COMSATS Institute of Information Technology

FACULTY FOR FUTURE

SCHOLARSHIP APPLICATION FORM
Scholarship for MS/ PhD in the field of
Academic year commencing
Please read carefully before you complete this application form
A.

Complete the questions on the following pages in full, using a pen with black ink. If there are any questions which do not affect you,
write N/A (Not applicable).

B.

It is your responsibility to ensure that the application is submitted to the CIIT before the closing date.

C.

It is your responsibility to obtain all the information and documentary evidence required in support of your application. The CIIT
cannot undertake to obtain information/evidence/references on your behalf. Any documents submitted cannot be returned.

D.

Please note that a decision cannot be taken on this application until all the necessary documentary evidence and both references have
been received.
Mailing Address:
COMSATS Institute of Information Technology
Directorate of Planning, Development and Human Resource Development
3rd Floor, Faculty Block II, Park Road, Islamabad Tel: (92-51) 9049 Ext: 5025
Please note faxed/emailed applications will not be considered.

APPLICATION DEADLINE: _________________

1- 10. Personal details (please write in BLOCK CAPITALS)

1. Surname/ family name

First/ given name(s)

2. Please record your names below IN THE ORDER in which you wish them to appear on the institutions
records and on your final certificate.

3. Title

Mr

Mrs

Ms

4. Gender Male

6. Home address (please write in BLOCK CAPITALS)

Female

5. Date of birth

7. Home Contact
Telephone
Fax
Email
8. Work Contact
Telephone
Fax
Email

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9. Are you already an employee of CIIT?

Yes

No

If No, please provide Bank Draft or Pay Order No.

10. Please indicate which Program you are applying for:
Full-Time MS Scholarship
Tenable at ____________________________

Full-Time PhD Scholarship

Tenable at _____________________

Full-Time M S leading to PhD Scholarship

Tenable at ___________________________

Split site/ Part-time PhD Scholarship

Tenable at ______________________

Whether you fully comply with the eligibility criterion

Yes

No

If No, what are the shortcomings, please give details

11. Family details

Status

Married

Unmarried

Will any of your family accompany you to abroad?

Yes

No

If Yes, who will it be?

You should be aware that this scholarship does not provide for spouse or child allowances; stipends are
intended to cover the expenses of the scholarship holder only.

12. Degree(s) held or currently being taken

Include the title of the degree, the name of the university or other institution, the classification of award, the main
subjects studied and date the degree was awarded.
Title of degree

University

Grade/ Div (or CGPA)

Subject(s)

Date of
award

Note: Please enter details of your tertiary education, in date order.

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13. English language proficiency please tick () the relevant boxes.

A. Have you taken a Test of Proficiency in English within the past two years?
Yes

No

B. If Yes, please give full details of the name of the test you took (e.g. TOEFL, IELTS, GMAT/ GRE/ GCE O
level English Language, CPE); the grade/ score/ mark you achieved in each element/ sub-test and the date of the
test (*the copy of the certificate must be submitted with your application):

14. Graduate assessment test (NTS)

Yes

Have you taken GAT?

No

If Yes, please give the marks you achieved and the date of the test

,
Marks

__
day / month / year

(*the copy of the certificate must be submitted with your application):

15. Funding
Have you previously availed any scholarship?

Yes

No

If Yes, please provide details

16. Other post-school qualifications (e.g. diplomas, certificates, professional qualifications)

Title

Institution

Duration
(inc. full- or part-time)

Subjects

Date

Note: Please start from most recent training and go in descending order

17. Research publications

Must include name of author(s), title of publication, volume of publication, year, name of journal, page
numbers etc.

IIf required please use extra sheets

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18. Professional background

Please give details of all positions you have held since completing your first university/college degree.
Date started

Employer

Position/ Responsibility

19. Employment
You are required to submit a FULL employment Curriculum Vitae (CV) with this application form.
Please note that your application will not be considered if this is omitted. I have enclosed my CV

20. Referees
You should select referees who are able to comment on your suitability for postgraduate study. At least one
referee should have knowledge of your academic work at first degree, or higher, level (this reference should
preferably be from the institution at which you studied) but the second must be concerned with your work -related
experience, with particular reference to your level of computing knowledge and experience. ( Letters should be
enclosed with the application form)

Name of referee

Name of referee

In W hat capacity do you know this person?

In W hat capacity do you know this person?

Address

Address

Email Address

Email Address

Contact No.

Contact No.

Reference letters should be addressed to the:

Deputy Director, Planning, Development and Human Resource Development
COMSATS Institute of Information Technology
Park Road, Islamabad

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21. Personal Skills

( a) Please describe, in no more than 250 words, a creative activity or event that you have initiated, why
you did it and what was your own role

(b) Please describe, in no more than 250 words, your reasons for applying for CIIT scholarship. Explain
how your proposed study will help you to contribute to the sustainable development of CIIT.

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(c) Please summarize how you can contribute to the developmental needs of the country. (Please give your
r
reasons
below in your own handwriting and in no more than 250 words; you may continue on a separate
sheet if you so wish).

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22. Submitting your application

Documentary evidence of all your qualifications is needed in order for your
application to be considered (please note that any documents submitted are
unable to be returned). This evidence must be submitted to the CIIT with this
application form.

Please indicate, by a tick (_) in the relevant box,

the

For Office use only

Documents returned
(if applicable)

documents you are enclosing. If you are unable to supply the appropriate
evidence for one or more of your qualifications, you should also enclose a letter
giving your reasons.
1. Official, Certified copies of your all academic degrees and
transcripts
2. Photocopy of CNIC
3. Most recent photographs
4. Photocopy of NTS (GAT) result card
5. Photocopy of IELTS/TOEFL/GMAT results (If available)
6. Statement of Purpose (Ref. Column No. 21 of Application Form)
7. A short research proposal (up to 2500 words)
8. Two letters of reference from your academic/ research supervisor
9. Your Curriculum Vitae (CV)
Note: all documents submitted by you will be retained by the CIIT.

Date_____________

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DECLARATION TO BE SIGNED BY THE APPLICANT

a) I declare that the statements made by me on this form are, to the best of my knowledge and belief, true
and correct.
b) I agree to the COMSATS Institute of Information Technology processing my personal data contained in
this application form and other personal data that the CIIT may obtain from me or other people
connected with my studies and employment. I agree to the retention and disclosure of such data for
normal academic and administrative purposes.

Signature

Date

TO BE FILED BY CAMPUS HEAD/ DIRECTOR

All candidates applying through proper channel. The application should be attested by the Campus Head/
Director:
a)

Certified that the statement made above has been verified and found correct. Attested copies of
certificates, degrees along with CV of the candidate duly verified are enclosed.

b) Certified that Mr./Ms.

basis at our campus since

Signature
(Head / Director)

is employed on full time/ permanent

and he/ she is not employed on ad-hoc/contract basis.

Date

Office Stamp

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