Evakuation Sheet-Annex-III

SCHOLARSHIP CANDIDATES EVALUATION SHEET

<Name of Institution>
1 2 3 4 5 6 7 8 9 10 PART-B 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PART-C Total Income Monthly Family Status PART-A Personnel Information S No. Name of the candidate Father Name Class/Program National ID No Name of Last Institution Per Month Fee of Last Institution\college Marital Status Father Status Parents/Guardian Profession Total No of Dependent Family Members Family member studying Earning Hands Father / Guardian Income Mother Income Income from Land Misc Income Total Monthly Income Total Annual Income Gas Electricity Telephone Water Sub Total Monthly Expenditure (Avg of Family Exp on Edu. Last Six Months) Candidate Edu Exp per month Food Exp Medical Misc Total Monthly Expenditure Annual Exp Disposable Monthly Income

PART-D

Evakuation Sheet-Annex-III

SCHOLARSHIP CANDIDATES EVALUATION SHEET

<Name of Institution>
32 33 34 35 36 37 38 39 40 41 42 43 44 45 Current Assets PART-E Fix Asset No of Vehicles Vehicle Type Model of the Vehicle Vehicle Engine Capacity / CC Size of Land Value of Land Accommodation & Location Type of Accommodation and Size Value of Home Bank Balance Stocks/Prize bond Misc Total Assets Remarks Income Death certificate-ate PART-F Rent Agreement Supporting Documents Gas Attached (Yes/No) Electricity Phone Water

HIGHER EDUCATION COMMISSION

SCHOLARSHIP CA

Total No of Students Applied for Need Base Scholarship Program

Program

Allocated Slots

No. Of Applied Students

Total PART-A PART-B PART-C

Personnel Information
S.NO. Name of the candidate Father Name Class/Program National ID No Name of Last Institution Per Month Fee of Last Marital Status Institution\coll ege Father Status

Family Status

Total Income Monthly

Total No of Parents/Gua Family Dependent Earning rdian member Family Hands Profession studying Members

Father / Guardian Income

Mother Income Misc Income from Land Income

10

11

12

13

14

15

16

17

trait

CHOLARSHIP CANDIDATES EVALUATION SHEET FOR THE YEAR 2009-10

<Name of Institution>

nthly

Total Monthly Income

18

ARSHIP CANDIDATES EVALUATION SHEET FOR THE YEAR 2009-10

<Name of Institution>

PART-D

PART-E

Monthly Expenditure (Avg of Last Six Months)

Total Annual Income

Fix Asset
Disposable Monthly Income

Gas

Telephon Electricity e

Water

Candidate Family Exp Sub Total Edu Exp per on Edu. month

Food Exp

Medical

Misc

Total Monthly Expenditure

Annual Exp

No of Vehicle Vehicle Type s

Model of the Vehicle

Vehicle Engine Size of Value of Capacity Land Land / CC

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

PART-E

Current Assets Remarks

Type of Accomm Accomm odation & odation Location and Size Income Value of Home Bank Stocks/P Misc Balance rize bond Total Assets

Supporting Documents Attached (Yes/No)

Death certifica-ate

Rent Agreem-ent

Electrici-ty

Phone

38

39

40

41

42

43

44

45

Water

Gas

HIGHER EDUCATION COMMISSION

SCHOLARSHIP CANDIDATES EVALUATION SHEET FOR THE YEAR 2009-10

Program

Total Allocated Slots

Already Utilized

Slots for this ISAC

No. of Applicants

Name if the Institution / University

Total PART-A PART-B PART-C PART-D

PART-

Personnel Information
S.NO. Name of the candidate Father Name Class/Program National ID No Name of Last Institution Per Month Fee of Last Marital Status Institution\coll ege Father Status

Family Status

Total Income Monthly

Total Annual Income

Monthly Expenditure (Avg of Last Six Months)

Disposable Monthly Income

Fix Asset

Total No of Family Parents/Guard Dependent Earning member ian Profession Family Hands studying Members

Father / Guardian Income

Mother Income

Income from Land

Misc Income

Total Monthly Income

Gas

Electricity

Telephon e

Water

Sub Total

Candidate Family Exp Edu Exp per on Edu. month

Food Exp

Medical

Misc

Total Monthly Expenditure

Annual Exp

No of Vehicle Vehicle Type s

Model of the Vehicle

Vehicle Engine Capacity / CC

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

farhad rehman

rehman gul bee 3A

173015788361-1

government college peshwar

single

Alive

own bussiness by father

50,000

50,000

600,000

2,595

3,618

100

6,313

31,300

12,000

30,000

5,500

15,000

100,113

499,887

1,201,356

umer khayam

Mirza ali khan

bee 3A

217057932789-1

Akram khan durrani coolege Bannu

single

Alive

own bussiness by father

31000

31,000

372,000

1500

1,500

12000 17,000 6000 my hostle expenditure

7,000

3000

5000

#VALUE!

#VALUE!

#VALUE!

HIGHER EDUCATION COMMISSION

SCHOLARSHIP CANDIDATES EVALUATION SHEET FOR THE YEAR 2009-10

Program

Total Allocated Slots

Already Utilized

Slots for this ISAC

No. of Applicants

Name if the Institution / University

Total PART-A PART-B PART-C PART-D

PART-

Evaluation Sheet Completion Guidelines

1. Sno 2. Name of the candidate as appeared on the Applicant Form 3. Father's Name of the candidate S.NO. 4. The program in which the candidate is enrolled 5. New Nadra ID Card No. in case of non availability pleased mentioned B form No 6. Name of the last institution where candidate was studying 7. Per Month fee of the last institution attended by the candidate 8. Marital status of the candidate : Single/Married 9. Father status Alive/Deceased 10. Profession of the father / Guardian 11. No. of family member(s) who are not earning 12. Number of family member(s) studying 13. No of family member(s) who are earning 14. per net month (take home) Income of Father/guardian (Salary/Pension/Business Income etc) 15. per month Income of Mother (Salary/Pension/Business Income etc) 16. Income from land 17. Income from other sources like defense saving certificate, shares and other government securities 18. Total of monthly income 19. Total Annual Income 20. Average per month Gas bill (put average of last six month) 21. Average per month Electricity bill (put average of last six month) 22. Average per month Telephone bill (put average of last six month) 23. Average per month water bill (put average of last six month) 24. Total of per month Utility bills 25. Per month education expense mentioning cumulative family education expenditure and applicant education expenses 26. Per month food/kitchen expenses 27. Per month Medical expenditure of the family 28. Other Misc Expenditure. Mention any liabilities like loan payments, lease rentals etc. 29. Total expenditure of the family on monthly basis 30. Annual Expenditure of the family 31. Monthly Disposable Family Income (Difference of Take Home family income and monthly net expenditures) 32. Total number of vehicles owned by the family (car / motor cycle) 33. Type of the vehicle (car / motorcycle) 34. Make & model of the vehicle 35. Vehicle Engine Capacity in Cubic Centimeter 36. mentioned the size of the land/plot 37. Current market value of the land/plots 38. Accommodation (Rented/Owned) 39. Type of Accommodation (Town House, Flat,etc.) 40. Market value of the house 41. Current Bank Balance 42. Value of Prize bond/shares, defense saving certificates 43. Other Misc Assets 44. Total Assets value 45. Mentioned any other important information in Remarks Column. The remarks should specify the reasons for selection and non selection of a candidadte.

PART-E

Fix Asset

Current Assets Remarks

Supporting Documents Attached (Yes/No)

Death certifica-ate

Rent Agreem-ent

Type of Accomm Size of Value of Accomm odation & Land Land odation Location and Size

Electrici-ty

Income

Phone

Value of Home

Bank Stocks/P Misc Balance rize bond

Total Assets

36

37

38

39

40

41

42

43

44

Home, Itehad Colony, Ring Road Peshawar

5 Marla

3.5 Million

3.5 Million

Badar,sout h waziristan Agency

1 kanal

500,000 now our house is destroyed in Milatry operation "Raha nijat"in mahsood

45 My father is the sole bread earner of our family. We are four brothers and sisters and all of them are pursuing education at different levels. Therefore it becomes way to hard for my parents to manage our educational expenses. my father is the sole bread earner of our family. We are six brothers and sisters and all of them are pursuing education at different levels. Therefore it becomes way to hard for my parents to

500,000

yes

Water

Gas

PART-E
Supporting Documents Attached (Yes/No)

Remarks