(Annex-VI)

AUTHORIZATION
BY THE SCHOLAR TO
HIGHER EDUCATION COMMISSION, PAKISTAN (HEC)

“US-PAKISTAN KNOWLEDGE CORRIDOR-PHASE-I”

I, __________________________________ son/ daughter/wife of __________________________________
holding CNIC No.: _____-_______-_ Presently resident of: House No.:___, Street No.: ___,
Mohallah: __________________ ,Post Office: _________________, Tehsil: _________________,
District:__________________, Province: __________________, Pakistan and Permanently resident of:
House No.:___, Street No.: ___, Mohallah: __________________ ,Post Office: _________________,
Tehsil: _________________, District:__________________, Province: __________________, Pakistan,
(hereinafter called the Scholar) authorize the HEC to approach the concerned
University/Institute/Supervisor/Embassy/Agency etc. to acquire/obtain the information in
respect of following on my behalf:
• Academic
• Visa
• Financial
• Health
• Any other
I also authorize and give my consent to my university officials, professors, supervisor, embassy,
agency, etc., to release my academic, employment, stipend, and any other relevant information
to HEC, Pakistan if and whenever required by HEC.

SIGNED AND DELIVERED this on ________day of _________________, 2020.

Witness No.1
Signature: _________________________
Full Name: ________________________
CNIC No.: _____-_______-_
Present Address: ___________________
____________________________________
Permanent Address: ________________
____________________________________
Attested By:
(NOTARY PUBLIC)
_________________________________
Signature & Thumb Impression
(BY SCHOLAR)
Witness No.2
Signature: _________________________
Full Name: ________________________
CNIC No.: _____-_______-_
Present Address: ___________________
____________________________________
Permanent Address: ________________
____________________________________