Application form for scholarship Personal:

Name Mob No Date of Birth Permanent Address Present Address Fathers Name Home No Fathers NIC -

Financial:
Name Guardians Monthly Income No of Dependent Family Members Property/Land Detail Guardians Profession Others Sources of income No of Students in Family

Education:
Name of institution Address & Phone Students Class Year/Semester Name of Teacher Any distinction Course of Study Monthly Fee Contact Number Hostel Expenses Total Marks Marks Obtained Percentage

Previous Results:
Degree

Others:
1. Are you already receiving any scholarship/interest free loan from some other sources like Fuji Foundation or Bait-ul-Mal.? Yes / No if yes then how much annual.? ________________ 2. Is any of your brother or sister already getting scholarship from Alfalah Scholarship Scheme? Yes No Names _____________________ Students Signature Class _____________________________ Fathers / Guardian Signature

Certification from the head of the institution

I _______________________________________________________certify that the details above are correct to the best of my knowledge. The student is facing severe financial hardship to continue his/her student.
_____________________ Signature Stamp & Date

Documents to be attached:
1. 2. 3. 4. 5. 6. 7.

This from should only be filed by a student who is

1. Facing financial obstacles to continue his/her student 2. Good academic record (Minimum 60% Marks) and be a student of registered education institution in Pakistan.

Photocopy of self NIC. Photocopy of Guardians NIC (Father, Mother, Brother, Sister, Etc.) Photocopy each of Previous result like matriculation, Intermediate Etc. 3 Recent Photographs. Photocopy of Current Electricity Bill. Photocopy of Father/Mother/Brother/Sisters Pension Book/Salary Slip. Bonafide certificate mentioning date of start/end date of course

Office Use Only

Receiving Date Ref. No Inquiry Over Date Other Reg. No Approval Committee

Accepted for:
Interview

Rejected due to:

Less 60% Marks Out of Area

_________________________ Admin Managers Signature

__________________ PM/APMs Signature

Approval Committee Decision: Approved

From To Monthly/Semester Total Other

Scholarship
Amount Hostel Expenses Wrong Information

Rejected
Sufficient Resources

Approval Committee Members Signature

____________________ Name & Signature ____________________ Name & Signature ____________________ Name & Signature