Mailing address ): Postcode :

City :

State / Province :

Country:

C.

QUALIFICATIONS

Please provide details of degree obtained from University/ College / Other Tertiary Institutions Academic QualificationObtained Matriculation F.Sc. B.Sc. Chemical Engineering M.Sc. Chemical Engineering Other ProfessionalQualifications: Result / Achievement(CGPA or equivalent ) 1st Div. 1st Div. 1st Div. 1st Div. Name of Institution B.I.S.E Sargodha B.I.S.E Sargodha U.E.T NFC-IEFR Period of study From 1984 1986 1992 2008 To 1986 1988 1997 2010 Languageof Instruction English English English English

Research Experience : Publication(provide citations):

D.

LANGUAGEPROFICIENCY

Proficiencyin Malay language (For local applicants only) Proficiencyin Malay language in SPM/MCE Proficiencyin English language (For all applicants) Test 1. 2. 3. 4. Date Taken Grade/Point Obtained Grade Year Passed

E.

WORKING EXPERIENCE

Please provide details of current and previous employment(start with the most recent) Present Position : Business Address : Assistant Professor NFC-Institute of engineeringand fertilizer research Faisalabad , Pakistan Since : 02/07/2007

http://www.utp.edu.my/admission_system/submit.php

5/8/2012 12:37:03 AM

Post Graduate - Online Application

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Postcode : Tel No : From 12/05/1998 01/11/1999

38090 +92-41-9220355 To 26/10/1999 31/05/2006

Country: Fax No :

Pakistan +92-419220360 Position and Nature of Work Lecturer Plant Manager/Polymer Process Plant Email : Employer NFC- Institute of engineeringand fertilizer research Ed-CON-Faisalabad

F.

FINANCIALSUPPORT

I am applying for UTP Graduate AssistantshipScheme (GA) -Research and Full-time only. If it is unsuccessful , I wish to study as a full-fee student No

G.

REFEREES

Please provide details of two referees who are able to commenton your academic capabilities . Name 1. Prof. Dr Javaid Rabbani Khan 2. Prof. Dr. Shahid Raza Malik Organization Director NFC- Institute of engineeringand fertilizer research Tel. No. Email Address +92-41-9220355 Ext 103drjrabbani @yahoo .com

.com HOD Chemical EngineeringDept. NFC- Institute of engineeringand fertilizer research +92-41-9220355 Ext 133 drsrma@yahoo

H. Name :

PERSON TO BE NOTIFIEDIN CASE OF EMERGENCY IhtashamulHaq 26-A Street No. 1 Rahmania Road, Nazim Abad, Faisalabad , Pakistan. Relationship: Brother

Address :

Postcode : Tel No :

City : +923236685346

Faisalabad

State : Fax No :

punjab

Country:

Pakistan Email :

I.

DECLARATION

I hereby declare that I have personally filled in this ApplicationForm and that the information containedherein is complete and accurate to the best of my knowledge .I understandthat withholdingor giving false information will make me ineligible for admission and future enrollment . I further understandthat if at any time the information or part thereof stated in this declarationis found contraryto facts, the Universityhas the authorityto disqualify , or if I am already admitted, to terminate my candidature . Signature of Applicant Date 08 May 2012

ApplicationCheck list ApplicationForm signed Research Proposal ( Only for Research mode) Certified true copy of IC (Malaysian ) or Certified true copy of passport (non-Malaysianif readily available) Certified true copy of academic transcript (Undergraduate& above) Certified true copy of Degree scroll TOEFL / IELTS / MUET certificate enclosed 4 copies of passport-size photo 2 Referee form * Documents submittedmust be translated in English (for non English and Malay language documents )

This form is to be returned to the following address ; Admission & RegistrationUnit Registry Office Universiti TeknologiPETRONAS Bandar Seri Iskandar 31750 Tronoh Perak, Malaysia (Attn: Tajul Ariffin Bin Shamsuddin )

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5/8/2012 12:37:03 AM

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