Irsip Aplication Form

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Proposal Identification Number

HIGHER EDUCATION Passport Size

COMMISSION
Photograph here

H-9, Islamabad (Pakistan)

INTERNATIONAL RESEARCH SUPPORT INITIATIVE PROGRAMME (IRSIP)


Please read the following statements carefully and answer in Yes or No only. It is mandatory to answer all the questions
otherwise application will not be entertained.

Are you enrolled in a public sector or private sector Pakistani university for PhD?
1. Yes No

Are you a full time AJK/Pakistani national PhD student?


2. Yes No

Have you completed the course work?


3. Yes No

Have you passed the subject test required for admission/ conversion to PhD?
4. Yes No

Is your topic of PhD research approved by BASR/DASR or university equivalent body?


5. Yes No

Are you actively engaged in PhD thesis related research work?


6. Yes No

Have you been invited/ accepted by a research group or foreign university to conduct your PhD
7. thesis related research? Yes No

Note: If your answer to all the above questions is yes, then please proceed to the next page and fill up the application
as per instructions given at the end of the application form.
In case your answer to any of the above questions is No, we regret that you are not eligible for this research
fellowship.

Name: - ______________________________

Signature: -____________________________

CNIC Number: -_______________________

Date: - _______________________________

DOCUMENT CHECKLIST:
(PLEASE ATTACH THE DOCUMENTS IN THE ORDER MENTIONED BELOW)
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APPLICATION SET 1:
I. Application form Annexure-1
II. Foreign university acceptance letter(s), in order of preference Annexure-2
III. CV(s) of proposed foreign supervisor(s) Annexure-3
IV. BASR/DASR approval showing approved PhD research topic & synopsis Annexure-4
V. PhD thesis synopsis (complete) Annexure-5
VI. Local PhD supervisor recommendation letter Annexure-6
VII. CV of local PhD supervisor Annexure-7
NOC from concerned HEC officer (if already availing any other HEC
VIII.
scholarship) Annexure-8
IX. NOC from department/organisation (if employed/ on study leave) Annexure-9
X. CV of applicant Annexure-10
XI. Copy of passport Annexure-11
Copies of academic documents including PhD coursework transcript showing
XII.
credit hours and grades obtained in each course. Annexure-12
XIII. Copy of GRE result certificate/card Annexure-13

APPLICATION SET 2:
I. Application form Annexure-1
II. Foreign university acceptance letter(s), in order of preference Annexure-2
III. CV(s) of proposed foreign supervisor(s) Annexure-3
IV. PhD thesis synopsis (complete) Annexure-4
V. BASR/DASR approval showing approved PhD research topic & synopsis Annexure-5
VI. Copy of GRE result certificate/card Annexure-6

Note: Both sets are to be properly bound (ring/spiral/other). All annexures to the
application sets are to be properly labelled (tagged).

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PERSONAL INFORMATION
1. Name
2. Father Name
3. CNIC No 4. Date of birth
Domicile (Dist &
5. 6. Gender (M/F)
Province)
Current Address
7. (to be used for
correspondence)
8. Permanent Address
9. E-mail (s)
10. Contact Nos: Mobile: Home:
Fax No: Office:

11. ACADEMIC QUALIFICATIONS


Grade/
Degree Year Field/ Subject Board/ University
Division
Matric
Intermediate
Bachelor
Masters
M. Phil
12. DETAIL OF COURSES TAKEN AT M. Phil LEVEL
Course Type Total credits of
Course name Date & Semester Instructor name GPA
Core/ Elective course

13. DETAIL OF COURSES TAKEN AT PhD LEVEL (also attach transcript)


Course Type Total credits of
Course name Date & Semester Instructor name GPA
Core/ Elective course

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14. Provide international/Local GRE score:
NTS GAT
i. Subject Score Test Date 
Subject
University
ii. Subject Score Test Date 
PhD Test
ETS GRE
iii. Subject Score Test Date 
Test
iv. Other Subject Score Test Date 
List scholarships or fellowships held at present or in the past (Give source or sponsor, amount, where held and
15.
duration).

16. Indicate any academic honours or prizes which you have received, with titles and dates.

List any books, articles or theses published by you, especially in your area of study (Give title, place and date of
17.
publication).

List professional societies, fraternities or other organizations in which you now hold membership or in which
18.
you have been active in the past (indicate if you have held an elective office).

19. Teaching experience: (include any teaching positions you have held or currently hold)

20. Occupational experience: (list positions held, beginning with the most recent employment, if any)
Duration
Name and address of employer Title/ Type of work
From To

DOCTORAL PROGRAM INFORMATION


University where
21.
enrolled for PhD
University
22.
Dept/institute Address
23. PhD Registration No 24. PhD Starting Date

Expected PhD Research topic & Synopsis


25. 26. approval date (by BASR/ DASR/ equivalent
Completion date body)

Major Field of study


27. 28.
(e.g. chemistry) (e.g physical sciences)
Approved Title of
29. Approved PhD
Synopsis/Proposal
N
30. Are you already availing any HEC scholarship? Yes, If “Yes” provide following:
o
i- Scholarship Name ii- Batch, PIN

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LOCAL PHD SUPERVISOR’S DETAILS
31. Supervisor’s name
32. Supervisor’s Phone No 33. Supervisor’s e-mail
34. Institute/Dept
35. University
36. Address
LIST OF PHD FACULTY IN THE DEPARTMENT/INSTITUTE WHERE ENROLLED FOR
37.
PHD
No Name Designation
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
XIV.
RESEARCH DETAILS
38. Provide details on research conducted in Pakistan so far (minimum 200 words)

Objective of proposed visit to foreign university/institute under IRSIP (minimum 200 words)
39. (Describe the overall and specific objectives for the proposed visit under IRSIP, which should be clear,
measurable, realistic and achievable within the duration of the award. Objectives should be consistent with the
PhD research as outlined in the Proposal / Synopsis)

Work plan for 6 months under IRSIP (minimum 200 words)


Please provide the following:
 A brief description of the overall structure of the work plan;
40.
 Detailed description of each task;
 Deliverables at the end of each task
 Timing (Weekly / Monthly) of the tasks and their components (Gantt chart or similar)

Which experiment or specific work you want to carry out abroad under IRSIP?
41. (Please give only the experiments/studies/technical help for interpreting data and modeling etc. (point wise
1,2,3 etc.) to be carried out in the foreign university without any introduction etc.)

(To be filled in by Local Supervisor)

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Recommendation by local PhD supervisor justifying the foreign visit of scholar. It should also contain
following information:
42.
i. Justification for the selection of the foreign supervisor.
ii. How many of your students have been sent to this foreign supervisor in the past 5 years.

Research facilities availability in Pakistan for scholar’s research topic. Please mention the research facilities
available in your department, university/institute, in same city and in Pakistan.
43.
Note: If the facilities are available locally, the scholar may conduct experiments in Pakistan and then REPEAT
the same in foreign university for comparison.

44. What are the socio-economic benefits of this research?

45. What is the time span by which country will start benefitting of this research?

How would the scholar conduct his PhD thesis related research if he doesn’t get selected for 6 months research
46.
abroad?

Supervisor Name: Signature & stamp:


47. Is your Foreign Supervisor an ex-supervisor of your Local Supervisor? Yes No
FOREIGN VISIT INFORMATION
48. LIST OF FOREIGN UNIVERSITIES THAT OFFERED YOU PLACEMENT (In order of priority)
University
Ranking Bench Fee
University
(Over all Amount
Supervisor Ranking 9
No University Department Country world (As per
name subject
ranking) as offer
wise)
per Times letter)
ranking

RECENT 10 RESEARCH PUBLICATIONS BY PROPOSED FOREIGN SUPERVISOR (provide CV


49.
also)
Supervisor name Publication list

FOR EMPLOYED APPLICANTS ONLY


ATTESTATION BY THE HEAD OF DEPARTMENT

This is to Certify that Mr./Ms. ______________________ Son/Daughter of Mr.___________________is regular employee of this
Organization as _____________________________Since __________.
His/Her educational, employment particulars and other statements as stated in the foregoing columns 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 'International Research
Support Initiative Program', he/she will be released on study leave for the total duration of the research program which on average is
6 months.
Date: _____________ Signature: _________________________
Name & Designation: _________________________
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(Head of Department/Institution)
Full Address: _________________________

Office Stamp: _________________________


Signature _________________________

(Please Tick One)


Advance copy
Forwarded Copy

UNDERTAKING BY THE APPLICANT (compulsory for all candidates)

I Mr./Ms. ______________________ Son/Daughter of Mr .___________________certify that the

statements made by me in this form are true, complete and correct to the best of my knowledge and belief.

It is solemnly affirmed that I have read and understood the conditions of the award of this program

advertised in the press and from the web page of HEC and that the decision of the Selection Committee

would be final and binding. I understand that the award will be withdrawn as well as recovery of full

amount spent on me along with any penalty in connection with the award if any misrepresentation or

omission is discovered even after completion of fellowship award under the 'International Research

Support Initiative Program'.

Date: __________________ Applicant’s Signature___________________________

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