HIGHER EDUCATION COMMISSION

Attach Photograph here

H-9, ISLAMABAD (PAKISTAN)

(Put Name and

Attestation at the back)

PROVISION OF HIGHER EDUCATION

OPPORTUNITIES FOR STUDENTS OF
BALOCHISTAN AND FATA PHASE-II
www.hec.gov.pk

APPLICATION FORM FOR UNDERGRADUATE PROGRAMS

(B.E/B.Sc (Engineering), MBBS, BDS, BBA, B.Com (Hons.), B.Pharmacy, BCS, BSc (Hons.) etc.)

Instructions to fill the form:

1.
2.
3.
4.
5.

Fill the Application Form using Microsoft word.

Do not leave any column blank, if Not Applicable please write N/A.
Do not overwrite or cross any information on the form.
Attach photocopies of all educational testimonials with the form.
An amount of Rs. 200/- as application processing fee (non refundable) may be deposited in the HEC Online A/C
No. 17427900133401 in Habib Bank Limited, Shalimar Recording Company Branch, H-9, Islamabad.

Eligibility Criteria
a

Is your age less than or equal to 22 Years on 26 th August 2016

Yes

No

Have you obtained 60% Marks in FA/F.Sc or Equivalent

Yes

No

If No in case of a and b then you are not eligible.

Personal Details
Full Name:
(As given in Matriculation / S.S.Certificate)

Fathers Name:
Guardian Name:
(In case of decesed father)

Relationship with Guardian:

Applicants CNIC:

(Attach Attested Photocopy of CNIC or B form)

Fathers / Guardians CNIC No: ________________________ (Attach Attested Photocopy)

Date of Birth:

Gender:
Day

Month

Year

Age as on (26.08.2016) ------------Year -----------Month-----------Days

Page 1 of 5

Male

Female

Admission Intension
I intend to get admission in Undergraduate program in the discipline given below in order of preference:
i)

________________

ii)

____________________

iii)

________________

iv)

____________________

(Please note:
It is not necessary to recommend the candidate for admission as per his/her choice. It depends on the
availability of seats in the Institutions/ Universities and candidates merit. However, HEC will facilitate the students for admission
but to secure admission at any Public Sector University / Private Category W University/Degree awarding Institute is the
responsibility of the candidate)

Address
i) Postal Address (Where you want to receive letters from HEC):
____________________________________________________________________________________________
_____________________________________________

City__________________________________________

District/Agency/FR______________________________ Province _______________________________________

(Please note: Postal address should be of major city to receive letters from HEC)

ii) Permanent Address (if different from the above postal address):
____________________________________________________________________________________________
_________________________________________________________ City_______________________________
District/Agency/FR_________________________________ Province: ___________________________________
Phone No:

i) Residence (with city code):______________________________

ii) Mobile Number: (Compulsory)

_________________________________

iii) Fathers/ Guardian Office Number (with city code): _________________ Mobile No: ______________
iv) Any other contact Number (with city code): _____________________
E-mail Address: (Compulsory)
Email: _________________________________________________________
(Note:

If you dont have any email account create it as most of the future correspondence will be done by E-mail.
Do not change your E-mail address
Check your e-mails frequently.)

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Domicile: Candidates Domicile (Tick (one of the following and attach attested photocopy)
i.

FATA:
1
6
11

Name of Agency/FR: ________________________

Bajaur
Khyber
3
Kurram
2
North
South
8
FR
7
Waziristan
Waziristan
Peshawar
FR Lakki
12
FR D.I. Khan
13
FR Tank

Mohmand
FR Kohat

4
9

ii. Balochistan:
Name of District: ___________________________
1
Kalat
2
Mastung
3
Khuzdar
6
Kharan
7
Lasbela
8
Ketch
11
Naseerabad 12
Jaffarabad
13
Jhal Magsi
16
Pishin
17
Loralai
18
Chagi/Dalbadin
21
Harnai
22
Ziarat
23
Kohlu
26
Dera Bugti
27
Killa
28
Musa Khail
Abdullah

4
9
14
19
24
29

5
10

Awaran
Gawadar
Bolan
Nushki
Sherani
Barkhan

5
10
15
20
25
30

Orakzai
FR
Bannu

Washuk
Panjgur
Quetta
Sibi
Zhob
Killa
Saifullah

Fathers Domicile: (Tick (one of the following and attach attested photocopy)
i)

FATA

Name of Agency/FR ________________________

ii)

Balochistan

Name of District ___________________________

To Be Filled by Already Enrolled Students in Public Sector Universities/Institutions Only

Name of Institution /University____________________________________________________________________
Program Name _____________________________ Duration of
Program_________________________________
Date of Enrollment___________________________ Total Semester/Years Attended________________________
Current Semester/Year of Study_________________ Dicipline________________________________________
(Note: Please attach copy of admission Letter of your Institution or latest fee receipt (challan form) paid showing that you are a
full time student)

Educational Details
Educational
Level

Name of Certificate
(Give Exact Title, as
written in the
testimonial)

Marks obtained
Year of
Passing

(as mentioned in
your final year
Marks Sheet )

SSC / Matric
OR
*O-level

Page 3 of 5

Total
Marks

Name of Institution /
School/University

FA/FSc
OR
*A-level

* O-level and A- level applicants will have to provide equivalence of grades/percentages and attestation from IBCC
(Inter Board Committee of Chairman) without which applications will not be processed.

Bank Slip Details

Original Bank Slip worth Rs. 200/- No: ____________________
Drawn on Bank:

Date:________________________________

Branch:

Choice of Test Centre

Select centre where you will appear Apptitute test (Tick (one of the following):
Islamabad

Peshawar

Quetta

Karachi

Lahore

(Note: Request for change of center will not be entertained once choice is exercised. In case candidate does not tick the
choice of center for test he/she will be placed according to his /her domicile.)

Check the list of documents to be attached with the application form:

Two passport size recent photographs (Attested at the back)
Rs. 200/- origional bank receipt. (Photocopy of the bank receipt or any other form of payment is not
acceptable).
SSC/O-level certificate & marks certificate. (Equivalence from IBCC in case of O-level candidate)
HSSC / A-level certificate & marks certificate. (Equivalence from IBCC in case of A-level candidate)
Applicants CNIC
Applicants Domicile/Local Certificate
Fathers or Guardians CNIC
Father or Guardians Domicile/Local Certificate

Undertaking by Applicant:
I solemnly verify that the particulars stated above are correct to the best of my knowledge and belief. In case
any discrepancy is identified by HEC at any stage, the scholarship shall be immediately terminated and I will
have no right of appeal or seek relief from court of law. Consequently I'll be liable to pay back the entire amount,
released by HEC under various expenditure heads, against the scholarship.
Signature:
Date:

___________________________________
___________________________________

Page 4 of 5

The Application forms completed in all respect along with all the required documents should be reach by the
registered post or courier service by 26 August 2016 at address.

Project Coordinator
Provision of Higher Education Opportunities for Students of Balochistan and FATA (Phase-II)
Higher Education Commission
H-9, Islamabad
Tel: 051-90400000

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