Student Information

Name of Student
Father's Name
Class / Program Applied For
Roll No. (if allotted)
Date of Birth
CNIC / B-Form No.
Contact Number
Permanent Address

Family & Financial Background

Father's Occupation
Father's Monthly Income
Mother's Occupation (if any)
Total Monthly Family Income
No. of Family Members
No. of Earning Members
School / College-Going Children
Orphan? (Yes / No)
Zakat Eligible? (Yes / No)

Housing & Living Conditions

Type of House (Owned / Rented / Other)
Monthly Rent (if rented)
Utilities (Electricity / Gas / Water)
Serious Illness in Family?

Documents (Attach Copies)

• ☐ Student's B-Form / CNIC
• ☐ Father's / Guardian's CNIC
• ☐ Income proof (salary slip, affidavit, certificate)
• ☐ Utility bills (last 2 months)
• ☐ Death certificate (if orphan)
• ☐ Academic record (Matric / Intermediate marksheet)

Declaration

I declare that the information provided is true and complete. I understand that any false information may lead to rejection of my scholarship application or other disciplinary action.

Student's Signature   Date

Guardian's Signature   Date

Assessment by College Committee (Office Use Only)

Verified Monthly Income
Living Conditions
Educational Needs
Behaviour & Discipline Record
Recommendation (Approved / Rejected / On Hold)
Committee Member 1
Committee Member 2
Principal's Remarks
Principal's Signature & Stamp