MORA-1

MORA SCHOLARSHIP FORM

PART-I
________________________________________________________________________

(TO BE FILLED IN BY THE APPLICANT)

1) Name: ____________________________________
2) Father /Guardian’s Name: ____________________________________
3) a) Age/Date of Birth: ____________________________________
b) NIC No. (If above 18 ____________________________________
Years of age)
4) Educational Institution/Deeni ____________________________________
Madarassah (where enrolled): ____________________________________
5) Class: ____________________________________
6) Boarder/day Scholar: ____________________________________
7) Permanent Address: ____________________________________
____________________________________
8) Temporary Address: ____________________________________
____________________________________
9) Parent’s Occupation: ____________________________________
10) Parent’s Monthly Income: ___________________________________
11) No. of Dependent Family Members: ____________________________________
12) Position attained in the last ____________________________________
Examination:

Signature of Applicant
Class: _______________
 PART-II
MORA Scholarship form (MORA) duly completed and signed by the Chairman Local
Zakat Committee will be returned to the applicant or sender by Hand or by Dak as the
case may be within thirty (30) days of its receipt. One copy to be retained for office
record.

To be filled in by the Local Zakat Committee

Of the Area of which the applicant is a permanent resident

Certified that Mr. /Ms ______________________________________________S/D/o

_______________________ Resident of _________________________________
___________________________ is eligible for MORA Scholarship.
He /she has been registered at Serial _______________________________ of the
Committee’s record.

Signature with Stamp

PART-III

To be filled in by the MORA Scholarship Committee of

The Educational Institution/ Deeni Madarassah

The Committee in its meeting held on ________________________________________

Considered the application and found Mr. /Ms. ____________________________S/D/O
________________________________________eligible for MORA Scholarship for the
Year _______________________________

Membe r Membe r

Chairman