DHA/DSU/Reg/NBS/Form-01/V01

DHA SUFFA UNIVERSITY Form No. _____________

Need-Based Scholarship Application Form

Spring Semester 2024
BRIEF GUIDELINES FOR COMPLETING THE APPLICATION
This form is to be used when applying for a need-based scholarship under the DSU Scholarship scheme. This is a
need-based award, aimed at bright indigent students to help them continue their studies at DSU. In order to qualify, you must
demonstrate need. The assessment of your application by the University shall be final.
How to Apply:
1. Complete and sign this form (follow the instructions given in the form)
2. Enclose/attach the required documentation (listed below)
3. Submit the application latest by 29th March, 2024

CHECKLIST
Please submit necessary documentation to support the information you have provided in this application. Before submitting
the application, please ensure that you have included the following documents:
[ ] Pension Certificate in respect of Father/Guardian, Mother, Brothers and Sisters, if retired.
[ ] Bank Statement of last six months duly signed by concerned Bank Manager of Salary/Pension Account .
[ ] Salary Slips of last six months duly verified by Employer in respect of Father/Guardian, Mother, Brothers and
Sisters, if employed.
[ ] Most recent Annual Statement of Provident Fund/DSOP Fund, as applicable.
[ ] Income Tax Return in respect of Father/Guardian, Mother, Brothers and Sisters.
[ ] Original Telephone bills (most recent/family residence).
[ ] Original Gas bills (most recent/ family residence).
[ ] Original Electricity bills (most recent/family residence).
[ ] Original Fee Deposit Slips in respect of siblings.
[ ] Recent Result Intimation.

NOTE: In case the applicant is employed, he/she is to submit the above information in respect of himself/herself as well.

INFORMATION ABOUT THE APPLICANT (STUDENT)

Name: CNIC No:
Faraz Ahmed 2201-6882536-1
Reg. No. / ARN No: Academic Program:
ME221007/ 33000752 BE ME
Semester / Year in which admitted: Current Semester:
Fall 2022 4th Semester

Applicant’s Signature: ____________________________

27-08-2024
Date and place: ________________________ Parent’s Signature: _______________________________

FOR OFFICE USE ONLY

Application Received by
Date Received Comments
(Name, Stamp and Signature)

Page No. 01 of 06
 SECTION A: FAMILY INFORMATION
A.1 Information about Father/Guardian: [ ] Father [ ] Guardian

Name: CNIC No:

Zahid Mehmood 42201-0351432-1
Postal Address:
MC 82 A, Street No.03, Green Town, Shah-Faisal Town, 75210
Telephone Number Cell Number:
(Land line):
0333-2245655
Email Address:
[email protected]
Profession: Private Job Employment [ ] Working
Status:
[ ] Retired

EMPLOYMENT HISTORY: Latest employment first. List last 3. If currently retired, please include pension.

From To Designation Organization Monthly Income

Private
2002 Present Manager company 44,122/-

A.2 Information about Mother (Complete all that applies)

Name: CNIC No:

Aliya Roohi 42201-0418240-6
Postal Address:
MC 82 A, Street No.03, Green Town, Shah-Faisal Town, 75210
Telephone Number Cell Number:
(Land line):
0336-2022321
Email Address:

Profession: housewife Employment [ ] Working

Status:
[ ] Retired

EMPLOYMENT HISTORY: Latest employment first. List last 2. If currently retired, please include pension.

From To Designation Organization Monthly Income

A.3 Information about brothers/sisters in school/not working (Complete all that applies. Include all brothers and
sisters)

Name (Eldest Date of Relation Educational Annual Annual Granting

First) Birth Brother/ Institution and Tuition Fee Financial Aid/ Agency
Sister Grade/Class Loan/
Scholarship

Khursheed.
Zainab Fatima 08-10-2004 Sister College 12th N/A N/A
The Foundation
Muaaz Ahmed 03-04-2010 Brother School 10th 30,000/- N/A N/A
The Foundation
Marib Ahmed 25-08-2012 Brother School 7th 18,000/- N/A N/A
Total Educational Expense/Scholarship
48,000/- N/A
A.4 Information about the brothers/sisters employed (Complete all that applies. Include all brothers and sisters)

Name (Eldest Date of Birth Relation Profession Designation Company Monthly

First) Brother/Sister Service/Business Income

Total Amount
N/A
Page No. 02 of 06
 SECTION B: CURRENT MONTHLY FAMILY INCOME
List all family income by source. Include earnings of Father/Guardian, Mother, and Brothers and Sisters

B.1 Family income from Salary/Pension:

Relation Average Monthly Income Employer(s)

Father/Guardian
45,000/- Private company
Mother
N/A N/A
Brothers/Sisters (Combined Monthly
Salary/ Income)
N/A N/A
B.2 Family income from Business including agricultural income:

Relation Average Monthly Income Employer(s)

Father/Guardian
N/A N/A
Mother
N/A N/A
Brothers/Sisters (Combined Monthly
Salary/ Income)
N/A N/A
B.3 Family income from investments (Dividends, Interest on shares, bonds, fixed deposits etc.)

Relation Average Monthly Income Name and Type of Business

Father/Guardian

Mother

Brothers/Sisters (Combined Monthly

Salary/ Income)

B.4 Family income from investments (Dividends, Interest on shares, bonds, fixed deposits etc.)

Relation Average Monthly Income Name of Investment e.g. shares,

bonds, fixed deposits

Father/Guardian

Mother

Brothers/Sisters (Combined Monthly

Salary/ Income)
N/A N/A
B.5 Family income from rental/other income (Include income from all sources not listed above)

Relation Average Monthly Income Source e.g. Rental Income/Other

Father/Guardian

Mother

Brothers/Sisters (Combined Monthly

Salary/ Income)
N/A N/A
TOTAL: Monthly family income (Pak Rs.)

NEED-BASED SCHOLARSHIP RULES

• Submission of Need-based Scholarship Application Form does not guarantee award of the scholarship.
Furthermore, only students carrying full workload as specified in the Plan of Study for the degree are eligible for
consideration of Need-based Scholarship award.
• Need-based Scholarships, if and when awarded, are granted as Qarz-e-Hasana. After completion of his/her
studies at DSU the Need-based Scholarship recipient is honor-bound to return the amount so that needy students
like him/her could be supported to study at DSU in the future.
• Those awarded Need-based Scholarships are responsible to pay the remaining amount of the Tuition Fee and
other dues/charges by due date.
• Need-based Scholarships, if and when awarded, are only for the particular semester. For consideration for future
semesters a student shall have to resubmit the Need-based Scholarship application with updated documents by
the specified date. Future award decision and amount will be based on the need, the applicant's academic
performance at DSU (minimum SGPA 3.00) and the number of needy applicants being considered at that time.
• The Caution Money of the student shall be retained by DSU on his / her graduation as first installment on account
of return of the Qarza-e-Hasna received by him / her in the form of Need Based Scholarship.
• These rules may be changed or added to at any time without notice.

Page No. 03 of 06
 SECTION C: FAMILY WEALTH ASSESSMENT
List all assets and property owned by the family, classified by source. Include all owned by Father/Guardian, Mother, and
Brothers and Sisters
C.1 List residential, commercial and agricultural properties owned by the family
S. No. Address Property Type: Area Approximate Status (Self
Market Value
Commercial/Residential (Square Occupied/
Plot/Constructed Feet) Rented
out/Vacant)
1 Green Town Shah Faisal Town Residential Plot 891 7 million pkr Self occupied
2
3
C.2 List motor vehicles owned by the family
Registration
S. No. Make Model (year) Approximate Market Value
Number
1
2
3
C.3 List investments and valuables (shares, bonds, fixed deposits, gold, etc.)
S. No. Investment Type Face Value Approximate Market Value
1
2
3
C.4 List all other assets (Include all family assets not listed above)
S. No. Investment Type Face Value Approximate Market Value
1
2
3
TOTAL: Family Assets - Approximate Market Value (Pak Rs.)

SECTION D: FAMILY UTILITY EXPENSES

D.1 Telephone Expenses (Both Land-line and Mobile)

Telephone Number Average Monthly Bill

0323-2870609 Rs.1000/-

0336-2022321 Rs.600/-
0333-2245655 Rs.1000/-
D.2 Electricity Expenses

Consumer Number Address Average Monthly Bill

LB185095 MC 82 A Street 03 Green Town 5630

D.3 Gas Expenses

Consumer Number Address Average Monthly Bill

0724422369 MC 82 A Street 03 Green Town 730

TOTAL: Monthly Family Utility Expenditure (Pak Rs.)

9,000/-
TOTAL: Monthly Family Educational Expenditure (Pak Rs.)
27,300/-
Page No. 04 of 06
 Name of Student: Reg. No. / ARN No:
Faraz Ahmed ME221007

Semester / Year in which admitted: Current Semester & Year:

(Fall / Spring) Fall 2022 (Fall / Spring)
Spring 2024
SGPA – Spring 2020: Credit Hours – Spring 2020:
(Attach current Academic Profile) (Attach current Academic Profile)

721
SSC / O-Level Marks: _______ 850
Out of _______ 694
HSC / A-Level Marks: _______ 1100
Out of _______
84.8%
SSC / O-Level %: ________ 63.09%
HSC / A-Level %: ________
(According to SSC Mark Sheet / (According to HSC Mark Sheet /
O-Level Equivalence Certificate) A-Level Equivalence Certificate)

Please read the below instructions carefully before applying for Need Base Scholarship.

• Correct information of income and expenditure is to be provided with documentary evidence.

• Last six months Bank Statement (in original) of your father / guardian & sibling
(if on job) duly endorsed by the bank/ branch be provided.

• Last paid School / College fee deposit receipt (in original) be provided.

• Most recent paid bills of student and his Father’s Cell Phone(s).

• All documents mentioned in check list of the Need based Scholarship Form
(Page No. 05) are to be provided.

• Your application will be cancelled if the above mentioned requirements are not met.

Note: Please read the rules of scholarship on Page No. 03 very carefully.
Please submit all required document in support of the information provided by you.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------

UNDERTAKING

I, Faraz Ahmed
________________________________________________________ son/daughter of
Zahid Mehmood
___________________________Student BE Mechanical Engineering
of _________________________ Program (ARN No. /
ME221007
Registration No. ____________________) hereby solemnly affirm in the true word and spirit as
under:-

1. The information provided by me is authentic and correct to the best of my knowledge and
belief.

2. In case of any false or in-correct information, my application may immediately be rejected.

3. I will accept the decision of the committee as final and will not submit any application for
reconsideration.

Applicant’s Signature: ______________________

27-08-2024 Parent’s Signature: ________________________

Date and place: ________________________

Page No. 05 of 06
 DHA SUFFA UNIVERSITY Form No. _________
Off Khayabn-e-Tufaail, Phase-VII, DHA, Karachi-75500

Need-based Scholarship Application Submission Receipt

(DSU Copy)

Reg. No. ME221007 Program: BE Mechanical Engineering

Name: Faraz Ahmed Father’s Name: Zahid Mehmood

Need-based Scholarship Application Form has been submitted for Spring Semester 2024 in the Registration Office.

Signature of Student: _______________________ For Deputy Registrar / Registrar Office

2 7 - 0 8 - 2 0 2 4
Date: ___________________________________ Signature & Date: ___________________

…………………………………………………………………………………………………………………………………………………
.

DHA SUFFA UNIVERSITY Form No. __________

Off Khayabn-e-Tufaail, Phase-VII, DHA, Karachi-75500

Need-based Scholarship Application Submission Receipt

(Applicant’s Copy)

Reg. No. ME221007 Program: BE Mechanical Engineering

Name: Faraz Ahmed Father’s Name: Zahid Mehmood

Need-based Scholarship Application Form has been submitted for Spring Semester 2024 in the Registration Office.

Signature of Student: _______________________ For Deputy / Registrar Office

Date: 2 7 - 0 8 - 2 0 2 4
___________________________________ Signature & Date: ____________________

Page No. 06 of 06