Hec Samaa Tv Application Form

8/4/2019 Hec Samaa Tv Application Form

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HIGHER EDUCATION COMMISSION

Rs. 200/- Original Bank Draft / Pay Order number: Date:

(The Bank Draft / Pay Order, should be drawn in favor ofJAAG Broadcasting Systems Pvt Ltd.,

Name of Bank Branch:

Personal Details

Full Name: (as given in Matric/S.S.Certificate)Fathers Name: Computerized National ID Card No:

Marital status: Single Married Domicile (City /District) (Give both):

(Tick (one of the following):

Federal Capital NWFP Punjab Sindh Urban Sindh Rural

FATA FANA AJK Balochistan

Date of Birth: Age on (13-02-2010):Day Month Year

Correspondence Address (Where you want to receive letters form HEC):

City:

Permanent Address(if different form the above Correspondence address):

City:

Telephone No. (Office) (Residence) (Personal Cell):

E-Mail Address (COMPULSARY):Note:

Do not use CAPITAL LETTERS FOR E-MAIL.

Most of the future correspondence will be done using e-mail address,

Do not change your e-mail address, and frequently check your e-mails.

Average monthly income of Father/ Guardian:(From all resources (proof is to be attached))

Monthly electricity Bill (Rs): Monthly Gas Bill (Rs):(Most Recent bill) (Most Recent bill)

Number of Siblings (excluding yourself): Monthly Telephone Bill (Rs): (Mot Recent bill)

(Tick (one of the following):

Attach Photographhere

(Affix 1-Photographhere)

HHIGHERIGHER EEDUCATIONDUCATION CCOMMISSIONOMMISSIONH-9, IH-9, ISLAMABADSLAMABAD (P(PAKISTANAKISTAN))

WWWWWW..HECHEC..GOVGOV..PKPK//SAMAASAMAA--HRDHRD

Application Form ForSAMAA TV scholarship program at Pakistan :


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Your position in last class: Top 5 Top 10 Top 20Below 20

(at Bachelors level)

Out of total class size of


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Academic DetailsNote: Candidates must fill division/percentage or CGPA whichever is applicable in the respective examination and as per their certificates/degrees).In Column %age of Marks means that you have to give the actual percentage e.g. if your percentage becomes 60.52. You need to write down this

actual percentage with decimal figures also. Do not round of your percentage, give exact number in two digits after decimal.

Current Enrollment Status in the public sector university (Master in MassCommunications, Journalism or Media Studies in Spring / Fall 2009 Session):

1.

Name of University(Currently studying in Master of Mass Communication,

Journalism or Media Studies)Attach copy University Card

2.

Date of joining of classes

(Enrolled in Spring / Fall 2009 Session)Attach copy of enrollment slip

3.Name of Head of the Department(Department of Mass Communication, Journalism or MediaStudies)

4.Official Designation of Head of theDepartment(Department of Mass Communication)

5.Official Phone Numberof the Head of the Department (Mass Communication,

Journalism or Media Studies)

6.Official E-mail addressof the Head of the Department (Mass Communication,

Journalism or Media Studies)

7. Signature of Head of the Department(Department of Mass Communication, Journalism or MediaStudies)

8.

Stamp and Verified by the Head of theDepartment(Department of Mass Communication, Journalism or MediaStudies)

Educational Level

Name ofDegree /Certificat

e

Year ofPassin

g

Institution /BoardUniversity

Major Subjects

Grade/Div. (asmentioned in youFinal YearCertificat

e /Degree)

%age.(as

mentioned in your

finalTranscrip

t /Degree)

CGPA.(as

mentioned in

your finalTranscrip

t /Degree)

Marksobtained. (asmention

ed inyourfinal

Transcript /

Degree)

Out of(Total)

SSC/O-level

HSC/A-level

Bachelors

Any Other


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9. Date of verification

Your Personal Blogs Details:

Website (mention the web link/website address)

Personal Pages (attach the printsof personal blog pages with thisform)

YES

Your personal Bank account, used for transaction (in city of your current enrollment):

Undertaking

I solemnly verify that the particulars listed above are correct to the best of my knowledge. Incase any misrepresentation is identified by HEC/ SAMAA TV Pvt Limited Pakistan at any stage, myscholarship will immediately be terminated. Consequently I'll be liable to pay back the entireamount, released by HEC/ SAMAA TV Pvt Limited Pakistan under various expenditure headsagainst my scholarship (i.e. stipend, Grant to university etc.).

Name of Candidate:

Signature: _______________________________________

Date:

Name of Father/ Guardian:

Signature: _______________________________________

1.Name of Account Holder (Account Title)

2.Complete Personal Bank Account Number

3.Name of Bank

4. Name of Bank Branch.(for example NBP Blue Area branch)

5.Bank Code

6.Postal Address of Bank


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Date:

Official use only:

Remarks:

Check By:

Signature:

Date:

Check List of Documents attached with Application Form:

Marks Sheet certificates /Degree/

1. Attested copy of SSC / Equivalent

2. Attested copy of HSC / Equivalent

3. Attested copy of Bachelor Degree/ Equivalent

4. Attested copies of last three months income certificate/salary slip.

5. Verified by legal slips of Father / Guardian

6. Attested copies of CNIC (Self, Father, Mother or Guardian, as applicable)

7. Attested copies of Domicile certificate(Self, Father, Mother or Guardian, as applicable)

8. Attested copy of B-form.(as a proof of number of siblings)

9. Attested copies of last three months Utility Bills (Telephone, Gas & Electricity bills, all three types of bills to be attached)


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10. Disability certificate from a recognized hospital (if applicable) 11. Original Bank Draft / Pay Order, of Rs. 200, drawn in favor of

JAAG Broadcasting Systems Pvt Ltd.

12. Attested copy of university/institution card.

13. Attestation of enrolment as full time student from the department head.

14. Attested copy of enrollment slip.

Hec Samaa Tv Application Form

Documents

Transcript of Hec Samaa Tv Application Form