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Application Proforma Faculty Development Program (FDP 2015)

Personal Details
1.
2.
3.
4.
5.

Name:
Father Name:
Date of Birth:
Place of Birth:
Domicile:

6. CNIC:
7. Status/ Present Job
(student/
faculty/ industry):
8. Mobile & PTCL:
9. Email:
10. Address:

11. Proposed Discipline/


Area of Study/
Research:

Degree Title:
Discipline/ Subj:
Marks & Grade:
%age/ CGPA:
Year :
College/
University:
Degree Title:
Discipline/ Subj:
Marks & Grade:
%age/ CGPA:
Year :
College/
University:
Degree Title:

Qualification
PhD (if undergoing)

*******
MS/ MPhil/ Eqvt

*******
BSc/ BE/ BS/ BA/ Eqvt

Discipline/ Subj:
Marks & Grade:
%age/ CGPA:
Year :
College/
University:

12. Willing to Sign Bond


with
NUST for 5 Years (Yes/
No):

*******
Degree Title:

Intermediate/ A Levels

Discipline/ Subj:
Marks & Grade:
%age/ CGPA:
Year :
College/
University:
Degree Title:
Discipline/ Subj:
Marks & Grade:
%age/ CGPA:
Year :
School/ Board:

*******
Matriculation/ O Levels

NOTE:
* Attach Details/ Degrees/ Certificates.
* Please include additional details where necessary (e.g. any additional Masters or Bachelors
Degree).
* Please provide complete details of academic/ work experience including TA/ RA ship at MS
level.

* One pager research proposal must be attached.

(Candidate's Initials)

Application Proforma Faculty Development Program (FDP 2015)

Service/ Experience
(Order of precedence, recent to previous)
-

Designation/Appointment/
Status:
Institute/Organization:
Time Period:
Duration:
Nature of Job:

Remarks
-

(
to
)
(
Years,
Months)
(Academic/Admin/Resear
ch)

*******
Designation/Appointment/
Status:
Institute/Organization:
(
to
Time Period:
)
(
Years ,
Duration:
Months)
(Academic/Admin/Resear
Nature of Job:
ch)
*******
Designation/Appointment/
Status:
Institute/Organization:
(
to
Time Period:
)
(
Years,
Duration:
Months)
(Academic/Admin/Resear
Nature of Job:
ch)

*******
-

PhD admission abroad secured (Yes/ No), If


Yes, give details of University and Tuition
Fee/ Funding secured.

GRE/ GMAT/ IELETS/ TOEFL alongwith


passing score & date (where applicable)

*******
-

Any other achievements:

*******
-

Research Publications
a. ISI Index

*******
Designation/Appointment/
Status:
Institute/Organization:
(
to
Time Period:
)
(
Years,
Duration:
Months)
(Academic/Admin/Resear
Nature of Job:
ch)
*******

MedalsDistincti
ons
(if any):

b. Scopus Index

*******
Details may be attached (if any)
Information provided by me in this form
is correct to the best of my knowledge
and I understand that if any part of this
information is found to be false / wrong, I
will be penalized at any stage of the
scholarship and all financial implications
will be borne by me as additional to the

Candidates Signatures:
Principal's endorsement about candidate's
potential
to become Faculty (Scale 1 ------ 10)

COUNTERSIGNED
(Principal/ Dean)

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