FULBRIGHT MASTERS AND PHD PROGRAM GRANTS

APPLICATION FOR STUDY IN THE UNITED STATES

***READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION***

INSTRUCTIONS Please fill out the application form according to the following instructions. YOU SHOULD NOT MAIL THIS FORM DIRECTLY TO ANY UNIVERSITY IN THE UNITED STATES. 1. 2. 3. 4. All forms in this application are to be completed in English and typewritten in black ink or printed from a computer (Font = Times Roman, Size = 11). Each page of the following application carries its own instructions that should be read carefully before proceeding. Questions must be answered completely and carefully. Please make every effort to limit your responses to the space provided. Completed applications should be returned to Fulbright Program Office in your country of citizenship as soon as possible. Before you begin this application, you should make sure that you are aware of all deadline dates and requirements as these may vary from country to country. Incomplete applications will not be considered. Do not mention the names of any U.S. universities you wish to attend in this application. The University Preference Sheet is included for that purpose. If you do not hold a valid Pakistani passport, apply for one immediately. Attach a copy of your complete CV. All successful candidates are required to sign a contract with USEFP that binds them to return to Pakistan immediately after their program in the U.S. and serve the country for the number of years equivalent to the length of their scholarship program minimum of two years. This contract is redeemable on a year-for-year basis (minimum of two years) after returning to work in Pakistan, so that as long as a person fulfills the service requirement, he or she will pay nothing. Otherwise, a grantee will be legally liable for the cost of his or her scholarship program in the U.S. on a yearfor-year basis. Additionally, successful candidates awarded Fulbright PhD grants are required to post a bond with the HEC. The bond is redeemable on a year-for-year basis. No grantee will be required to pay anything as long as they fulfill their contractual/ bond obligation. USEFP endeavors to place students in the university and program that best matches a students interests and achievements and offers cost sharing. Make arrangements to take GRE.

5. 6. 7. 8. 9.

10. 11.

SPECIFIC INSTRUCTIONS FOR APPLICATION ITEMS

A complete application has the following components: Item 1Name: It is very important that you list your name exactly as it appears (or will appear) on your passport. Please use upper and lower case when entering your name, e.g. Ron Smith. Item 11Degree Objective: Select PhD or Masters. Item 12Field of Study: From the choices, select the field of study most appropriate to your

study objective. You can briefly elaborate on the exact nature of your objective in the text box that follows. Item 14Institutions Attended: Please list all post-secondary institutions attended in reverse order (putting the most recently attended first). List all post-secondary institutions attended even those from which you did not achieve a degree. Item 21Occupational Experience: Please select the position title which best describes the activity in which you are currently (or most recently) involved and all previous experiences. Item 28Study/Research Objective: The study/research objective description that you provide is an essential and highly important part of your application. You should take great care to write a clear and very detailed description of the program you want to pursue. Clearly identify the area(s) within your field of study in which you want to specialize or concentrate. If there is specific research that you want to accomplish, please describe it. Remember to leave a 1 inch (4 cm) margin at the top of every page to allow room for the header that will appear on the PDF view. Preview your essay to check the formatting before submitting your application. Item 29Personal Statement: The personal statement is a narrative statement explaining what is special, unique, distinctive, and/or impressive about you or your life story. It may include details of your life (personal or family problems, history, people or events that have shaped you or influenced your goals), explain your interest in the field you propose to study, and demonstrate that you are well suited to this field. It should also touch on your career plans and your purpose in applying for study in the U.S. Again, remember to leave a 1 inch (4 cm) margin at the top of every page to allow room for the header that will appear on the PDF view. Preview your essay to check the formatting before submitting your application. Item 30Additional Information: Attach your curriculum vitae here. Please feel free to use this page to give additional information about yourself. While there is no header on this page for which you need to leave space, it is still advisable that you preview your information to check the formatting before submitting your application. Page 7Personal Information: The information provided on this form will be used by USEFP for internal purposes only. Page 8Personal Financial Information: Please complete only items 41A and 44. For 41A, if either parent is a government or military officer, give current grade/rank or grade/rank at which retired.

Page 9University Preference: You are not required to state the university preferences, but if you would like, please complete this page as fully as possible. Do not just list the name of a university in which you are interested. Be specific. Provide the name of the department and the specific program within that department in which you are interested. If you have been in contact or correspondence with a faculty member, please provide the name and contact information for that individual. Most important is to explain why you think that the university is a good fit for you. If you have applied to a U.S. university within the past three years, please list the programs and the results. If you have letters of admission, letters of invitation, or other correspondence from a school, especially a preferred program, please forward a copy (not the original) of this correspondence to USEFP. SUPPLEMENTAL FORMS a. Letter of Reference/Recommendation: You must have three letters of reference (or recommendation) submitted on your behalf. Letters of reference are extremely important. All letters of reference should be written by teachers under whom you have studied or pursued research or by someone who has supervised you in work related to your proposed field of study. Letters of reference should not be written by persons related to you either by blood or marriage or by personal friends. At least one academic and one professional or work related letter should be included among the letters. The letters should be written in English. Your recommenders can submit their letters in the following way: You can print out the Letter of Reference form and forward to your recommenders who will then complete the forms and mail to USEFP. b. GRE score report: Valid GRE score report is required. You must indicate the USEFP registration code 9388 on the form when you take the exam.

Supporting documentation needed to complete your application

Your application is not considered complete until USEFP receives all your supporting documentation. The following must be forwarded to USEFP: the signature form; three letters of reference/recommendation; official academic

transcripts from all post-secondary schools attended, attested copies of diplomas from registrar office for all post-secondary schools attended, and original English translations (when necessary), and GRE score report. a. Academic transcripts: Applicants must submit official, complete and certified academic documents covering the entire period of study at universities and other post-secondary institutions. Copies of university degrees and transcripts should be attested by HEC. Documents must be accompanied by complete official English translations. These documents must consist of: One attested official record (transcript) from each university or post-secondary institution you attended, even those schools from which you did not receive a degree or diploma. The transcripts should list the subjects you studied and the grades you received during each year of your enrollment. If possible, official transcripts must be submitted directly from the schools in sealed envelopes to USEFP. Attested, official evidence of each postsecondary or university degree, diploma or certificate awarded to you should be included as part of the completed application. b. Standardized tests: You will be required to take the following standardized tests. For instructions on registration, contact USEFP or the website for the test. GRE (Graduate Records Examination): The GRE is required by U.S. graduate schools and/or departments for candidates in most fields other than Business Administration and Law. USEFP requires the GRE even for applicants in business and law. You should make every effort to register for the earliest possible administration of the GRE. TOEFL (Test of English as a Foreign Language): TOEFL is an admissions requirement at U.S. institutions for

applicants whose native language is not English. All shortlisted applicants will be required to take the TOEFL within two weeks of being notified.

c. Optional tests, depending on your academic subject GRE SUBJECT TESTS are required in certain fields. If you are selected for the Fulbright Scholarship in this field, you will be asked to take the GRE Subject Test at a later date. It is not requirement for this Fulbright application. GMAT (Graduate Management Admissions Test): GMAT is an admissions requirement for applicants proposing to study Business or Management, as well as any fields which may fall within the scope of offerings of a Business school or department. If you are selected for the Fulbright Scholarship in this field, you may be asked to take the GMAT at a later date. It is not requirement for this Fulbright application.

IMPORTANT Note carefully, you MUST indicate that you want your score reports sent to the United States Educational Foundation in Pakistan (USEFP). You must indicate the USEFP code 9388 on the registration forms and/or the forms provided at the time you take the exam. GRE and GMAT scores are valid for five years. TOEFL scores are valid for two years.

OTHER IMPORTANT INFORMATION Change of Plans: You should inform USEFP promptly of any change in your academic status or future plans after your application has been submitted. Please e-mail us at [email protected]

FULBRIGHT MASTERS AND PHD GRANT APPLICATION COVER SHEET

NAME: Last MUMTAZ First KHURRAM Middle Previous Name

PERMANENT ADDRESS: COUNTRY OF CURRENT CITIZENSHIP: COUNTRY OF BIRTH: PAKISTAN

KHUMANI CHOWK,TATRAL ROAD,MOH. KOT GANISH,CHAKWAL PAKISTAN DATE OF BIRTH: 01/15/1990 MALE FEMALE

MOST RECENT POSITION/STATUS: MOST RECENT AFFILIATION:

LAB ENGINEER,DEPARTMENT OF CIVIL ENGINEERING,NUCS FAST,LAHORE

Since Since

2012

Degree B.SC CIVIL ENGINEERING F.SC PRE ENGINEERING MATRICULATION

Major CIVIL ENGINEERING MATH SCIENCE

ACADEMIC DEGREES Date Received 03/11/2013 05/21/2012 11/05/2009

Institution UNIVERSITY OF ENGINEERING & TECHNOLOGY,LAHORE KALAR KAHAR SCIENCE HIGHER SECONDARY SCHOOL FOR BOYS,KALAR KAHAR GOVT. HIGH SCHOOL NO.1,CHAKWAL

Country PAKISTAN

PAKISTAN PAKISTAN

FELLOWSHIPS AND HONORS 1. CAPTAIN UNIVERSITY HOCKEY TEAM QUAID-I-AZAM SCOUT(HIGHEST BOY SCOUT RANK)

2.

RESEARCH In final year project my group worked on progressive collapse analysis. In this project I analysed a building hit by the terrorist and applied different techniques. In the analysis, first of all the linear static analysis of the structure has been carried out to get the actual design parameters of the building. After that non linear static analysis was carried out by introducing hinges at the critical locations. In order to analyse the damaged building, static dead loads were applied on the damaged structure. The simulation of the damaged structure was done by removing that portion of the structure that was actually damaged in the explosion. After that push over was applied to real time simulate the pressure wave generated by bomb blast.
DEGREE OBJECTIVE: Master's Doctorate Non-degree Visiting Student Researcher PROPOSED FIELD OF STUDY AND DESCRIPTION OF YOUR STUDY OBJECTIVES (Do Not Attach Additional Sheet) Bachelors

I will like to pursue my masters education in geotechnical engi neering. The reason behind this rational is that during my bachelors of civil engineering I realized that there is very little advancement and progress in geotechnical engineering and people know very little about it. In Geotechnical Engineering we study soil characteristics and provide information about the foundation at which any Civil Engineering structure is built. In this regard my interest is in expansive soils which cause problems. Along with other soil improvement techniques, chemical stabilization of weak soils with lime and cement is gaining popularity due to abundant availability of required materials, equipment, labour and high cost to benefit ratio. Along with that I will like to make its comparison with other methods and will evaluate on the basis of their feasibility under anticipated site conditions, effects of treatment on strength, durability, permeability, volume stability are taken into account.
FUTURE PLANS (Upon Return to your Home Country)

After my masters I will like to go for PhD and if it couldnt get this opportunity than I will return back and start working in field. I will use knowledge and try to implement in field. I will also like to share it with my colleagues at my country. If I successfully fulfilled my ambition of PhD after that I will prefer teaching afterwards because I myself want to be a teacher and want to introduce advance research facilities in my country for research. I will try to improve my education system too.

FULBRIGHT MASTERS AND PHD PROGRAM GRANTS

APPLICATION FOR STUDY IN THE UNITED STATES
(Please read instructions carefully. All sections should be completed in English and be typewritten.) GENERAL INFORMATION 1. NAME (As it appears or will appear on your passport) Mr. KHURRAM MUMTAZ MUMTAZ Family KHURRAM First Middle

2. NAME ON PREVIOUS ACADEMIC RECORDS: (If different from above) Do not complete shaded area. For IIE use only. 3. CURRENT MAILING ADDRESS: Institute of International Education C/O 809 United Nations Plaza New York, NY 10017-3580 Tel: 212 984Valid Until Fax: 212 984-5395 E-mail: @iie.org 4. PERMANENT MAILING ADDRESS: Street: B-8/302 City: CHAKWAL State/Province: PUNJAB Postal Code: 48800 Country: PAKISTAN 5. DATE OF BIRTH: (Month-Day-Year) 01-15-1990 7. BIRTHPLACE: (City, State/Province, Country) PAKISTAN 6. GENDER: Male Female

10 DO YOU NOW HAVE, OR HAVE YOU EVER HELD: U.S. CITIZENSHIP? DUAL CITIZENSHIP? U.S. PERMANENT RESIDENCY? Yes Yes Yes No No No

8. COUNTRY OF CITIZENSHIP

PAKISTAN

9. COUNTRY OF RESIDENCE:

PAKISTAN

STUDY PLANS
11. DEGREE OBJECTIVE: Bachelors Masters Doctorate Non-Degree Visiting Student Researcher

12. WHAT IS YOUR PROPOSED MAJOR FIELD OF STUDY? BRIEFLY DESCRIBE THE SPECIFIC AREA OF YOUR FIELD IN WHICH YOU PLAN TO SPECIALIZE?

I will like to pursue my masters education in geotechnical engineering. The reason behind this rational is that during my bach elors of civil engineering I realized that there is very little advancement and progress in geotechnical engineering and people know very little about it. In Geotechnical Engineering we study soil characteristics and provide information about the foundation at which any Civil Engineering structure is built. In this regard my interest is in expansive soils which cause problems. Along with other soil improvement techniques, chemical stabilization of weak soils with lime and cement is gaining popularity due to abundant availability of required materials, equipment, labour and high cost to benefit ratio. Along with that I will like to make its comparison with other methods and will evaluate on the basis of their feasibility under anticipated site conditions, effects of treatment on strength, durability, permeability, volume stability are taken into account.
13. FUTURE PLANS: (Describe the career you plan to pursue after completion of study or research in the U.S. (e.g., teaching, government, business, industry or any plans you might have for continued study or research in your home country). Also indicate if you will be returning to former employment, or if you have been promised a position in your home country after completing your U.S. training).

After my masters I will like to go for PhD and if couldnt get an opportunity than I will prefer to work in field and try to practise and implement my knowledge in field and will try to share my knowledge with my colleagues so that they may also work in better way. If I successfully fulfilled my ambition of PhD after that I will prefer to go for teaching because I myself want to be a teacher and want to introduce advance research facilities in my country for research.

Application Page 1

EDUCATION
14. LIST EDUCATIONAL INSTITUTIONS ATTENDED IN REVERSE CHRONOLOGICAL ORDER, INCLUDING ANY IN WHICH YOU MAY BE PRESENTLY ENROLLED: DATES ACTUAL NAME OF DEGREE (Month and Year) INSTITUTION AND LOCATION MAJOR FIELD OF OR DIPLOMA DATE RECEIVED (Do not translate) (List in reverse order and STUDY From To OR EXPECTED write name in full)
UNIVERSITY OF ENGINEERING AND TECHNOLOGY ,LAHORE KALAR KAHAR SCIENCE HIGHER SECONDARY SCHOOL FOR BOYS,KALAR KAHAR CIVIL ENGINEERING F.Sc PRE ENGINEERING 08/2008 08/2012 B.Sc CIVIL ENGINEERING INTERMEDIATE CERTIFICATE EXAMINATION SECONDARY SCHOOL CERTIFICATE EXAMINATION 03/11/2013

07/2006

06/2008

05/21/2010

GOVT. HIGH SCHOOL NO.1,CHAKWAL MATRICULATION

08/2004

05/2006

11/05/2009

15. LIST SCHOLARSHIPS OR FELLOWSHIPS HELD AT PRESENT OR IN THE PAST (Give source or sponsor, amount, where held, and duration.)

Full tutation fee scholarship (By Kalar Kahar Science College, Full Tutation fee waiver) M.A Latif Scholarship (RS 6500 /semester)

16. INDICATE ANY ACADEMIC HONORS OR PRIZES WHICH YOU HAVE RECEIVED, WITH TITLES AND DATES

AMONG TOP 20 STUDENTS OF COLLEGE AMONG TOP 1O STUDENTS OF SCHOOL

17. LIST ANY BOOKS, ARTICLES OR THESES PUBLISHED BY YOU, ESPECIALLY IN YOUR PROPOSED FIELD OF STUDY (Give title, place and date of publication)

18. LIST PROFESSIONAL SOCIETIES, FRATERNITIES OR OTHER ORGANIZATIONS IN WHICH YOU NOW HOLD MEMBERSHIP OR IN WHICH YOU HAVE BEEN ACTIVE IN THE PAST (Indicate if you have held an elective office.)

ASCE(American Society of Civil Engineers) SCE (Society of Civil Engineer at University of Engineering and Technology) Internship at Fatima Fertilizer under Izhar Construction (Pvt Ltd) (Presently known as Banu Mukhtar (Pvt Ltd))
19. TEACHING EXPERIENCE: (Including any teaching positions you have held or currently hold.)

6 MONTHS(CURRENTLY TEACHING)

20. RESEARCH: (Including any research you have completed or in which you are currently involved.)

Progressive collapse analysis of building

Application Page 2

21. IDENTIFY YOUR CURRENT POSITION OR OCCUPATION. (Write the Position title which best describes the activity in which you are currently involved.)

Lab Engineer at Civil Engineering Department, NUCES ,FAST, Lahore

22. OCCUPATIONAL EXPERIENCE: (List positions held, beginning with the most recent employment, if any.) NAME AND ADDRESS OF EMPLOYER National University of Computer & Emerging SciencesFAST, Milad Street, Faisal Town, Lahore TITLE/TYPE OF WORK Lab Engineer DATES (Month and year) From To Nov-2012 Till Today

23. KNOWLEDGE OF LANGUAGES: (Rate yourself Excellent, Good or Fair. Include all languages in which you have some competence.) Mother Tongue URDU READING Good Excellent Good Excellent WRITING Good Excellent SPEAKING

LANGUAGE English Punjabi

24. HOW MANY YEARS HAVE YOU STUDIED ENGLISH?

12

EXAMINATION RESULTS
25. EXAMINATION DATES AND TEST SCORES: (Date if taken or future date for taking exams (Month/Year))

Date

Score

Percentile GRE General Exam

Date

Verbal Score

Quantitative Score

Analytical Score

TOEFL TSE TWE GMAT Other Other Test Name

21/03/2013 Date

145 Score

24 %

158 Subject Name

74

2.5

GRE Subject Exam

26IF YOU HAVE TRAVELLED, LIVED, OR STUDIED IN ANY COUNTRY OTHER THAN YOUR OWN FOR MORE THAN A MONTH, INDICATE PLACES, DATES AND REASONS, (Education, research, business, vacation, etc.) No 27 EMERGENCY CONTACT: NAME, ADDRESS AND TELEPHONE NUMBER OF INDIVIDUALS TO BE NOTIFIED IN CASE OF AN EMERGENCY: IN YOUR HOME COUNTRY IN THE UNITED STATES

Sultan Fateh Ali Khan Moh, Kot Ganish ,Khumani Chowk ,Tatral Road , Chakwal +923455773877

Application Page 3

NAME:
28.

Khurram Mumtaz

COUNTRY:

Pakistan

STUDY RESEARCH OBJECTIVES

Write a clear and detailed description of your study objectives and give your reasons for wanting to pursue them. Be specific about your major field and your specialized interests within this field. Describe the kind of program you expect to undertake, and explain how your study plan fits in with your previous training and your future objectives. This statement is an essential part of your application.. Do not mention specific U.S. universities at which you would like to study. NOTE: Please limit your response to the size of this text box.

During my stay at University of Engineering & Technology I realized diversity of Civil Engineering and also realized that there are many dark areas which need to be explored. Due to which I choose Geotechnical Engineering for my M.Sc. In Geotechnical Engineering we study soil characteristics and provide information for foundation of any Civil Engineering structure. In Geotechnical Engineering there are also many sub-fields and choice of sub-field is deeply related with professional carrier that a person is going to adopt. I am particularly interested in exploring advance techniques and equipment used in Geotechnical Engineering like pressuremeter. I am also very keen to go through the latest theoretical work in this field because all the literature available now and all we have studied is very old. Another very important thing is that the designs of deep foundation like piles and I will like to study techniques for design of piles. Dam engineering is also a major field of interest for every geotechnical engineer as it requires extensive geotechnical investigation and very precise results because of its critical nature. Moreover here in Pakistan we are in a desperate need of dams because we are facing extreme power shortage and irrigation water is also insufficient. In this way in future I will help my country. In my Bachelors I have studied Geotechnical Engineering-I, Geotechnical Engineering-II, Pavement and Foundation Engineering and Transportation Engineering. In above all mentioned course I have gained sufficient knowledge and it will be enough to provide me a strong base to fulfill my ambition to pursue my Masters of Geotechnical Engineering from United States of America. After my masters I will like to go for PhD and either I will associate with some research institute or will go for teaching and will share my knowledge and experiences with my students and other teachers too. During teaching I will also have time to conduct research work. If I couldnt get opportunity to pursue my PhD than I go for field job and will practically implement and practice my knowledge. .

Application Page 4

NAME:
29.

Khurram Mumtaz

COUNTRY:

Pakistan

PERSONAL STATEMENT
This personal statement should be a narrative statement describing how you have achieved your current goals. It should not be a mere listing of facts. It should include information about your education, practical experience, special interests, and career plans. Describe any significant factors that have influenced your educational or professional development. Comment on the number of years of practical experience already completed in the field in which academic work will be done in the U.S. Do not mention specific U.S. universities at which you would like to study. NOTE: Please limit your response to the size of this text box of fifty lines of text.

My life is life of struggle because the day I born till last year of graduation I never saw my father. In a society where father is sole mark of your identification, it is impossible to sustain and excel without your identification. There were too many hurdles. It was sheer determination of my mother to educate whole family which had been the driving force in all the past years. At the start, I realized the fact that there is no future without good education. It also revealed on me that due to lack of fee, I may not be able to get admission in good institutes with highly qualified staff and up-to-date laboratories. So from the very beginning, I determined to work hard. Along with my academics, I also focused on extracurricular activities in spare time. As a result of my assiduous efforts, I was member of a professional hockey club, District under-17 hockey team, science debating team, Quaid-Azam Scout (Highest boy Scout Rank in Pakistan) and during same year I passed my matriculation and was among top 1% students of the school. As a scout I have participated in many scout camps and also served in a polio vaccination campaign. In my higher secondary school, Unfortunately due to lack of funds and space, there were no extra-curricular activities but during that time I played hockey at provincial level and passed my F.Sc with 886 marks and was among top 20 students of college. Finally I was admitted in University of Engineering and Technology Lahore, the most prestigious institute of the region, in Civil Engineering. During my stay at University of Engineering and Technology Lahore (UET) my inexorable progress continued despite severe financial condition. At UET I was the member of Society of Civil Engineer (SCE), American Society of Civil Engineers (ASCE) and remained member of university hockey team for all four years. In final year, I was captain of University Hockey team and our team was silver medallist in LUMS Hockey Tournament. I have also the honour to receive University Colour due to my extraordinary performance in hockey at UET. In final year I was group leader for final year project and we successfully completed the project. My extracurricular activities never affected my educational performance and final I graduated with 3.416/4.000 and was among top 20% students. After completion of my Bachelors, I joined National University of Computer and Emerging Sciences (NUCES)-FAST as a Lab Engineer and want to pursue my Masters from United States of America. I am very hopeful that my desire can be fulfilled through full bright scholarship. The reason for choosing United States of America for masters is there state of art laboratories, highly qualified staff, academic environment and teaching methodology.

Application Page 5

NAME:
30.

KHURRAM MUMTAZ

COUNTRY:

PAKISTAN

ADDITIONAL INFORMATION
Please refer to the instructions from your Fulbright Program Office. It is possible that the Fulbright Program Office in your home country will have specific information that it would like you to include on this page. If the Program Office does not have specific requirements, then in this section you may want to attach a professional resume (usually required for professional degrees such as law and MBAs) or complete curriculum vitae (sometimes required for students pursuing theoretical academic fields). NOTE: Please limit your response to the size of this text box of fifty lines of text.

PERSONAL STATEMENT:
I am confident, enthusiastic and an energetic person with an ability to learn and adapt quickly to changing circumstances accepting challenges and to tackle them even in situations under pressures.

ACADEMIC QUALIFICATION:
B.Sc Civil Engineering F.Sc. Pre Engr. (HSSC) Matric (SSC) 2012 2008 2006 3.416/4.00 CGPA 80% 82% U.E.T. Lahore Rawalpindi Board Rawalpindi Board

PROJECTS:

Khurram Mumtaz
S/O Mumtaz Hussain Email Address
[email protected] Contact Number 0092-(0)333-5772877

Final Year Project: Progressive Collapse Analysis Design of Multistory Building Design of Steel Truss Bridge Design of Industrial Steel building Design of Retaining Wall Design of water supply system and Sewer System Design of Irrigation Scheme

Experience:
Internship at Fatima Fertilizer Plant under Izhar Construction(Pvt.) Ltd (Presently known as Banu Mukhtar). SAAP 2000 ETABS Microsoft Project Planner Visual Basic Autocad Quaid e Azam Scout University Hockey Team Captain & Color Holder Final Year Project Leader Represented District Hockey Team in many Tournaments Steel Structures Reinforced Concrete Structures Hydraulics Environmental Engineering Irrigation Engineering Pavement and Foundation Design Geotechnical Engineering

Postal Address
Khurram Mumtaz S/O Mumtaz Hussain,Khumani Chowk, Tatral Road, Chakwal.

Technical Expertise:

Date of Birth January 15,1990 Nationality

Pakistani
Computer Literacy: Microsoft Windows Microsoft Office Internet Personal Skills: Maturity; honesty; ability to look at challenges as opportunity Excellent interpersonal and communication skills Highly Motivated Quick learner and a valuable team player Ability to develop and lead a team Ability to efficiently work under heavy pressure and stress Languages:
English Urdu Punjabi

Achievements & Awards:

Major Courses:

Supportive Courses:
Civil Engineering Practice Civil Engineering Management & Planning References will be furnished on Demand
Application Page 6

NAME:

KHURRAM MUMTAZ

COUNTRY:

PAKISTAN

PERSONAL INFORMATION
31. CURRENT MAILING ADDRESS

House #: CITY:

B-8/302

CHAKWAL 48800

STATE/PROVINCE: COUNTRY:
PAKISTAN

PUNJAB

POSTALCODE: TELEPHONE :# EMAIL: 32. COUNTRY ID: 3720191705239

00923335772877

WORK PHONE:
FAX:

[email protected]

33. MARITAL STATUS: Single

34. NUMBER OF DEPENDENTS:

35. PLEASE DESCRIBE ANY PHYSICAL IMPAIRMENT YOU MAY HAVE. (This information is gathered for statistical purposes and to ensure appropriate placement. The Fulbright Program does not discriminate on the basis of race, color, religion, sex, national origin, and/or physical impairment.) No

36. OTHER SCHOLARSHIPS: Indicate if you are planning to apply for a fellowship, scholarship, assistantship or other educational grant or loan from another organization, government or educational institution. (This information will not prejudice your application.) No

37. REFERENCES: List the names of persons from whom you have requested letters of reference. NAME I. II. III. Dr. Asad Ullah Qazi Dr. Aun Bashir Hassan Mjtaba Professor Assistant Professor Assistant Professor POSITION ADDRESS

38. PROPOSED LENGTH OF STAY IN THE U.S

2- Years

39. APPROXIMATE DEPARTURE DATE:

40. HOW DID YOU LEARN OF THIS FULBRIGHT COMPETITION? (Please indicate all that apply.) Friend or relative Previous Fulbrighter Poster/Flyer University (Specify) Newspaper (Specify) Other Publication (Specify) Fulbright Website Internet Link Other (Specify)

Application Page 7

NAME OF APPLICANT:

KHURRAM MUMTAZ

COUNTRY:

PAKISTAN

PERSONAL FINANCIAL INFORMATION FORM Because some scholarships provide only for part of the cost of an academic year in the United States, it is necessary to know what portion of the total expenses you and your family can pay from personal funds.
INDICATE ALL FUNDS IN U.S. CURRENCY 41.

FUNDS AVAILABLE FOR YOUR FIRST YEAR OF STUDY IN THE UNITED STATES (U.S. Dollars)
(a) Family Funds 1. 2. b) Nil Mothers occupation: Nil Fathers occupation: What is the total amount your family can provide for your FIRST YEAR of study in the U.S.? Spouses occupation: nil $Nil

Your Own Funds

What is the total amount you can provide from your own funds for your FIRST YEAR of study in the U.S.?
(c) in your home country in the U.S. or from any other sources? Yes If so, identify the source and indicate the estimated amount?
Source Estimated Amount

$Nil

Other Funds Have you been awarded or do you expect to receive financial assistance from a university or institution No $ Subtotal of C GRAND TOTAL OF A, B, and C $

$ $ $ 42.

FUNDS AVAILABLE AFTER YOUR FIRST YEAR OF STUDY IN THE UNITED STATES (a) If you remain for more than a year would the same amount of money as indicated in GRAND TOTAL above be available for your SECOND YEAR of study in the U.S.? (b) If No please specify the amount that will be available to you the SECOND YEAR: 1. 2. 3. Family Funds: Your Own Funds: Other Funds:

Yes $ $ $ $

No

TOTAL of 1, 2 and 3
43. TRAVEL FUNDS (Do not include funds specified in Sections 41 and 42 above) (a) Can you pay for your round-trip travel to the U.S. if necessary? (b) Specify the amount you have available for round-trip travel:

Yes $

No

44.

DEPENDENTS The Foreign Fulbright Student Program does not provide for dependents. THE FULBRIGHT PROGRAM CANNOT BE RESPONSIBLE IN ANY WAY FOR DEPENDENTS ACCOMPANYING YOU TO THE U.S. Should dependents accompany you, you will be responsible for providing travel, adequate insurance, and support for them. (a) List the relationships and ages of any persons who will require financial assistance from you during your stay in the U.S.: Nil

(b)

Will these dependents accompany you to the U.S.? If Yes, state how you intend to provide for them during your year of study in the U.S.: (b) Will these dependents accompany you to the U.S.?

Yes

No

If Yes, state how you intend to provide for them during your year of study in the U.S.:

Application Page 8

NAME:

KHURRAM MUMTAZ

COUNTRY:

PAKISTAN

UNIVERSITY PREFERENCES
It is not a requirement nor is it expected for you to identify U.S. institutions at which you would like to study. However, if you do have preferences, please list in priority order three schools of your choice. Indicate specific departments and/or programs. Give specific reasons for each choice. If you have been in contact with professors, please provide names, email, and/or phone contacts for each one.

UNIVERSITY 1.

DEPARTMENT

DEGREE

SPECIALIZATION/ CONCENTRATION

SPECIFIC REASONS AND CONTACTS

2.

3.

45. MOST HIGHLY PREFERRED INSTITUTIONS

46. OTHER INSTITUTIONS IN WHICH YOU MAY BE INTERESTED Please list any other U.S. institutions and departments in which you also may be interested. Feel free to share other information that you think might be helpful, e.g. preference for a geographic location, climate, etc.

47. It is not expected that you will apply for admission by direct application or correspondence with a university in the United States. If, however, you have already submitted an application form directly to any universities in the U.S., list the names of these institutions below and indicate the response you have received, if any. Please attach letters of admission, letters of invitation, and deferral requests to your application.

University/Department

Date of Application

Response to Application

Application Page 9

STUDENT INFORMATION CARD

DEMOGRAPHICS
NAME 3. DATE OF BIRTH MONTH DAY YEAR 3. MARITAL STATUS 4. COUNTRY OF CITIZENSHIP

Mr. Ms.
6. PRESENT POSITION OR AFFILIATION (FAMILY NAME) 5. PERMANENT ADDRESS (FIRST) (MIDDLE)

(STREET)

(CITY)

(PROVIDENCE/STATE)

(COUNTRY)

(TELEPHONE)

(E-MAIL) DATE RECEIVED OR EXPECTED

7. INSTITUTIONS ATTENDED

DATES ATTENDED

DEGREE, DIPLOMA, ETC.

Do not write below this line. For office use only DEGREE OBJECTIVE
STUDENT ID PRIORITY# PROGRAM #DESIGNATION TAX CODE PERSONAL FUNDS CASH TRAVEL

FIELD

DEGREE

PROG. ADMIN.

PLACEMENT ADMIN.

SPECIALIZATION

SUBMISSIONS SEND BY

CODE

INSTITUTION

DEPARTMENT/DIVISION

MAJOR DEGREE

SENT

RESULT

PLACEMENT INSTITUTION

INSTITUTIONS REQUESTED UNIVERSITY DEPARTMENT __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ UNIVERSITY DEPARTMENT __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

IIE NOTES
ENGLISH TRAINING ASSIGNMENT: o YES o NO DATE AVAILABLE: REP DATE: MISSING DOCUMENTS:

TOEFL ________/________ TSE TWE

GRE ________/________ GMAT ________/________ OTHER ________/______

EVALUATION & COMMENTS

________/_______
OTHER ________/________

ENGLISH TERMS SENT:

ACADEMIC TERMS SENT:

FILE TO RO

Biographic Information Sheet First Name: Date of Birth (e.g. February 10, 2012): Postal Address:

Middle Name: Gender:

Last Name:

Permanent Address:

Permanent City:

Province:

Phone #:

Mobile #:

Email ID:

Pakistani National (Yes/No):

Academic Information Proposed Field of Study: Current Enrollment: Start Date: (mm/yyyy) End Date: (mm/yyyy)

Current Field of Study:

Current Institution:

Current Degree CGPA/ %age:

Last Enrollment: Last Field of Study: Last Degree CGPA/ %age: Work Information Current Position: Total Years of Work Experience: GRE Verbal: Quantitative: Analytical Writing: TOEFL Total Score:

Start Date: (mm/yyyy) Last Institution:

End Date: (mm/yyyy)

Current Employer:

Test Date: (mm/dd/yyyy)

Official Report Attached: (Yes/No)

Test Date:

Official Report Attached: (Yes/No)

Note: Every information on this sheet is important, this sheet will not be accepted if CGPA of Foreign Degree & CGPA of Home Degree, (whether enrolled or finished) is not mentioned.

NAME:

KHURRAM MUMTAZ

COUNTRY:

PAKISTAN

SIGNATURE FORM
INSTRUCTIONS: You must sign and date this form and forward it to the Fulbright Program Office in your home country.

By my signature, I authorize the Fulbright Program Office or its administrative agency: 1) to receive, and/or to request my TOEFL, TSE, TWE, GRE, SAT, Achievement Test scores or any other test score reports; 2) to send any of the above score reports to U.S. institutions on my behalf; 3) to apply on my behalf to U.S. institutions; 4) to request and receive information on the status of my application, including financial aid, from U.S. institutions; and, 5) to accept and decline offers of admission and financial aid on my behalf. AND I certify that the information given in this application is complete and accurate to the best of my knowledge. I understand that I am not entitled to hold, nor do I hold, U.S. citizenship or permanent residence. I understand that formal award of a grant is dependent upon my acceptance to a U.S. institution for study and my eligibility for a visa to the United States. Upon the completion of an authorized stay in the United States under the Fulbright Student Program, I agree to return to my home country for two (2) years to fulfill my home residency requirement.

Signature

Date (Month/Day/Year)

Signature Form

FULBRIGHT MASTERS AND PHD PROGRAM GRANTS

APPLICATION FOR STUDY IN THE UNITED STATES FOR A FELLOWSHIP, SCHOLARSHIP, ASSISTANTSHIP OR OTHER EDUCATIONAL GRANT

CONFIDENTIAL LETTER OF REFERENCE

This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in English, then an accurate translation must be forwarded to the Fulbright Program Office.
NAME OF APPLICANT: KHURRAM MUMTAZ NAME OF REFREE COUNTRY: PAKISTAN

Dr.Asad Ullah Qazi ______________________________________________________________________________________________________________

TITLE

Professor__________________________________________________________________________________________________________________________
INSTITUTION OR BUSINESS

Department of Civil Engineering, University of Engineering and Technology Lahore

_______________________________________________________________________________________________________

1. 2.

HOW LONG HAVE YOU KNOWN THE APPLICANT? 2

Years

IN WHAT CAPACITY HAVE YOU KNOWN THE APPLICANT? Professor Teacher or Professor _______________________ Employer or Job Supervisor Research Adviser Other (Please specify)

3.

IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING YOUR PROFESSIONAL CAREER.

Excellent Intellectual Ability Knowledge of Field Work Habits Motivation to Pursue Graduate Study Seriousness of Purpose Potential For Significant Future Contribution in Field Resourcefulness and Initiative Emotional Maturity Adaptability to New Situations Leadership Qualities Teaching Potential

Very Good

Average

Below Average

Confidential Letter of Reference A Page 1

NAME OF APPLICANT: KHURRAM MUMTAZ

COUNTRY: PAKISTAN

CONFIDENTIAL LETTER OF REFERENCE (Continued)

4.

PLEASE PROVIDE A CANDID EVALUATION OF THE APPLICANTS PAST PERFORMANCE AND ABILITY TO PURSUE AND SUCCESSFULLY COMPLETE A PROGRAM OF STUDY IN THE PROPOSED FIELD. YOUR INFORMATION WILL BE GIVEN CONSIDERABLE IMPORTANCE IN REVIEWING THIS APPLICATION.

NAME (print): Dr. Asad Ullah Qazi__________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________

DATE:

________________________________

PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128, ISLAMABAD, PAKISTAN, BY MAY 15, 2013. NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records.

Confidential Letter of Reference A Page 2

FULBRIGHT MASTERS AND PHD PROGRAM GRANTS

APPLICATION FOR STUDY IN THE UNITED STATES FOR A FELLOWSHIP, SCHOLARSHIP, ASSISTANTSHIP OR OTHER EDUCATIONAL GRANT

CONFIDENTIAL LETTER OF REFERENCE

This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in English, then an accurate translation must be forwarded to the Fulbright Program Office.
NAME OF APPLICANT: KHURRAM MUMATZ COUNTRY: PAKISTAN

NAME OF REFREE Dr. Aun Bashir_______________________________________________________________________________________________________________ TITLE Assistant Professor __________________________________________________________________________________________________________________________ INSTITUTION OR BUSINESS

Department of Civil Engineering, University of Engineering and Technology Lahore_______________________________________________________________________________________________________

1. 2.

HOW LONG HAVE YOU KNOWN THE APPLICANT? 2-Years IN WHAT CAPACITY HAVE YOU KNOWN THE APPLICANT? Teacher Teacher or Professor _______________________ Employer or Job Supervisor Research Adviser Other (Please specify)

3.

IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING YOUR PROFESSIONAL CAREER.

Excellent Intellectual Ability Knowledge of Field Work Habits Motivation to Pursue Graduate Study Seriousness of Purpose Potential For Significant Future Contribution in Field Resourcefulness and Initiative Emotional Maturity Adaptability to New Situations Leadership Qualities Teaching Potential

Very Good

Average

Below Average

Confidential Letter of Reference A Page 1

NAME OF APPLICANT: KHURRAM MUMTAZ

COUNTRY: PAKISTAN

CONFIDENTIAL LETTER OF REFERENCE (Continued)

4.

PLEASE PROVIDE A CANDID EVALUATION OF THE APPLICANTS PAST PERFORMANCE AND ABILITY TO PURSUE AND SUCCESSFULLY COMPLETE A PROGRAM OF STUDY IN THE PROPOSED FIELD. YOUR INFORMATION WILL BE GIVEN CONSIDERABLE IMPORTANCE IN REVIEWING THIS APPLICATION.

NAME (print): Dr. Aun Bashir_______________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________

DATE:

_______________________________

PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128, ISLAMABAD, PAKISTAN, BY MAY 15, 2013. NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records.

Confidential Letter of Reference A Page 2

FULBRIGHT MASTERS AND PHD PROGRAM GRANTS

APPLICATION FOR STUDY IN THE UNITED STATES FOR A FELLOWSHIP, SCHOLARSHIP, ASSISTANTSHIP OR OTHER EDUCATIONAL GRANT

CONFIDENTIAL LETTER OF REFERENCE

This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in English, then an accurate translation must be forwarded to the Fulbright Program Office.
NAME OF APPLICANT: KHURRAM MUMTAZ COUNTRY: PAKISTAN

NAME OF REFREE HASSAN MUJTABA ______________________________________________________________________________________________________________ TITLE Assiatant Professor __________________________________________________________________________________________________________________________ INSTITUTION OR BUSINESS

Department of Civil Engineering, University of Engineering and Technology Lahore

____________________________________________________________________________________________________

1. 2.

HOW LONG HAVE YOU KNOWN THE APPLICANT? 2 years IN WHAT CAPACITY HAVE YOU KNOWN THE APPLICANT? Teacher Teacher or Professor _______________________ Employer or Job Supervisor Research Adviser Other (Please specify)

3.

IN THIS RATING CHART, PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE KNOWN DURING YOUR PROFESSIONAL CAREER. Excellent Intellectual Ability Knowledge of Field Work Habits Motivation to Pursue Graduate Study Seriousness of Purpose Potential For Significant Future Contribution in Field Resourcefulness and Initiative Emotional Maturity Adaptability to New Situations Leadership Qualities Teaching Potential Very Good Average Below Average

NAME OF APPLICANT:KHURRAM MUMTAZ

COUNTRY: PAKISTAN

CONFIDENTIAL LETTER OF REFERENCE (Continued)

4.

PLEASE PROVIDE A CANDID EVALUATION OF THE APPLICANTS PAST PERFORMANCE AND ABILITY TO PURSUE AND SUCCESSFULLY COMPLETE A PROGRAM OF STUDY IN THE PROPOSED FIELD. YOUR INFORMATION WILL BE GIVEN CONSIDERABLE IMPORTANCE IN REVIEWING THIS APPLICATION.

NAME (print): Hassan Mujtaba_______________________________________________________________________________________

SIGNATURE: ______________________________________________________________________________

DATE:

_______________________________

PLEASE RETURN THIS COMPLETED FORM TO: U.S. EDUCATIONAL FOUNDATION IN PAKISTAN, P.O. BOX NO. 1128, ISLAMABAD, PAKISTAN, BY MAY 15, 2013. NOTE: IIE cannot guarantee this letter's confidentiality once it becomes part of a university's records. Confidential Letter of Reference A Page 2

Confidential Letter of Reference A Page 1

Application Checklist for Fulbright Masters and Ph.D.

Biographic information sheet Complete application form with signed signature page C.V Attested Transcript (from Matric or O-Level to onwards) copies of university transcripts should be attested by HEC Attested Degrees (copies of university degrees should be attested by HEC) Three Letter of references GRE