2

HIGHER EDUCATION COMMISSION

H-9, ISLAMABAD (PAKISTAN)

www.hec.gov.pk/ffsp,

Application Form
For Scholarship titled, The Stipendium Hungaricum
Scholarship Programme 2016/2017

Attach Photograph here

(1-Photos, Put Name
and Attestation at the
back)

Use Capital Letters (Forms may be typed using MS Word 12) and write N.A,
where Not Applicable
o

Scholarship applied for (Please tick the relevant box)

Master Degree (Research)

Technical Degree

Bachelor Degree

Doctoral (PhD) studies

Attach portion of payment receipt of HBL online payment facility of amount Rs. 300/- (in Original) No:
________________, to be deposited in HEC online Account No. 17427900133401 in HBL, Shalimar
Recording Company Branch, Sector H-9, and Islamabad.
Name of Bank Branch:

Date:

Personal Details
Full Name:
(as given in Matric/S.S.Certificate)

Fathers Name:

Computerized National ID Card

Marital status:
Single
/
(Tick (one of the following):
ICT

KPK

Married

Punjab

No:

Domicile (City /District, give both):

Sindh Urban

Sindh

Rural
FATA

GB

AJ& K

Month

Year

Date of Birth:

Balochistan
Age on (01-03-2016):

Day

English Proficiency / Language Course:

IELTS Score_______& Dated.________

TOEFL Score______
& Dated. _______________

International GRE /GMAT

Any Other (Please

specify)___________
Correspondence Address

(Where you wish to receive letters form HEC):

City:
Permanent Address ( if different form the above Correspondence Address ):
City:
Telephone No (Office)
-

(Residence)

E-Mail Address (COMPULSORY):

Research Publication (Use extra sheet where required):

(Personal Cell):

Sr.
No

Title of Research
paper

Area of Research

Use Extra sheets where necessary

Published in International
Journal (Give full name
of Journal)

Published in Local
Journal (Give full
name of journal)

Date of
Publication

Impact
Factor of
Journal in
which
your paper
was
published

Academic Details

Educat
ional
Level

Name of
Degree /
Certificat
e

Year
of
Passi
ng

Institution /
Board
University

Major
Subjects
(Science/Ar
ts/Engg:/Me
dical etc)

Grade/
Div. (as
mentione
d in you
Final
Year
Certificat
e/
Degree)

CGPA.
(as
mentio
ned in
your
final
Transcr
ipt /
Degree
)

Marks
obtaine
d.
(as
mentio
ned in
your
final
Transcr
ipt /
Degree
)

Out
of
(Total
)

%age.
(as
mentio
ned in
your
final
Transcr
ipt /
Degree
)

Equiva
lent %
of
marks
by
IBBC/
HEC
(in
case
of
Foreig
n
degree
or
CGPA

SSC/Olevel
HSC/Alevel
Bachelor
s
Degree
( 14
years)
Bachelor
s/
Masters
Degree
16 years
(includin
g
BE/MBB
S/BDS)
Masters
/MPhil/M
S (18
years)
PhD (if
already
enrolled)

(Please mention the date of enrolment in PhD, expected PhD completion date along with current status of PhD)

Note: Candidates must fill division/percentage or CGPA whichever is applicable in the respective examination and as per their
certificates/degrees). In Column %age of Marks means that you have to give the actual percentage e.g. if your percentage becomes 60.52.
You need to write down this actual percentage with decimal figures also. Do not round of your percentage, give exact number in two digits after
Note: In case of O Level & A Level, add equivalence from IBBC, Islamabad (Use extra sheet where necessary). In case of professional
degree, B.Sc. (Engineering), B.Sc. (Nursing), MBBS / BDS please attach Valid Registration number from Professional Registration
Body (PM& DC, PEC, PNC etc.)

Name of
Employer with
Address (in
case of more
than one
employment
use extra
sheets where
necessary)

Category of
Employer(Federal/Pro
v Govt, Semi-Govt,
Autonomous,
Corporation, Private)

Designation with
Grade (BPS, Group
etc. if applicable)

Period served

From

To

Nature of
Job
(Regular/
Contract
etc.)

Job
details
(Teachin
g, R&D,
Service,
Technica
l, other
etc.)

PLEASE WRITE N.A. IF NOT APPLICABLE

Total Length of Service:
Year(s)
Month(s)

Day(s)

If selected, will you be able to obtain study leave, from your employer,
for the entire study period and would rejoin same employer after
graduation?
Yes
No
Nomination by the Employer:
Name:
Designation of the Authorized Officer
of Your Institution:
Official Seal:
Undertaking
I solemnly verify that the particulars listed above are correct to the best of my knowledge.
Further, I am neither under HEC bond or availed any HEC / Hungarian scholarship recently
and also under HEC bond. In case any misrepresentation is identified by HEC at any stage,
my scholarship will immediately be terminated. Consequently I'll be liable to pay back the
entire amount, released by HEC under various expenditure heads, against my scholarship
(i.e. stipend, Grant to university, air fare etc.).
Name of Candidate:
CNIC Number: ________________________________________
Signature: ___________________________________
Date:

E-Mail address of Candidate (Mandatory): ______________________

Cell (For emergency Contact):

_______________________________

Advance copy
Forwarded Copy

EMPLOYER NO OBJECTION CERTIFICATE

(For Employed Persons only)

This is to certify that Mr. /Ms. _________________________________ Son/Daughter

of Mr.___________________________is a full time employee of this organization and
working as _____________________________Since __________.

His/her educational,

employment particulars and other statements as stated in this application form have
been checked and verified with the original documents. It is hereby affirmed that in
the event of his/her selection for the award of this Foreign Scholarship on the terms
and conditions of scholarship scheme, he/she will be released on study leave for the
prescribed duration of higher studies under the above said scholarship scheme.

Signature:

_________________________

Name & Designation: _________________________

(Head of Organization/Employer)
Full Address:
________________________________
Office Stamp: _________________________
Contact & Fax Number (Official & Fax)
_______________

1. Attested Copy of CNIC

Yes

No

2. Attested Copy of Passport

Yes

No

3. Attested Copies of All Degree Certificate

Yes

No

4. Attested Copies of All Transcripts

Yes

No

5. Online transfer of Rs. 300/- fee

Yes

No

6. Online application form (duly filled in)

Yes

No

7. Foreign Fitness Form /Medical Fitness

8. English Proficiency (IELTS, TOEFL etc.)
9. Police Clearance
10. Any other document (Please specify)

Yes
No
Yes
No
Yes
No
____________________________________

Important Note before applying to any program:

It is the sole responsibility of student(s) applying for any professional degree (viz. Medical, Engineering, Agriculture etc.) to first
get confirmed its accreditation from the respective Councils i.e. Pakistan Engineering Council (PEC), Pakistan Medical & Dental
Council (PMDC), Agriculture Council, & Nursing Council etc.