2

HIGHER EDUCATION COMMISSION

H-9, ISLAMABAD (PAKISTAN)

www.hec.gov.pk/ffsp,

Application Form
For Mexican Scholarship titled: Mexican
Government Scholarship 2015-16

Attach Photograph here

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

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

Bachelor (s)
Master (s)
Others (please specify)

Scholarship applied for (Please tick the relevant box)

Fellowship

Post Doc.

Training

PhD

Attach portion of payment receipt of HBL online payment facility of amount Rs. 500/- (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/SSC Certificate)

Fathers Name:

Computerized National ID Card

No:

PMDC Registration Number:___________________ Validity:____________(Attach PMDC

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

KPK

Married

Punjab

Domicile (City /District, give both):

Sindh Urban

Sindh

Rural
FATA / FANA

GB

AJK

Balochistan

Date of Birth:

Age on (as on deadline):

Day
Month
Year
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

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

Use Extra sheets where necessary

Academic Details

Educat
ional
Level

Name of
Degree /
Certificat
e

Year of
Passin
g

Institutio
n/
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
) also
mentio
n%

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
(Below
16 years)
Bachelor
s/
Masters
Degree
16 years
(includin
g
MBBS/B
DS/BE)
Masters
FCPS/M
Phil/MS
(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

Employment Details (Starting from the Current Job, use extra sheet where
necessary)
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)

Total Length of Service:

Year(s)

Period served

From

Month(s)

To

Nature of
Job
(Regular/
Contract/
Adhoc
etc.)

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

Day(s)

If selected, will you be able to obtain study leave, from your employer,
for the entire study period?
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. In
case any misrepresentation is identified by HEC/ Funding Country at any stage, my
scholarship will immediately be terminated. Consequently I'll be liable to pay back the entire
amount, released by HEC/ Funding Country under various expenditure heads, against my
scholarship (i.e. stipend, Grant to university, air fare etc.).
Name of Candidate:

CNIC Number:

________________________________________

PMDC/ PEC Registration Number & Validity date: _________________________

Emergency Contact Number:___________________________
Signature: ___________________________________
Date:

Advance copy
Forwarded Copy

EMPLOYER NO OBJECTION CERTIFICATE

(For Employed Persons)
This is to certify that Mr. /Ms. _________________________________ Son/Daughter
of

Mr.___________________________is

employed

at________________________________________ and working on permanent / regular /

contract / adhoc./temporary (tick appropriate) 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 Scholarship on the terms and conditions of scholarship scheme, he/she will be
released on study leave for the prescribed duration under the above said scholarship
scheme.

Signature:

_________________________

Name & Designation: _________________________

(Head of Department authorized to grant study leave)
Full Address:

_________________________

E-mail:_______________________________
Office Stamp:
_________________________