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MINISTRY OF HIGHER EDUCATION MALAYSIA

MALAYSIAN INTERNATIONAL SCHOLARSHIP
APPLICATION FORM

Academic Session 2024/2025

Level Of Study MASTER
Field of Study and Course Applied NATURAL SCIENCES, MATHEMATICS AND STATISTICS
Chemistry
Name of University in Malaysia (option1) UNIVERSITI TEKNOLOGI MALAYSIA (UTM)
Name of University in Malaysia (option2) UNIVERSITI SULTAN ZAINAL ABIDIN (UNISZA)
Name of University in Malaysia (option3) UNIVERSITI MALAYSIA PAHANG (UMP)
Nationality PAKISTAN
Proposed date of commencement : 26-06-2024

INSTRUCTION TO APPLICANTS

1. Each candidate must print this application form and attached the following documents:

a. Application form;
b. A certified copy of Passport as evidence of nationality;
c. A certified copy of academic transcript, testimonial and / or reference relating to the the relevant
study,co-curiculum activities, achievement;
d. A certified copy of English Language Proficiency (TOEFL / IELTS / OTHERS);
e. Curriculum Vitae
f. Admission letter from Malaysia University (If applicable)
g. Two (2) letters of recommendation from two (2) people who can act as referees to support your
application;
h. Research Proposal.

2. Login to Malaysian International Scholarship (MIS) Online Application system and attach all required
documents stated above. Click "Save" button to submit the application. You will see the notification when
the process is done. The application is solely via online.
PARTICULARS OF APPLICANT

Full Name : Date of birth :

Talha zulfiqar 02-07-2000
Age : Gender :
24 Year`s Old MALE
Passport No./ National Identification No. : Expiry date of passport :
BR5787902 31-01-2029
Nationality ( citizenship) : Religion :
PAKISTAN MUSLIM
Marital Status : Number Of Children :
SINGLE 00

MAILING AND COMMUNICATION ADDRESS

Applicant`s office name : (For notification of result)

Talha
Applicant`s Office Address :
prame Nagar street abott road sialkot
prame Nagar street abott road
51451
PAKISTAN
Office Telephone : 03096751117
Telephone (Home) : 03096751117
E-mail : talhazulfiqar232@gmail.com
Applicant`s Postal Address :
prame Nagar street abott road sialkot
prame Nagar street abott road
51451
PAKISTAN
Telefax :
Telephone (Mobile) : 03096751117

Person to be contacted in case of emergency, name, telephone and address :

Name : Talha zulfiqar
Relation : FRIEND
Phone : 03092948560
E-mail : furhanfurhan34@gmail.com
Address :
prame Nagar street abott road sialkot
prame Nagar street abott road
51280
PAKISTAN
ACADEMIC BACKGROUND (the most recent first)
(list in order of time, starting with last institution attended)

Name of institution Major field of study Years of Level Grade or

and study CGPA
place of study
university of gujrat chemistry 2019 to 2023 BACHELOR'S 3.32
sialkot DEGREE

ACADEMIC AND FINANCIAL AWARDS

(e.g. Honours, distinction, book prizes, scholarship) won in the last 3 years. Please list in chronological order
and submit copies of document proof.

Year Type of Award

( For scholarship obtained, please indicate tenure and value of award)
2023 Best Teacher Award

OTHER ACTIVITIES (curricular activities)

Date / Duration Brief Description Position Held

2 MAY 2023 to 8 JUN 2024 it's a workshop type course 1st

PREVIOUS RESIDENCE IN FOREIGN COUNTRY

Country Year Length of Stay

Have you participated in any training programme in Malaysia before:

Name of Programme Organizer Year

Have you participated in any short courses in Malaysia:

Name of Programme Organizer Year

FIELD OF STUDY

* Describe the reasons for applying to the course and relate it to your future career plan (not more than 5000
characters).
I am writing to express my sincere interest in the Mylesia scholorship for advanced study in chemistry As a
aspiring chemist I am excited about prospect or furthering my education and research with the support of this
prestigious scholorshipMy fascination with chemistry begins in high school and now I have completed my
Bechlor in chemistry with specialization in organic chemistryI have working experience in different research
projects so I have a strong foundation in organic synthesis peptide synthesisNMR and spectroscopyMy ambition
is to address global challenges through innovative chemical researchFor example high price and high pollution
problems of fuel is a global problem so we should work on Hydrogen fuel as an alternative to reduce prices and
to reduce pollution As Hydrogen fuel is a pollution free fuelThe Mylesia scholorship aligns perfectly with my
academic and research goalsMoreover this scholorship grant me access to different scholors and international
fellowshipsRecieving the Mylesian scholorship would be an immense honor for me Thank you for considering
my application

RESEARCH / PROJECT (For thesis based programme only)

Research Title

Name of Supervisor

Proposed Faculty &

University
Problem Statement

Hypothesis

Expected Impact of
Research Project
Summary of Research
Contribution
PROFESSIONAL EXPERIENCE

It is important to give complete information. Please provide all the information regarding your employment such
as employment period, name of position, job description and relevant employment verification (i.e: HR officer or
supervisor).
Current Job/Post
Year 2024
Position Teaching
Organization/Company PRIVATE
Name Of Employer Talha zulfiqar
Address prame Nagar street abott road sialkot
prame Nagar street abott road
51451
PAKISTAN
Monthly Salary (USD) 0.00 - 1,000.00
Job Descriptions:
I am working as a chemistry Instructor.I am teaching basic chemistry concepts.

Previous Job
Year 2022
Position Teaching
Organization/Company PRIVATE
Name Of Employer : Talha zulfiqar
Address prame Nagar street abott road sialkot
prame Nagar street abott road
51451
PAKISTAN
REFERENCE

Recommendation letters should provide information about your performance in either an academic or
professional settings. The referees should be people who can comment on your academic, skill, potential and
suitability to receive MIS Scholarship (e.g. lecturer, supervisor or immediate superior, etc.). They should not be
a relative or close friend. Please complete their details as stated below:

Name of Reference Job Title & Organization Telephone & Fax Email
Iftikhar Ahmad Associate Professor 03456700668 iftikharaza12@gmail.com
GOVERNMENT
Faiz Miran Assistant professor 03006139016 faizmiranslkt@hotmail.com
GOVERNMENT
DECLARATION

Have you ever been convicted by the Court of Law of any country?: NO
If yes, please give brief details :

_______________________________________________________________________________________
I certified that my information I provided as part of the application are true, complete and correct to the best of
my knowledge and belief.

If accepted for a training award, I undertake to:-

1. Carry out such instructions and abide by such conditions as may be stipulated by both the nominating
government and the host government in respect of this course of training;
2. Follow the course of study or training, and abide by the rules of the University or other institution or
establishment in which I undertake to study or train;
3. Refrain from engaging in political activities, or any form of employment for profit or gain;
4. Submit any progress reports which may be prescribed; and

I also fully understand that the scholarship granted may be subsequently withdrawn if I fail to make adequate
progress or for other sufficient cause determined by the host Government.

Signature of candidate:
Name:
Date:
 OFFICIAL DECLARATION (to be completed by the nominating government)

The Government of: ______________________________________________________________________

nominate (name of applicant) ______________________________________________________________
For the scholarship (Academic Year 2024) under MALAYSIAN INTERNATIONAL SCHOLARSHIP and certifies
that:

a. All information supplied by the nominee is complete and correct;

b. The nominee had adequate knowledge, appropriately tested of his/her English Language which can be
used for selection purposes in the proposed host country.

Remarks: ______________________________________________________________________________

_______________________________________
(Signature of responsible Government official)
Name :
Designation :
Address of Department / Ministry :
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Office Telephone number :
Office Fax number :
E-mail :
Date :

Please note : This application form must be duly completed and endorsed by the Ministry of Foreign Affairs or
any relevant agencies responsible for the MALAYSIAN INTERNATIONAL SCHOLARSHIP in your country.
INCOMPLETE AND/OR UNENDORSED FORMS WILL NOT BE PROCESSED.

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