Directorate of science & Technology (DoST)

Government of Khyber Pakhtunkhwa Science and Technology Internship Program (S&TIP) Attach 2 Application Form Personal details
Name Date of Birth: Day Father's Name Gender: CNIC Number: Month Year passport size photographs

Male/Female (please tick the relevant) -

Education
Title of final degree Grade/Division Subject Marks obtained/ (%age/CGPA) Year of Passing

Name of University/Degree Awarding Institute

Contact details
Phone No.(Res): Fax No. Permanent Address: Cell No. E-mail

Mailing Address:

Have you already availed government sponsored internship (please tick the one) Yes No Declaration: By signing below you will be certifying that statements you have made in this application are correct to the best of your knowledge and belief; and that you agree that you meet the eligibility criteria for the internship program. Submission of incorrect information leads to ineligibility from S&TIP.

Date:

Signature of the Applicant: