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Annexure - B (Diya Pakistan Application Form)

The document is an application form for the Diya Pakistan Scholarship provided by COMSATS University Islamabad. It requests information about the applicant's personal details, family details, academic history, current education expenses, medical expenses if any, utility bills, family assets and siblings. It requires signatures of the applicant and parents/guardians. Along with the form, applicants must submit documents such as family registration certificate, latest utility bills, last semester results, income/salary proof, house rent agreement if rented. The completed form and documents are to be submitted to the Student Financial Aid Office for processing.

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Ashnab Zahid Khan
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45 views

Annexure - B (Diya Pakistan Application Form)

The document is an application form for the Diya Pakistan Scholarship provided by COMSATS University Islamabad. It requests information about the applicant's personal details, family details, academic history, current education expenses, medical expenses if any, utility bills, family assets and siblings. It requires signatures of the applicant and parents/guardians. Along with the form, applicants must submit documents such as family registration certificate, latest utility bills, last semester results, income/salary proof, house rent agreement if rented. The completed form and documents are to be submitted to the Student Financial Aid Office for processing.

Uploaded by

Ashnab Zahid Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Annexure – B)

COMSATS UNIVERSITY, ISLAMABAD


Application Form
For Diya Pakistan Scholarship

Applicant's Details

Applicant Name: CNIC/Form B. No.

Father Name: Father CNIC:

Mother Name: Mother CNIC:

Gender: Male / Female City / Province:

Email: Date of Birth:


Applicant's Status: (in case of orphan or disable,
provide documentary evidence)
For Orphans Only: Mention year of father's death:

Applicant Phone Number: Parent / Guardian Phone No.

Current Address:

Permanent Address:

1) Guardian Details
Please mention Father OR Mother name if alive OR person bearing applicant’s or his family expenses.

Guardian Name: Guardian CNIC:


Relation: Father / Mother / Brother / Sister / Uncle /
Guardian Phone:
Grand Parent / Other. (Marks ✓)
Income Type:
Govt. Employee / Semi Govt. Employee / Private Guardian Occupation:
Employee / Non-Salaried / Pensioner (Marks ✓)
Guardian Designation/Job: Guardian Monthly Income. Rs.

2) Current Course Detail

Name of Degree / Course: Registration / Roll No:

Current Semester / Year: Department / Campus:

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Important Note:
All fields are mandatory to be filed. Incomplete Application Form shall not be entertained.
3) Academic Record

Matric/O Levels Intermediate/A-Levels


Institute Name: Institute Name:

Completion Year: Completion Year:

Percentage: Percentage:

Institute Type: Private / Govt Institute Type: Private / Govt

Yearly Expense: Rs. Yearly Expense: Rs.


Scholarship/Remission Amount per Year (if any): Scholarship/Remission Amount per Year (if any):
Rs. Rs.

4) Current Education Expenditure

Yearly Tuition Fee: Rs.

Yearly Hostel Fee: Rs.

Yearly Messing Expenses: Rs.

Total Expenditure: Rs.

If applicant is availing scholarship from another


organization, then please provide the details:

Name of the Donor / Organization:

Total Amount of Scholarship: Rs.

Type of Scholarship: One Time / Monthly / Yearly

5) Medical Expenditure
Provide information if immediate family member is under medical treatment (Attached Related Documents)

Relation:

Monthly Medical Expenses: Rs.

Nature of Disease: One time treatment /Acute

Total Expenditure: Rs.

6) Utility Bills
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Important Note:
All fields are mandatory to be filed. Incomplete Application Form shall not be entertained.
Note: Latest utility bill (Electricity, Gas, Internet) where family residing, are required.

Electric Company Name: Consumer No.

Consumer Name on Bill: Relationship with Applicant:

In case of No Utility Bill, please give reason:

Monthly Gas Bill: Rs. Monthly Internet Bill: Rs.

7) Family Assets
Family Owned Transport: (Yes) (No) (Mark ✓)

Make and Model: If (Yes):

Property Type - Family House

Area in Marla:

Address/Location:

Property Type - Shop

Area in Marla:

Address/Location:

Property Type - Land/Residential Plot

Area in Marla:

Address/Location:

8) Total Number of Brothers and Sisters (Siblings)


Please use additional sheet, if needed for the details:

Sibling – 1 Sibling - 2
Name: Name:

Age: Age:
Type: Studying / Un-employed / Employed / Self Type: Studying / Un-employed / Employed / Self
Employed / At Home (Marks ✓) Employed / At Home (Marks ✓)
Class (if studying): Class (if studying):
Institute Name if studying OR Company Name if
Institute Name if studying OR Company Name if
doing Job OR Business:
doing Job OR Business:

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Important Note:
All fields are mandatory to be filed. Incomplete Application Form shall not be entertained.
Monthly Income if in Job OR Yearly Expense if
Monthly Income if in Job OR Yearly Expense if
Studying:
Studying:
Sibling - 3 Sibling - 4
Name: Name:
Age: Age:
Type: Studying / Un-employed / Employed / Self Type: Studying / Un-employed / Employed / Self
Employed / At Home (Marks ✓) Employed / At Home (Marks ✓)
Class (if studying): Class (if studying):
Institute Name if studying OR Company Name if Institute Name if studying OR Company Name if
doing Job OR Business: doing Job OR Business:
Monthly Income if in Job OR Yearly Expense if Monthly Income if in Job OR Yearly Expense if
Studying: Rs. Studying: Rs.

9) Loan taken by your family:


Note: If loan taken from Bank or Other Agency then provide Loan Deed or supporting document.

Loan Granted By:

Relationship:

Contact Number:

Balance Loan: Rs.

Loan Purpose: Please do not write more than 25 words.

Any other information or explanation: Please do not write more than 25 words.

Student Signature & Date Parents / Guardian Signature & Date

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Important Note:
All fields are mandatory to be filed. Incomplete Application Form shall not be entertained.
The following Documents are also required with the application:

Note: Without following documents, application shall not be entertained.

1. Family Registration Certificate/Form-B 2. Latest Utility Bills (Electricity, Gas,


Internet)
3. Result Card of Last Semester 4. Proof of Income/Salary Certificate

5. House Rent Agreement (If rented) 6. Any additional proofs to confirm the
applicant’s eligibility for financial
assistance

For Official Use Only.

Recommendation/Verification by Incharge
SFAO (Student Financial Aid Office)

Campus Director/Incharge.

Signature & Stamp

Verification by Scholarship Management


Unit

Note: The Form completed in all aspects along with required documents should be
submitted to Student Financial Aid Office (SFAO) for further processing.

5 of 5
Important Note:
All fields are mandatory to be filed. Incomplete Application Form shall not be entertained.

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