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HIGHER EDUCATION COMMISSION Attach Photograph here

H-9, ISLAMABAD (PAKISTAN) (Put Name and


Attestation at the back)
PROVISION OF HIGHER EDUCATION
OPPORTUNITIES FOR STUDENTS OF
BALOCHISTAN AND FATA PHASE-II
www.hec.gov.pk/HESBF_Phase-II

APPLICATION FORM FOR 2-YEARS POSTGRADUATE PROGRAM


(i.e. M.A, M.Sc., M.Pharmacy, MBA, MPA, M.Com, MS, M Phil. etc)
Instructions to fill the form:

1. Fill the Application Form using Microsoft word.


2. Do not leave any column blank, if Not Applicable please write “N/A”.
3. Do not overwrite or cross any information on the form.
4. Attach photocopies of all educational testimonials with the form.
5. An amount of Rs. 200/- as application processing 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.

Eligibility Criteria

a Have you obtained 50% Marks in BA/BSc/Equivalent Yes No

b Have you obtained 60% Marks in 4 years Bacholar Program/Equivalent Yes No

Personal Details

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

Guardian Name:
(In case of death of father)
Relationship with Guardian:

Applicant’s CNIC: (Attach Attested Photocopy of CNIC)

Father’s / Guardian’s CNIC No: ________________________ (Attach Attested Photocopy)

Date of Birth: Gender: Male Female


Day Month Year
Age as on (24.06.2016)

Day Month Year

Admission Intension
I intend to get admission in 2-years Postgraduate program in the discipline given below in order of preference:

i) ________________ ii) ____________________

iii) ________________ iv) ____________________

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(Please note: It is not necessary to recommend the candidate for admission as per his/her choice. It depends on the
availability of seats in the Institutions/ Universities and candidates merit. However, HEC will facilitate the students for admission
but to secure admission at any Public Sector University / Degree awarding Institute is the responsibility of the candidate)

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 to receive letters from HEC)

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

____________________________________________________________________________________________

_________________________________________________________ City_______________________________

District/Agency/FR_________________________________ Province: ___________________________________

Phone No:

i) Residence (with city code):______________________________

ii) Mobile Number: (Compulsory) _________________________________

iii) Father’s/ Guardian Office Number (with city code): _________________ Mobile No: ______________

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

E-mail Address: (Compulsory)

Email: _________________________________________________________
(Note: If you don’t have any email account create it as most of the future correspondence will be done by E-mail. Do not
change your E-mail address and frequently check your e-mails.)

Domicile: Candidate’s Domicile (Tick (one of the following and attach attested photocopy)
i. FATA:
Name of Agency/FR: ________________________
1 Bajaur 2 Khyber 3 Kurram 4 Mohmand 5 Orakzai
North South 8 FR FR Kohat FR
6 7 9 10
Waziristan Waziristan Peshawar Bannu
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 Killa 28 Musa Khail 29 Barkhan 30 Killa
Abdullah Saifullah
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Father’s 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 admission Letter of your Institution showing that you are a full time student)

Educational Details
Marks obtained
Name of Certificate (as mentioned in Name of Institution /
Educational (Give Exact Title, as Year of Total
your final year School/University
Level written in the Passing Marks Sheet ) Marks
testimonial)

SSC / Matric
OR
*O-level

FA/FSc
OR
*A-level

BA/B.Sc/
B.Com,
Pharm.D. etc

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

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Bank Slip Details
Original Bank Slip worth Rs. 200/- No: ____________________ Date:________________________________

Drawn on Bank: Branch:

Choice of Test Centre


Select centre where you will appear Apptitute test (Tick (one of the following):

Islamabad Peshawar Quetta Karachi Lahore

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

 Check the list of documents to be attached with the application form:


 Two passport size recent photographs (Attested at the back)
 Rs. 200/- origional bank receipt. (Photocopy of the bank receipt or any other form of payment is not
acceptable).
 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)
 BA/BSc./B.Phrm/ B.Com or equivalent marks certificates
 Applicant’s CNIC
 Applicant’s Domicile Certificate
 Father’s or Guardian’s CNIC

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

Signature: ___________________________________

Date: ___________________________________

 The Application forms completed in all respect along with all the required documents should be reach by the
registered post or courier service by 24.06.2016 at address.

Project Coordinator
Provision of Higher Education Opportunities for Students of Balochistan and FATA (Phase-II)
Higher Education Commission
H-9, Islamabad
Tel: 051-90400000

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