CECOS University of IT & Emerging Sciences

FINANCIAL NEED ASSESSMENT FORM

Name

CNIC Number

Phone Number

Email Address

Marks in Matric (out of)

Marks in Intermediate (out of):

INSTRUCTIONS
1. Consult your parents and carefully fill out all sections of assessment form.
2. Recheck complete information to ensure accuracy.
3. All information submitted must be supported by relevant documentation.
4. If any document is not available at the time of submission then give a reason(s)
5. Add your comments on the document(s) if you wish to explain anything in detail so that all facts of your
case are clear. For example: reason for arrears in utility bills, justification for transactions apart from
the stated income on bank statements etc.
6. Use the “Statement of Purpose” to justify the need for financial support. You may also explain the
scenarios not captured in application form that are specific to your family's situation.
7. Submit the “Financial Need Assessment Form” along with the all required supporting documents to the
Office of Financial Assistance of CECOS University, Sector F-5, Phase-6, Hayatabad, Peshawar.
8. Applications that are submitted late or those that are incomplete will not be processed.
9. If you find difficulty in understanding any part of this application or have questions, please contact
Secretary of the Financial Assistance Committee through email at [email protected]

DISCLAIMER
1. It is the responsibility of student to provide correct and timely information.
2. Submission of this application does not in any way guarantee financial assistance.
3. All information submitted in this form including supporting materials must be correct. Be informed that
at any stage you may be subject to disqualification for admission/scholarship and/or financial
assistance, if the information you have provided is found to be incorrect or false.

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STATEMENT OF PURPOSE
(In the space below justify why you require financial assistance)

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Signature: ___________________________________

Date: ___________________________________

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Section-A: DETAILS OF FAMILY MEMBERS

BOTH ALIVE

BOTH DECEASED
PARENTS
FATHER ALIVE / MOTHER DECEASED

MOTHER ALIVE / FATHER DECEASED

NUMBER OF
SIBLINGS

INFORMATION OF FATHER/GUARDIAN

FULL NAME

AGE

OCCUPATION

PERMANENT ADDRESS

TELEPHONE NUMBER

NUMBER OF DEPENDENTS

CURRENT STATUS: Employed Business Retired Un-employed

EMPLOYEED BUSINESS

Designation Name of Business

Sole Proprietorship /
Organization
Partnership
Nature of Business &
Annual Salary Gross (PKR)
Address

Annual Salary Net (PKR) Annual Business Income

RETIRED UN-EMPLOYED
Reason for
Designation
Unemployment
Organization Unemployed From

Annual Pension

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DETAILS OF SELF AND SIBLINGS
SELF

EDUCATIONAL MONTHLY FEE FINANCIAL AID

NAME AGE
INSTITUTION (IN RUPEES) (IN RUPEES)

1. Name of Applicant

SIBLINGS (Currently studying)

ANNUAL ANNUAL
CLASS/ EDUCATIONAL PARENTS
NAME AGE TUITION FINANCIAL
GRADE INSTITUTION CONTRIBUTION
FEE AID

1.

2.

3.

4.

SIBLINGS (Currently Working)

NAME MONTHLY SALARY DESIGNATION ORGANIZATION

1.

2.

3.

4.

Section-B: ANNUAL INCOME FROM OTHER SOURCE(S)

Other than salary, list other sources of income including pension, and business income.

Section-C: RESIDENCE & LIFESTYLE

Ownership status of the house you currently live in:

Owned Rented Inherited By Employer Other

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QUESTIONS

Q1. How many air conditioners do you have in your house?

Q2. How many refrigerators do you have in your house?

Q3. What is your average monthly electricity bill?

Q4. What is your average monthly gas bill?

Q5. Do you have an independent room in your house?

Q6. Do you have your own transport?

Q7. How much pocket money do you get each month?

Q8. Do you own a smart phone?

Q9. Do you own a laptop or desktop computer?

Q10. Do you have internet facility at home?

If admitted, how do you plan to travel to CECOS

Q11.
University?

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Section-D: NON-RESIDENTIAL PROPERTY
CURRENT MARKET INCOME FROM COMPLETE
PROPERTY TOTAL AREA
VALUE PROPERTY ADDRESS

1. Additional House(s)

2. Plot(s)

3. Agricultural Land(s)

4. Apartment(s)

5. Shop(s)

Section-E: VEHICLES

Does your family use any automobile(s)/motorbike(s) Yes No

VEHICLE (1) INFORMATION VEHICLE (2) INFORMATION VEHICLE (3) INFORMATION

DETAILS
(NAME AND MODEL) (NAME AND MODEL) (NAME AND MODEL)

Ownership and Value

Section-F: LOAN INFORMATION

DETAILS LOAN (1) INFORMATION LOAN (2) INFORMATION LOAN (3) INFORMATION

Total Amount Availed

Total Amount Outstanding

Purpose

Section-G: UTILITY BILLS

ELECTRICITY BILL INFORMATION TELEPHONE & NET SUI GAS BILL INFORMATION

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Section-H: INTERNATIONAL TRAVEL
1. Country:_______________ Purpose:_________________ Dates: From ________ To:________Expenses: Rs. ____________

2. Country:_______________ Purpose:_________________ Dates: From ________ To:________Expenses: Rs. ____________

Section-I: ANNUAL INCOME STATEMENT

Please provide details of your annual household income

Section-J: ON-CAMPUS WORK IN LIEU OF FINANCIAL ASSISTANCE

All students who are awarded financial assistance are required to work on campus; the amount of
work depends on the magnitude of their financial assistance.

Would you like to work as Research, Teaching or Administrative Assistant? Yes No

RA = Research Assistant
TA = Teaching Assistant
AA = Administrative Assistant

UNDERTAKING
I certify that the information submitted in the financial assistance process including all the
supporting materials is factually true. I understand that at any stage I may be subject to
disqualification for scholarship, financial assistance, and/or admission if the information
that I have provided herein is found to be incorrect.

Parents/
Guardian Signature: ________________________ Student Signature: ______________________________

Date: _________________________ Date: __________________________

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CHECKLIST
GIVE THE REASON IF
S. NO. PARTICULARS SUBMITTED
NOT SUBMITTED
Income certificates/statements of all earning members of Yes No
1
family

2 Retirement Order/ Final Settlement Letter (If Applicable)

3 Bank Statements (for the last year)

4 Utility Bills –Electricity, Gas, Phone (for the last year)

5 Rental Lease

6 Loan Document(s) from Bank

Ownership of Property Documents

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(house, residential/commercial plots, agricultural land etc)

8 Vehicle(s) ownership/registration documents

9 CNIC Copies of Father/Guardian

10 Any other document(s) demonstrating financial need