Application No: (for HEC use only)

HRDI MS leading to PhD for Faculty Dev. For UESTPs/UETs (Ph-I B-III)
H-9, Islamabad (Pakistan).

Application ID: UESTP-0000000018-8000034355 Instructions:

Please complete all items, if not applicable write NA and use extra sheets wherever required. Attach two attested Photographs.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10 .

ATTESTED PHOTOCOPY OF CNIC (COMPULSORY) ATTESTED PHOTOCOPIES OF ALL EDUCATIONAL TESTIMONIALS.(MATRIC\INTER FROM IBCC, GRADUATION TO ONWARD CV/RESUME RESEARCH PROPOSAL NOC FROM THE EMPLOYER FOR IN-SERVICE CANDIDATES (ONLY FOR GOVT EMPLOYEES). ATTESTED COPY OF GAT (GENERAL) SCORE RESULT CARD.(COMPULSORY) ORIGINAL DEPOSIT SLIP(RS 200 IN FAVOUR OF HEC) ATTESTED PHOTOCOPIES OF ALL EDUCATIONALS. EQUIVALANCE OF THE FOREIGN QUALIFICATION/S FROM HEC WILL BE REQUIRED WITH THE APPLICATION FORM ABSTRACT OF MASTER DEGREE THESIS: THE ABSTRACT MUST HAVE MAXIMUM LENGTH OF TWO PAGES (4,000 CHARACTERS) ON SEPARATE SHEETS. SHORT REPORT ON THE SCIENTIFIC INTERESTS OF THE CANDIDATE AND HIS / HER MOTIVATIONS FOR APPLYING ON SEPARATE SHEETS.

Applicant's parent organization:

PERSONAL INFORMATION PERSONAL DETAILS Title MR. First Name Noor ul Arfin Last Name Shah Father's Name Syed Mohammad Shah NIC 4130331510753 OLD NIC Gender Male Date Of Birth 03.04.1983 Nationality Pakistani Domicile Sindh Marital Status Un Married Phone 0092222622001 MOBILE 00923342617819 Fax 0000000 Passport No. Email ARFINSHAH@GMAIL.COM
Permenant Address

Address Postal Country Province City District

Village Mori managar Deh Dhmachani P.O Box Mori Managar 71000 Pakistan SINDH HYDERABAD Hyderabad

Current Address

Address Postal Country Province City District

Postal Address

h # 317/A Doctors Colony Hirabad Hyderabad 71000 Pakistan SINDH HYDERABAD Hyderabad

Address Postal Country Province City District

H # 317/A Doctors Colony Hirabad Hyderabad 71000 Pakistan SINDH HYDERABAD Hyderabad

EDUCATIONAL INFORMATION
Academic Record
Degree Title SSC / Metric HSSC / Intermediate Fied of study general science Pre medical School / College / Institution / University Aga Khan High School Govt Musim Science College Isra University Hyderabad Isra University Division 1ST 1ST 1ST Begin Date 01.04.1999 10.04.2001 26.10.2002 End Date 12.10.2000 19.08.2002 07.04.2006 Marks 589.00 728.00 3.27 Total Marks 850.00 1100.00 4.00

BACHELOR(14&1 Managemen 5yrs) / BBA t Sciences Honors MASTERS(16yrs) Managemen / MBA t Sciences

Isra University Hyderabad Isra University

1ST

08.04.2006

30.05.2007

3.73

4.00

EMPLOYMENT STATUS:
Professional Record. (Please use extra sheets if required)
S No. Company Name Designation (BPS Scale or equivalent) Job Title Job Detail Organization Type Start Date End Date

Year Total Experience. 00

Month 00

Day 00

HRDI-UESTPs / UETs
Discipline Field of Specialization Specific Area of Research Intention to join the program NANO TECHNOLOGY MANAGEMENT SCIENES Risk Management Master/MPhil leading to PhD

TEST SCORE:

GMAT Score Test name Test date Inst. code Rept. code Verbal score Quantitative score Analytical score Total score 0.00 0.00 0.00 0.00 Verbal percentage Quantitative percentage Analytical percentage Total percentage 0.00 0.00 0.00 0.00

GRE Score Test name Test date Inst. code Rept. code Verbal score Quantitative score Analytical score 0.00 0.00 0.00 Verbal percentage Quantitative percentage Analytical percentage 0.00 0.00 0.00

GAT Score Test name Test date Inst. code Rept. code English score Quantitative score 38.00 12.00 Analytical score Accumulative 8.00 58.00 SYED NOORAL ARFIN 8 .04.2012

UNDERTAKING BY THE APPLICANT. UNDERTAKING BY THE APPLICANT: It is solemnly affirmed that I have read and understood the conditions of the award of this program/scheme advertised in press and that the decision of National Scholarship Management Committee (NSMC) would be final and binding. In the event any information contained herein is found to be untrue, I shall be liable to disciplinary action, which may result in my termination from service, cancellation of scholarship and recovery of full amount spent on me in connection with this award. I undertake that I am not currently recipient of any other HEC scholarship. I also undertake that after completion of my studies abroad, I will come back to Pakistan and serve in UESTP for 5 years. HEC reserves the right to appoint me in any UESTP project keeping in view the national needs. Only for Government Employees (To be filled by the organization) All candidates applying through proper channel may submit advance copy and this should be certified by Head of Organization. ATTESTATION BY THE VICE CHANCELLOR / RECTOR / CHAIRMAN R &D ORG / SECRETARY (MINISTRY/DEPT/ ORGANIZATION HEAD.) i) Certified that the statement made above has been verified and found correct. Attested copies of certificates, degrees along with copy of C.V. of the candidate duly verified are enclosed. ii) Certified that Mr./Ms. _______________________________________ is employed on full time/permanent basis at our university/college/organization since ___________________________ and he/she is not employed on ad-hoc/contract basis. iii) It is further certified that the incumbent if awarded the Scholarship by HEC will be allowed study leave for the period of the award. iv) After completion of the PhD degree and his/her selection in a faculty/researcher in the UESTP-France, he/she will be immediately released to join. Date: _____________ Signature_________________________ (VC/Rector/Chairman R & D Org. / Secretary/Organization Head) Designation:_________________________ Office Stamp: _________________________

Applicant Signature:__________________________

QUESTIONNAIRE:
1. Are you a Pakistani / AJK National? 2. Have completed minimum of 16 years of academic education? 3. Have more than two second divisions throughout the academic career? 4. Have less than 50% marks in academic career? 5. Are you availing any other (HEC/Govt.) scholarship? 6. Do you have first division or 2.5 CGPA out of 4 or 3.5 CGPA out of 5 in MSc, B.E / BSc (Engg), or equivalent (16 years education)? 7. After completion of PhD degree and on appointment for UESTP project will you be immediately released? (Govt. Employee Only) 8. On selection will you be able to get leave sanctioned for the whole study period? (Only Regular Govt. Employee) 9. Are you less than or exact 35 years of age on closing date i.e. April 02, 2013? OR For Regular Government Employees Only Are you less than or exact 40 years of age on closing date i.e. April 02, 2013? Yes Yes Yes No No No Yes