Pakistan Institute of Engineering & Applied Sciences (PIEAS)

Nilore, 45650, Islamabad

Application Form for Postgraduate Studies

Please read the instructions given in Information Leaflet carefully before filling this form. USE ONLY BLOCK LETTERS 1. Choices for Sponsorship Program 2. Please fill in the ovals with numbers 1, 2, 3, and 4 according to your Application Number preference of sponsorship choice [1 for first and 4 for last choice]. PAEC [All MS Programs] Read the leaflet for eligibility of specific programs Fellowship Program At KINPOE Roll Number
[MS NPE Program] For details, please visit [Only for serving Govt./Semi Govt. employees] [All MS/MPhil Programs] Read the leaflet for eligibility of specific programs At PIEAS

http://www.kinpoe.edu.pk

Departmental Support

Please attach recent colour photograph here

Regular Fee Basis

To be allotted by PIEAS [All MS/MPhil Programs] Read the leaflet for eligibility of specific programs

3. Personal Information about the Applicant Full Name Fathers Name

Maximum age is 27 years on June 16, 2012 Please provide the NADRA computerized NIC number

Date of Birth Gender Religion Correspondence Address Telephone (with City Code)

- 1 9 Marital Status Sect

CNIC

Nationality Domicile

Mobile

Email

4. Detail of Educational Qualification (Do not attach any document with this application form) Certificate/Degree Name of the Institute / Dept. where studied or still studying Name of the Board / University Year of Subject/ Div./Grade/ Marks % Position (in Board / Passing Group CGPA
University if any)

a Matric / O-Level b FSc / A-Level c d e f g BSc / BSc (Hons.) BE / BSc (Engg) MSc / BS (4 years) MBBS MS / MPhil

h Have you studied Mathematics and Physics in FSc / A-Level? Please tick () one Yes No i Have you studied Mathematics and Physics in BSc? Yes No Only for BS / MSc (Chemistry, Geology and Geo Physics) Candidates Please tick () one Is your engineering degree (obtained or being pursued) accredited by Pakistan Engineering Council? j Yes No (Applicant having/pursuing engineering degree must answer this) Please tick () one One Year House Job Completed (Only for Candidates having MBBS Degree) Not Will be completed k Completed (Applicant having MBBS degree must answer this) Please tick () one Completed by Nov. 05, 2012 Title of your final degree. l Title of the final degree
(after 16 years of education)

e.g. MSc (Physics) / MBBS / BE (Electrical) / BE (Mechanical) etc

m Result status of final degree examination

Please tick ()

Declared

Not If No then expected date Declared of the result declaration:

5. Please tick () one from the following subject papers you would like to attempt in written test Chemical MBBS Chemistry Mechanical Civil Mechatronics Electrical / Electronics / Communication Metallurgy / Material Geology / Geophysics Physics Mining

6. Please tick () one from the following Centres where you would prefer to appear for written test Abbottabad Lahore Bahawalpur Larkana Faisalabad Mianwali Gujranwala Multan Gujrat Peshawar Islamabad Quetta Jamshoro Rawalpindi Karachi Sargodha

7. Detail of Application Processing Fee (Applications received without Application Processing Fee Receipt will not be entertained) Online Bank Receipt Number Dated Amount Rs. 1,250/Branch of Allied Bank Limited with City (where fee is deposited)

8. Declaration By The Candidate I hereby affirm that the information given in this application is true and correct to the best of my knowledge & I understand that: 1. Any wrong information by me will be sufficient cause for cancellation of this application or immediate dismissal later on even if I have been selected for admission. 2. If selected for admission I will abide by all the rules and regulations now in force or may become effective after I have joined.

Applicant's Signature: ____________________ Date: ____________________

Instructions for Filling the Application Form 1. 2. 3. All the entries in the form must be made in block letters or typed and no column should be left blank. There will be no bank service charges for online submission of processing fee through any branch of Allied Bank Limited (ABL). Application processing fee must be deposited in the online Account No. 0010002084620041 (Title of Account: PIEAS-APF), Allied Bank Limited (ABL), Cabinet Division Branch (Code No. 0793), Islamabad. Preferably apply online; application forms are available at PIEAS website. For online submission, processing fee is Rs. 1,000/- only. However, receipt of bank deposit along with a passport size photograph must be sent to Registrar by post before the deadline May 07, 2012. Application forms may be downloaded from website or can be obtained from Registrar by sending a self-addressed envelope bearing postage stamp of Rs. 30/-. Processing fee for submission by post is Rs. 1,250/- only. Duly filled Form, a Photograph and Bank Receipt must be sent to Registrar by Post before the deadline May 07, 2012. Registrar, Pakistan Institute of Engineering & Applied Sciences (PIEAS), Nilore, 45650, Islamabad. 6. 7. 8. 9. Applications received without the original bank receipt and the photograph will not be entertained. Applications may be sent to Registrar, PIEAS through Pakistan Post, TCS, OCS or Leopard services. Keep a photocopy of the bank receipt for your record. No copy of any document may be attached with this application form.

4.

5.

10. This form and information leaflet may also be downloaded from our website www.pieas.edu.pk 11. Legible photocopy of this form can also be used. 12. Please e-mail your admission related queries to registrar@pieas.edu.pk

Pakistan Institute of Engineering & Applied Sciences (PIEAS), Nilore, 45650, Islamabad Tel: (051) 2207380-4, (051) 2207816 Fax: (051) 2208070 Web: www.pieas.edu.pk Email: registrar@pieas.edu.pk