niversity of East Anglia

PostgraduateApplication Form
1 REGISTRATION SOUGHT

(a)Taug ht M aster’ s deg ree (classroo m/lab b ased):__M.SC (HONS)

(e.g. “ MA History” , “ MSc Environmental Science” ZOOLOGY______________________________________________________
, “ Graduate Diploma Economics” or “ PG Dip Health Sciences” )

(b)Research p rog ram m e: ______PH.D

(e.g. MA, MSc or MMus byPROGRAMMES_________________________________________________________________________
Research, MPhil or PhD programmes, e.g. “ PhD Business Management” )

Re search sub ject area/to pic o f stud y:______” STUDY OF BIO_ECOLOGICAL STATUS, MANAGEMENT AND
(e.g. “ Supply Chain Management” ) CONSERVATION OF CROCODILES (CROCODYLUS PALUSTRIS) IN
SINDH_PAKISTAN”.__________________________________________________
_________
(c )Sch ool of Stud y / Institute (if known): __BIOLOGICAL
SCIENCE________________________________________________________________
(d)M od e of Stud y: _ Full- tim e √ _ Part-tim e (not available to non-EU applicants)
(e)Yea r o f Entry: _ 2007 _ 2008 √ _ 200 9

(f)M o nth of Entry: _ Sep /Oc t √ _ Jan/Feb _ Apr _ Ju l

(Note: most Taught Master’ s programmes commence in September or October only)

PERSONAL DETAILS 2

(a)Title: _ MR √ _ M rs _ M iss _ Ms

(b)Fam ily Name: ___CHANG________________________________________________________________________________

___
(c )Given Na m e(s): ________MUHAMMAD
SALEEM_____________________________________________________________________________
(d)Gen der: _ M al e √ _ Fem ale
(e)Date of Birth: __21___ /__01___
/__1980__(Please complete in the format DD/MM/YY)
_
(f)Co untry of Birth: ____PAKISTAN_____________________________________________________________________________
___
(g)Cou ntry o f Nationa lity: ___PAKISTANI_________________________________________________________________________
___
(h)Coun try o f Ord in ary Residen ce: _----------
_____________________________________________________________________
(i)Hom e Add ress:H ouse N um b er / Street: __P.O AND VILLAGE
GHUNDAN______________________________________________________
__________TALUKA
To w n / City: SINJHORO_DISTRICT
SANGHAR________________________________________________________
C ou nty / State / Pro vince: ___SINDH________________________________________________
___
C ou ntry: _______PAKISTAN__________________________ Po sta l / Zip Code : __68100______________
__ _
Teleph one (inc country code): __(+92) 333 Fax: ___-------
2643404___________________________________________
Ema il:
saleem_khan74@yahoo.com

(j)Corresp ond ence

Ad dress:House Nu m ber / Street: DEPARTMENT OF ZOOLOGY UNIVERSITY OF SINDH
JAMSHORO,,SINDHPAKISTAN_______________________________________________________
To w n / City: ____________JAMSHORO____________________________________________________
___
C ou nty / State / Pro vince: ___SINDH________________________________________________
___
C ou ntry: _______PAKISTAN__________________________
Po sta l / Zip Code : _71000_______________
__ _
Teleph one (inc country code): ___(+92) 333 Fax: ______--------
2643404_______________ ________________________
Ema il:
saleem_khan74@yahoo.com

UEA Postgraduate Application Form – page 1

 QUALI FICATIONS

(a)AC ADEM IC QUALIFICATION S

(i)Please list your university qualifications by level

Dates of Study AUGUST

ualificatio nAverage University UNIVERSITY OF SINDH
1999
(MM /YY 1999 To M ajo r Subject o f Study
JAMSHORO
(Bachelor, √ aster’ s, PhD) Grades 3.60
Name Ci tyFrom T Jashoro, 1999- 2003 ZOOLOGY
M CGPA
2003

Q
(ii)Was the languag e o f instruction in English? _ YE √ _ NO

(b)ENGLISH LANGUAGE QU AL IFICATIONS

(i)Is your first langu age Eng lish? _ YES _ NO

If N O, p lease select w hich Eng lish lang uage exam yo u h ave taken (if any) and yo ur m ost recent sco re:

_ TOEFLDate __NO Result _______________________________________

_____________
_ IELTSDate ____UNDER Result _______________________________________
PROCESS___________
_ CAMBRIDGE EXAM SDate ____NO__________ Result _______________________________________
_
_ OTHERDate ____NO__________ Result _______________________________________
_

EMPLOYMENT HISTORY, PROFESSIONAL AND OTHER REL EVANT EXPERIENC E 4

Ple ase sta te yo ur previous or pre se nt e m plo yer, an y p rofessio nal and /or relevant experience an d any unp aid work
o r q ualifications relevant to your ap plicatio n:

Dates o f Emplo ym ent / Experience

Po sition HeldName of Emp loye NO (M M/YY)
From To

PROFESSIONAL QUALIFICATIONS, PUBLICATIONS, EXPERIENCE IN ADVANCED STUDY, 5

PROFESSIONAL BODY AND REGISTRATION NUM BER
Ple ase state any pro fessional q ualificatio ns, pu blication s, expe rience in ad vanced stu dy or research and an y o th er
p ractical w ork w hich is relevan t. Please also state any me mb ership to a p rofession al bod y, in clud ing reg istration n um ber -------------

UEA Postgraduate Application Form – page 2

 OTHER APPLICATIONS

(1) ___------------- (3) _____________________________________________

____________________________________________ __
(2) _____________________________________________ (4) _____________________________________________
__ __

HOW DI D YOU HEAR ABOUT THE PROGRAMM E? 7

Ple ase give d etails

_ University Pu blicity, e.g . prosp ectu s _ University Advertiseme nt

_ University Websit √ _ Recruitm ent Fair
_ Perso nal Recomm endatio n _ British Cou ncil

_ Member of UEA Staff (Please state who ___--------- )

____________________________________________________

FUNDING 8

Ple ase ind icate w hether you intend to ap ply fo r o r a lread y h ave fu nding from any of the following org anisation s:

_ Biotechn olog y and Biolog ical Sciences Researc h C ouncil (BBSRC

_ Econom ic and Social Re search Co uncil (ESRC)
_ Engineering and Physical Sc iences Re search Co uncil (EPSRC)
_ Medical Rese arch Co uncil (M RC)
_ Natural Environment Research Co uncil (NERC)

_ Arts and Hum an ities Research Cou ncil (AHRC)

_ Gen era l Social Care Council (GSC C)
_ UEA Stu dentship
_ UEA In terna tional Scholarships √

_ Emp loyer Sp onsorship

_ Go vern men t Grant
_ Other (Please state _____________________________________________________
)
__

FEE CATEGORY 9

The level of tu itio n fee yo u pay de pend s on your fee c ateg ory.
Ple ase select w ith an “ X” a state me nt fro m the list below wh ich b est d esc rib es you:

Sta te me nt “ X”

1Yo u are a UK national, or live in the Channel Islands or Isle of M an, o r are the child o f a
UK natio nal and have lived in the European Econo mic Area (EEA) for three years, bu t no t
just for full-tim e edu cation, o r

2Yo u have Indefinite Leave to Enter or Rem ain in the UK or have the Right of Abo de in the
UK and h ave lived in the UK for three years, b ut n ot just for full- tim e educatio n, or

3Yo u are a refugee, o r have bee n g ranted Excep tional Leave to Enter or Rem ain in th e
UK follow in g an a pplication for asylum , and you have lived in the UK since sta tus was
re cognised o r g ran ted , or you are such a p erso n's husb and, w ife o r child, or

4Yo u are a non -UK EU national o r are the child o f a non- UK EU n ational and h ave lived in the
Europ ean Econ om ic Area (EEA) for three years, b ut n ot just for fu ll-tim e educa tion, o r

5Yo u are an EEA n ational, you live in the UK and yo u are a migrant w orker (o r you are suc h a
person's hu sb and, wife or c hild ) and you have lived in the EEA for three ye ars, but not just
fo r full- tim e ed ucation, or

6Yo u do not fa ll w ithin an y of the categ ories abov e √

UEA Postgraduate Application Form – page 3

 0REFEREES

Please give the na m es an d ad dresses and p ositions of the tw o p erson s that you w ish to use as you r referee s.
They shou ld b e a ble to testify to you r ac adem ic ability or rele va nt e xperience and one o f these sho uld be your
h ead of de partm ent or em p loyer as ap prop riate.

1 Name : DR. GHULAM SARWAR Position:

ASSOCIATE
GACHAL_______________________________________ PROFESSOR___________________________________________
Institution or C om pa ny Nam
_DEPARTMENT
e: OF
ZOOLOGY_______________________________________________________________________
Institution or C om pa ny Add ress: DEPARTMENT OF ZOOLOGY, UNIVERSITY OF SINDH JAMSHORO
SINDH_PAKISTAN___________________________________________________
Referee Em ail gsgachal@hotmail.co__________________
m:

2 Name : SAYED ISMAIL SHAH Position:

ASSISTANT
BUKHARI_______________________________________ PROFESSOR___________________________________________
Institution or C om pa ny Nam e:_INSTITUTE OF
ENGLISH_______________________________________________________________________
INSTITUE OF ENGLISH,
Institution
UNIVERSITY
or C om paOFnySINDHJAMSHORO,
Add ress:
SINDH_PAKISTAN.______________________________________________________________________
Referee Em ail:------------

1DISABIL ITI ES 1

The University welc om es studen ts w ith disabilities a nd strong ly enco urage s yo u to disclose any d isability or
m ed ica l cond ition w h ic h may have an im p act on you r p ostgra duate stud ies. Declaring a disability will n ot a ffec t the
a cadem ic decision a bou t yo ur a pp lica tion b ut will help us put any in dividu al arrang em ents or facilities in p lac e fo r
th e start of the c ou rse a nd ena ble u s to m on itor the effec tiven ess o f o ur equ al op portu nitie s an d diversity policies:

_ No disabilit y √ _ Sp ecific learning d ifficulty _ Blin d/partially sig hted

_ Deaf/hard of hearing _ Wheelcha ir u ser/m ob ility _ Mental health difficu lties

_ Unseen disability _ Mu ltiple d isabilities _ Autistic sp ectru m d isorder
_ Other disab ility _ Decline to answ er

2ETHNICITY M ONITORING 1

Please select you r eth nic origin. Th e inform ation co llec te d w ill be u sed for m onitorin g purp oses on ly and w ill h elp
th e Un iversity to im p lem en t eq ual o pp ortunities and d iversity p olicies. Ethn ic ity d ata w ill not be u se d w he n
a sse ssing you r a pplica tion.

_ White _ Asian – Pakistan √ _ White /Black African

_ Black – Other _ Asian – Bang ladeshi _ White and Asian

_ Black – Carib bean _ Asian – Chinese _ Other M ixed
_ Black – African _ Asian – Other _ Other
_ Asian – Ind ian _ White/Black Caribb ean _ Decline To An sw er

3CRIMINAL CONVICTIONS 1

Do yo u have any crim inal c onviction s? _ Yes _ NO √

4DECL ARATION 1

I confirm that the inform ation given on this form is true, co m plete and accurate, n o inform ation requested or other m aterial
info rmation has b een om itted, an d th at I ha ve com p leted the application myself.
I agree tha t I have read the relevant application no tes. I undertake to be boun d by th e terms set out in the application form
and ap plication notes and I give co nsent to the University of East Anglia to process the d ata (given b y myself) I have supplied.
I accept th at if I do no t fully com p ly w ith th ese req uirem ents the U niversity will h ave the righ t to cancel any app licatio n an d
that I shall ha ve no claim ag ainst the University (in relation thereto) with rega rd to this.
_________________________
______0100090000037c00000
Sign ed 002001c000000000004000000 Dat e _29-08-
03010800050000000b0200000 2008_____________________________
UEA Postgraduate Application Form – page 4