Shahbaz Sharif Merit Scholarships (SSMS)

Scholarship Application Form

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For PhD Level

ELIGIBILITY

Valid PhD admission offer amongst Top 50 (Subject wise) Universities of the World (QS
ranking) in preferred subject areas ([Link]/[Link])
Not less than 60% marks throughout the academic career.
Declared monthly income of parents (from all sources) is equal to or less than Rs. 200,000/Age limit (at the time of application) should not be more than 35 years
Not availed any foreign scholarship in the past
Must take up the scholarship in the year for which it is offered and the scholarship shall not
be deferred to the next year.
All Pakistani Nationals, both males and females are eligible to apply

INSTRUCTION FOR FILLING OUT THE SCHOLARSHIP FORM

Read every field carefully, it is advised to photocopy the form and fill it before filling the
original application form to make sure all information is correct and final.
Ensure that you have attached all required documents by completing the checklist.
Answer all questions. Those not applicable should be marked N/A.
For family financial reporting, parents/guardians should be consulted.
Fields marked with a tick mark () should only be answered in the same.
Do not provide false or incomplete information.
Use extra sheet (if required).
CHECK LIST

1. Attested copy of CNIC.

2. Attested copies of all educational testimonials.
3. CV/Resume.
4. Copy of valid admission offer for PhD for fall 2016 intake.
5. Copy of Synopsis/ Research Proposal.
6. Income affidavit on legal paper (sample attached with application form).
7. Copy of last paid utility bills (electricity, gas, phone).
8. Attested copy of domicile.
9. Copy of previous months pay slips (if applicable).
10. Three passport size photographs (blue back ground).
11. Any other supporting document required to substantiate the facts given in the application
form.

Page 1 of 15

1. Personal Information:
First Name:

Middle Name:

Last Name:

Other name(s) that might appear on your records:

C.N.I.C. Number:

Passport Number:

Birth Date (dd/mm/yy):

Gender:

Male

Passport valid till:

Female

Postal Address(for correspondence):

City:

Domicile:

Province:

Telephone Number:

Mobile Number:

Email Address(mandatory):

Marital Status :

If married, please specify number of people financially dependent on you:

Single

Married

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2. Academic Qualifications:
Certificate/Diploma/
Degree

Major
Subjects

Year of
Passing

% of
Mark
s

CGPA

Institution

Board/University

SSC/Matric

HSSC/Intermediate

Bachelors (B.A,BSc,
Hons. etc.)
Masters or equivalent

M. Phil
Other (please specify)

3.a) Enrolment detail for PhD Program: (In case of more than one admission offer please list down
choices of university in order of priority)
Name of
University

Country

Date of
Admission

Expected
date of
Completion

University
Ref/ID.
Code

Page 3 of 15

Subject Area
Major area

Specialization

Name of
Supervisor
& Email
Address

3.b) Preferred Subject Areas: (Circle on the relevant category)

Major Area
Engineering & Technology

Life Sciences & Medicine

Natural Sciences

Specialization

Architecture
1) Low Cost Housing
2) Urbanization
3) Prefabrication
Computer Sciences
Electrical & Electronic Engineering
1) Photovoltaic Engineering
2) Mecatronics
3) Modeling Engineering
4) Power Engineering
Mechanical, Aeronautical & Manufacturing Engineering
Mining
Coal Technology
Biological Sciences
1) Nano Biology
2) Bio Processing
3) Computational Biology
4) Entamology
5) Structural Biology
Psychology
Veterinary Sciences
1) Anatomy
2) Physiology
3) Pharmacology
Physics & Astronomy
1) Photonics
2) Bio Physics
3) Nanotechnology
4) Plasma Physics
5) Device Fabrication
Environmental Sciences
Earth & Marine Sciences
Chemistry
1) Nano Material Chemistry
2) Physical Chemistry
3) Inorganic Chemistry
Material Sciences
Geography
1) GIS

Page 4 of 15

Major Area
Social Sciences & Humanities/Arts

Specialization

Economics & Econometrics

1) Environmental Economics
2) Waters Economics
3) Energy Economics
4) Economics of Health
5) Economics of Education
6) Urban Economics
7) Public Finance
Law
1) Cyber Laws
2) International Laws
3) Forensic Laws
4) Legislative Drafting
Political & International Studies
1) China Studies
Sociology
1) Demography
Statistics
1) Sampling Statistics
Arts & Design
English Language and Literature
History
1) Historiography
Linguistics
Communication & Media Studies
1) Electronic Media
2) Social Media
3) Film Making

Page 5 of 15

4.a )Research Publication (Use extra sheet where required):

Please attach the copy with your application

Sr.
No

Title of Research
paper

Area of
Research

Published in
International
Journal (Give
full name of
Journal)

Published in
Local
Journal
(Give full
name of
journal)

Date of
Publication

Impact Factor
of Journal in
which your
paper was
published

1
2

5) Employment Details
Name of Employer
with Address (use
extra sheets where
necessary)

Category of
Employer(Federal/
Prov Govt, SemiGovt, Autonomous,
Corporation,
Private)

Designation
with Grade
(BPS, Group
etc. if
applicable)

Period
served
From

To

Last Drawn Gross Salary: (attach pay slip) (Rs.) ---------------------------/month

Page 6 of 15

Nature of
Job
(Regular/
Contract
etc.)

Job details
(Teaching,
R&D, Service,
Technical, other
etc)

If selected, will you be able to obtain leave, from your employer, for the entire study period?
Yes

No

Note: Applicant shall be responsible for grant of leave from his/her respective employer, if needed.

Nomination by the Employer:

Name:

Designation of the Authorized Officer of Your Employer:

Signature:

Official Seal:

Page 7 of 15

6. Family Information:

Fathers Information:

Full Name:

Telephone Number:

Is your father currently employed?

Age:

Mobile Number:

Yes

Email Address:

No

Current Employment (if applicable)

Organization:_______________________________________________________________________________________
Designation:____________________________________________ Date of Joining(dd/mm/yy)______________________

If retired/unemployed, specify since when (mm/yy):_________________________________________________________

Spouses Information (please leave blank if not applicable)

Full Name:

Telephone Number:

Is your spouse currently employed?

Age:

Mobile Number:

Yes

Email Address:

No

Current Employment (if applicable)

Organization:______________________________________________________________________________________
Designation:____________________________________________ Date of Joining(dd/mm/yy)______________________

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7. Total Income:
Please specify Annual income information for each member of your family, including yourself and your spouse (if
applicable). Use a separate sheet if needed. Specify monetary values in Rupees.
Particulars
Annual Salary
Business Income (if any)
Total
Father:
Mother:
Guardian:
Self:
Spouse:
Others(s):
Total
Please specify Annual income information from the sources mentioned below:
a. Agriculture Income:

Rs.

b. Income from Savings (Interests/Dividends):

Rs.

c. Pension:

Rs.

d. Real Estate Holdings:

Rs.

e. Support from Relative(s):

Rs.

f. Other (please specify):

Rs.

Total Annual household income:

Rs.

Do you foresee a significant increase or decrease in your family income next year?

No

Yes

If yes, please explain:

Page 9 of 15

8. Total Assets:
Is the house you live in owned by your family?
Yes

Year of Purchase:

No

Original Purchase
Price (Rs.):

Present market value(Rs.):

Please explain why (e.g. living with grandparents, inherited, etc):

House plot size (in Kanals/Marlas or Sq. Feet):

Address:

Does your family own any other plot(s), house(s), or any other type of land(s)

Yes

No

If you answered YES to the above, please provide the following information on each of these piece(s) of land(s)
Number of
Locality
Area (Kanals/Marlas or Sq. Feet)
Plots
Houses
Buildings
land
Other (Specify):
Please specify individual assets for each member of your family, including your self and your spouse (if applicable). Use
a separate sheet if needed. Specify monetary values in Rupees.
Particular
Business

Savings and
Investments

Land and
Building

Agricultural
Land

Area/location of
Agricultural
Land

Father/Guardian:
Mother/Guardian:
Self:
Spouse:
Other(s)
Does your family own any automobiles(s)

Yes
Make

No
Manufactured Year

If Yes, Car 1
Car 2
Car 3

Page 10 of 15

Engine CC

9. Total Average Family Expenses(Annual):

Rupees

a) Educational Expenses
b) Food
c) Medical Expenses
d) Rent or Mortgage (if applicable)
e) Fuel and Car Maintenance:
f) Loan Payments
g) Clothing
h) Electricity Bill
i)

Mobile Phone Bill

j)

Entertainment:

k) Servants Salaries:
l. Taxes:
m. Telephone Bill:
n. Vacations:
o. Other (please specify):
Total Annual Expenses
If the monthly/annual disposable income is negative, kindly explain the reasons for the gap and any arrangements
through which the differential is being met by the family.
Are there any outstanding loans?

Yes

No

If yes, please indicate loans taken from:

Particular

Amount (Rs.)

Repayment due on (mm/yy)

Bank (specify name):

Relative (specify relationship):
Credit Card:

Employer:
Other(please specify):
Special Circumstances:
Please use the space below to explain any unusual expenses, debts or special circumstances that the Scholarship
Committee should consider when deciding how much financial aid you may receive.

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10. Financial Need:

10-a) Requirement of funds for degree:
(Please mention all the amounts in Pak Rupes)

Requirement

Per Semester

Per
Year

Total expenses
Contribution
for the degree
Arrangements
required per
course
by Applicant
Year
(Approximately)

Total
Contribution
Required

Rupees
Tuition Fees
Boarding
Lodging
Air Fair
Books
Misc
Total (a)

10-b) Available resources for Degree

Please indicate the total amount of contribution you can make towards your course:
a. Scholarship, support from university:

Rs.

b. Own Income/Savings

Rs.

c. Parents Income/Savings:

Rs.

d. Relatives and Friends::

Rs.

e. Government and Other Agencies:

Rs.

Total (b)

Rs.

List the agencies, foundations and/or governments to which you have applied for financial aid
Agency/Foundations/Government

Applications Date

Award Notifications Date

10-c) Support required on Annual basis Rs.___________________

(Difference of section 10.a & 10.b)

Page 12 of 15

Expected Amount
(Rs.)

11. Statement of Purpose

a) How will the proposed degree be of benefit to Pakistan?

(b) What skills and knowledge do you hope to gain from your studies? How do you propose to use them
(if possible, list specific actions) on return to Pakistan?

(c)

Is there anything else you would like to add in support of your application for this scholarship?

Page 13 of 15

Undertaking:
I solemnly verify that the particulars listed above are correct to the best of my knowledge. In case any
misrepresentation is identified by SSMS at any stage, my scholarship will immediately be terminated.
Consequently I will be liable to pay back the entire amount, released by SSMS under various
expenditures head, against my scholarship.
If selected, I will comply with all the terms and conditions, bond for returning back to Pakistan and
serve for a defined period and other requirements prescribed by the SSMS Committee.
Decision of the SSMS committee is final and cannot be challenged in any court of law & I will abide
by the decision.
Applicant Signature:

Date:

Attestation:
I hereby verify that information provided is true as per my knowledge.

_____________________
Name of Attesting Authority

______________
Designation:

_____________
C.N.I.C No.

Page 14 of 15

____________
Signature & Stamp:

Page 15 of 15