Professional Documents
Culture Documents
Application ID:
HEC/HRD/I5000/2015/21538
Submission Date:
13-Dec-2015
Print Date:
14-Dec-2015
Payment Information
Bank Name:
City:
Branch:
Amount (Rs.):
Pay order/Demand draft/Online receipt number:
Dated:
Please tick the Preferred Test Center:
Islamabad
Lahore
Karachi
Peshawar
Quetta
Please be careful in selecting the TEST CENTER, because in case of omission and wrong entry. TEST CENTER
WILL NOT BE CHANGED. Otherwise you will not be considered/called for the test/scholarship.
Personal Information
Name
Nationality
Pakistan
Gender
Male
Date of Birth
18-Jan-1986
Place of Birth
Pakistan
Marital Status
Single
CNIC/Passport
11201-3909541-7
Domicile District
Khyber Pakhtoonkhah
Scholarship Information
Discipline
Business education
Category
Enrolled/Intension to
Join
MS/MPhil
Page 1
University Name
Disabled
No
Contact Information
Contact Type
Contact Value
Primary Email
shamsullah_r@yahoo.com
Cell Phone
+923449334640
Address Details
Address Type
Address
Permanent
Academic Details
Field of Study
Start Date
End Date
Total
Obtained
Marks/GPA Marks/GPA
Degree
Institute
Secondary School
Certificate / NonMatriculation
BISE Bannu
Other
01-Apr-2000
18-Jun-2002
850.00
563.00
Higher Secondary
School Certificate
N.W.F.P Technical
Board
Other
14-Jul-2002
23-Jul-2004
1400.00
794.00
Bachelor's 14 Years
Degree
Other
18-Aug-2004
25-Aug-2006
1400.00
813.00
Master / Bachelor 16
Gomal University, D.I.
Years Degree / Master
Khan
(H) 16+ / PGD
Other
14-Sep-2006
15-Sep-2015
2100.00
1617.00
Professional Training/Certificates
Employment Details
Publication Details
Additional Information
Page 2
Cover Letter
Dear Sir/Madam,
I hereby submit my application form under Indigenous 5000 PhD fellowship program Phase II, Batch III.
Thank You.
Regards,
Mr. Shamsullah Khan
14-Dec-2015
Document Checklist
Title
Is Attached?
YES
YES
YES
YES
YES
YES
Page 3
Disclaimer
The statements made by me in the forgoing columns are true to the best of my knowledge and belief. It is solemnly affirmed
that I have read and understood the conditions of the award of this program advertised in the press and from the web page
of HEC Indigenous Scholarship Program and that the decision of the National Scholarship Management Committee (NSMC)
would be Final and binding. I understand that the award will be withdrawn as well as recovery of full amount spent on me in
the connection with the award if any misrepresentation or omission is discovered even after my selection for fellowship
award under the indigenous PhD Fellowship Scheme.
Signature:
Date:
Shamsullah Khan
Page 4