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    APPLICATION FORM FOR CHINESE GOVERNMENT SCHOLARSHIPPersonal Data:Agency No.5861

    Agency NameEmbassy of P.R. China in Pakistan

    Photo

    Family NameIQBAL

    Given NameFAHEEM

    Chinese Name

    GenderMale

    Date of Birth1987-06-06

    Marital StatusMarried

    NationalityPakistan

    Native LanguageUrdu

    Passport No.FF1332561

    Country of Birthpakistan

    City of BirthM.GARH(punjab)

    Religionislam

    Permanent Contact Tel00923343873501

    Permanent Contact Fax

    Permanent Contact [email protected]

    Permanent Contact Addressshan agro service seet pur road ali pur district m.garh punjab pakistan

    Present Contact Tel00923343873501

    Present Contact Fax

    Present Contact [email protected]

    Present Contact Addressshan agro service seet pur road ali pur district m.garh punjab pakitan

    Education Background and Employment Record:Highest Diploma

    InstitutionB.Z university multan punjab

    Years AttendedFrom 2004-09-15 To 2009-06-20

    Fields of Studyplant breeding&genetics

    Certificates Obtained or to ObtainB.Sc(hons)

    Other Certificate I

    InstitutionBISE D.G KHAN

    Years AttendedFrom 2002-04-01 To 2004-08-07

    Fields of Studyscience

    Certificates Obtained or to Obtain

    FSc

    _____________________________________________________________________________________________________________________

    Serial Number: 180236 Generated: 8 Feb 2013Page 1 of 3

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    Other Certificate II

    InstitutionBISE D.G KHAN

    Years AttendedFrom 2000-04-03 To 2002-06-15

    Fields of StudySCIENCE

    Certificates Obtained or to Obtainmatric

    Current Employment

    Employer

    Time Engaged

    Work Engaged

    Posts Held

    Language Proficiency and Proposed Study in China:Chinese ProficiencyPoor

    Level of HSK test or other certificates

    English ProficiencyExcellent

    I can be taught in Englishyes

    Other LanguageURDU

    Apply forMaster's Degree

    DisciplinesAgriculture

    MajorsPlant Genetics & Breeding

    Preferences of Institution I

    HUAZHONG AGRICULTURAL UNIVERSITYPreferences of Institution IICHINA AGRICULTURAL UNIVERSITY (CAU)

    Preferences of Institution IIINORTHEAST AGRICULTURE UNIVERSITY

    Duration of the Major StudyFrom 2013-09-01 To 2015-09-15

    Do You Need Elementary Chinese Study prior to the Major Studyyes

    Duration of Your Elementary Chinese Study (not included in the length of the major study)From 2013-09-01 To 2014-01-15

    Have you ever Studied or Worked in Chinano

    Institution or Employer

    Time(from/to)

    Contact in China and Family Members:Guarantor's NameKALEEM TARIQ

    Tel008615827473154

    E-mail

    [email protected]

    Fax

    AddressHOUZING AGRICULTURAL UNIVERSITY(Phd fellow)

    _____________________________________________________________________________________________________________________

    Serial Number: 180236 Generated: 8 Feb 2013Page 2 of 3

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    Spouse's NameSHAZIA PARVEEN

    Age24

    EmploymentSTUDENT

    Father's Name

    Age

    Employment

    Mother's Name

    Age

    Employment

    Supporting Documentation Attached(Please Indicate with 'X' in the Bracket.): Two Application Forms.

    Two Letters of Recommendation.

    Admission Letter or Admission Notice of Chinese Universities.

    Transcripts of the Most Advanced Studies(Notarized Photocopy).

    Diploma of the Most Advanced Studies(Notarized Photocopy):

    Bachelor's Master's Doctor's Others

    Foreigner Physical Examination Form(Photocopy).

    Study Plan in China.

    Articles or Papers Written or Published.

    Examples of Art(6 color pictures)and Music(1 audio tape)Work(Only for the applicants applying for Fine Arts and Music).

    Other Attachments(List Needed) _______________________________________________________________

    Note:Each Set of the complete materials should not exceed 20 pages Please use DIN A4.Whether the candidates are accepted or not,all the application materials will not be returned.

    I Hereby Declare That:1. All information and supporting documentation provided for this application are complete, true and correct.

    2. During my stay in China,I shall abide by the laws and decrees of the Chinese government,and will not participate in any activities

    in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.

    3. I will agree to the arrangements of my institution and specialty of study in China made by CSC,and will not apply for any changes

    in these two fields without valid reasons.

    4. During my study in China,I shall abide the rules and regulations of the host university,and concentrate on my studies and researches,

    and follow the teaching programs arranged by the university.

    5. I shall go through the procedures of the Annual Review of Chinese Govemment Scholarship Status as required.

    6. I shall return to my home country as soon as l complete my scheduled program in China,and will not extend my stay without valid

    reasons.

    7. If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above,

    I will not lodge any appeal against the decision of CSC on suspending,or withdrawing my scholarship,or other penalties.

    Signature of the Applicant:_____________________Date:_________(The application is invalid without the applicant's signature)

    _____________________________________________________________________________________________________________________

    Serial Number: 180236 Generated: 8 Feb 2013Page 3 of 3