APPLICATION FORM

FOR THE SESSION 2016-2017

(Use Capital Letters)

Sr. No. _______

Date _________

Student Name ________________________________________________________

Father / Guardian Name ________________________________________________
CNIC No. of Student____________________________________________________
Permanent Address of Parents / Guardian House No. ______________________
Mohallah __________________ P/O. ________________ Tehsil ________________
Distt: ___________________ City _______________Province__________________
Name of Institutions ___________________________________________________
Faculty / Department) __________________________________________________

Applicants Signature

APPLICATION FORM FOR STUDENT LOAN SCHEME

FOR THE SESSION 2016-17
1. Personal details
Name of Applicant
Fathers Name
Permanent Address
Temporary Address
Phone
E-mail
Date of Birth
Father/Guardian Name
Parents/Guardian
Profession
Parents/Guardian Gross
monthly income
NIC No. of
Parent/Guardian
Name of
College/University

2. Study Program (Please tick the relevant box)

Engineering/Technol
ogy
Nanotechnology

Basic Sciences

Management

Physics

Electronics
Textile

Chemistry
Math

Food
Medicinal and
Cosmetic Herbs

Computing
Molecular
biology/genetic
engineering

International Business and

Finance
Management
Tourism Marketing and
Management
Operation Management
Urban & Town planning
Management

Water Engineering &

Management
Highway
Engineering
Railroad engineering
Port and Harbor
Engineering
Sustainable energy
engineering &
Technology
Environmental

Liberal Arts and

Sciences

Natural Resource Management

(emphasis on water)
Health care management and
planning

Economics
Cluster
Development
Big Data

Health Care
Community Health

Statistics

Vaccine Production and Research

Epidemiology

engineering
Peace and Conflict
Studies

Clinical research

Biostatistics
3 Date of Admission for study program as per (2) above _______ (b)
subjects____________
4.Purpose for which the loan is required for current year of study program.
a. University Fee Rs. __________b. Boarding Fee Rs. _____________c. Text Books
______________
5. State the detail of examination passed from Matriculation and onward.
Name of
Examination

Name of
board

Passing
year

Marks

Total

Division/Grade

Obtained

I have fully read and understood the rules and regulations governing the Student
Loan Scheme, and do hereby undertake to abide by them and to repay the loan in
accordance with the terms and conditions prescribed by the competent authority

Date _______________

(SIGNATURE OF
APPLICANT)

IMPORTANT INSTRUCTIONS
i)

Application Form will not be entertained if the same is not properly & duly filled in and
found missing therewith the following documents.

ii)

Two Photographs of Student attested by not below the rank of BPS-17.

iii) Attested photocopies of Fee Challan raised/demanded by the Educational Institution and
Boarding expenses (excluding meal charges)
iv) Income certificate from the employer i.e. Government/
service

semi Government/ Private

v) Following documents must be attached in case of self-employed.

a. Bank Statement of Parents/Guardian for the last six (06) months.
b. Last 3 months utility bills of parents/guardian residence.
c. Last 03 months utility bills of parents/guardian business place in case of self
employed.
d. Tenancy agreement in case of living in rented house.
e. Registry of parents/guardian house, in case living in owned residence.

f.

Income Tax return filed with FBR (In case of filer)

vi) Attested photocopies of :a. Domicile

b. Computerized N.I.C of Parents or Guardian and Student.
vii) Attested photocopies of all educational certificates
a. Secondary School Certificate
b. Higher Secondary School Certificate
c. Degree(s)
d. Marks sheet/Transcript (Last examination)
viii) Attested photocopy of the confirmation letter of University in which admission is granted.
ix) Application shall be considered on merit. Preference shall be given to students have
secured admissions in universities of high standing and low income of parents. Any
application which is not made on the prescribed form or is unsigned or does not contain
the required particulars and documents or reaches late will not be entertained.