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1 Higher HEC Needs Based Scholarship Program Page of 0 وری ا ت ا در ا ار آپ درجذ ا ت ھ ں ا ت درج ذ ا ت ر ھ اوراس. ا رم وا ں ں در ا ارا در اور ور ا ا ڈ ا آ در ا ار ا -ا ا زر را ر (دو ے رک ز) ا ا ا ل ں رم وف ا ے ل ہ.3 ں رم وع ر اور د وا / رم ا.4.5 ا وا ان/ ا / آ اورا ا ت رے آ و ت اور رم درج ں 6. اس رم اوردر ت ا رتد دہ ا د روا ں.7 وا ر اس رم آپ ان / ا ا اد ا آ وا ا ت ت ا ز ں ں و ز ا ق و ں(-) ا ق در ا ار / ا ت ا.8.9 اس ت Documents checklist د و ات رم در اور ں ں و ز اور -) ) و ں ا ا ق آپ آپ ا د و ات Documents checklist.0. اس ت ا ر و رم / د و ات رم/ د رم ل ں ں // اد رے ا. ں ا ر رڈ ر اور رم ا رم/ا دہ رم تاور ا ا رم.3 ں وا ا 0.4 ابا رم Name: ہ رم تاس ا وا ر ہ رم( رڈ )اورآن دی ت د : د رتد رم د ں Online Link=> و ا ا زر ور ل ا او د وف س ں آن ت ا ہ رم د و اتا ڈ ا آ آ ںآ ا دہآن ت آپ رماورد و ات آپ رمو ل ے رم و ل Contact Details Father s Name: Applicant s Mob# Father s Mob # Applicant s CNIC# Department: Admission Form # (for new admissions only) Father/Guardian CNIC# Class: Seat Number: (for already studying students) Note: SFAO often contact the applicants for clarification/information. Therefore, applicant is required to write his/her contact numbers instead of other family members. We, the undersigned, have read and understood above instructions and declare our acceptance thereof Signature of Applicant Signature of Parents

2 HEC Needs Based Scholarship Program Page of 0 SCHOLARSHIP APPLICATION FORM Scholarship is based on assessment of need and merit as well as availability of funds. Selection will be decided on the basis of information provided in this form and investigations for the authentication of provided information. Candidate may be required to appear for interview (s). Providing False Information may result in one or all of the following: Cancellation of admission. Rustication from the university. Initiation of criminal proceedings. Disqualification for award of any future loan/scholarship. Refund of all the payment received and or a penalty equal to total scholarship amount. MUST READ THE FOLLOWING INSTRUCTIONS FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM:. Read the instructions and application form carefully.. First make a photocopy of this blank application form. 3. Fill in the photocopy form using black ball point pen and write in CAPITAL LETTERS only. 4. Answer all questions. Fields should not be left blank. Those not applicable should be clearly marked N/A or - alongwith a brief reason thereof. 5. Start filling-in the information and particulars on the photocopied form and consult your parents/guardian for family financial reporting e.g. Income, expenditures etc. 6. Furnish factual, comprehensive and authentic information in the form. 7. Ensure that you have put in correct and valid information in photocopied application form. 8. Once above mentioned seven (7) steps completed, re-write all the information in the original / downloaded application form. 9. Ensure that you have attached all the required documents by putting a tick mark in checklist 0. Provide the same information as mentioned in your form (hard copy) to this link (Online link: Do not use mobile phone to provide online data as it may result in data errors.. Be aware that the above link is case sensitive, so type in the same manner otherwise link will be inactive.. In case of conflicting/contrary information is found between the hardcopy and online data, all such application forms shall straightway be rejected. 3. After providing online data bring the complete application form alongwith all/relevant supporting documents to Students Financial Aid Office (SFAO) wherein SFAO staff shall verify your submissions and online data and if found acceptable can receive your form. 4. Submit the duly filled-in original application form to SFAO-UoK, in person. 5. Whenever in doubt or lost, seek help from the SFAO-UoK 6. Affidavit Needs to be submitted after final selection of the candidate We, the undersigned, have read and understood above instructions and declare our acceptance thereof. Signature of Applicant Signature of Parents

3 HEC Needs Based Scholarship Program Page 3 of 0 The following documents must be attached with the application form Application Form Check List S# Description Tick the relevant Copies of computerized NIC of Applicant Father Mother Guardian Copy of Death Certificate of Father/Mother/Guardian (if applicable) 3 Salary Certificate of Father Mother (if applicable) Guardian (if applicable) 4 Copies of last six (06) month utility bills Electricity Gas Telephone (if applicable) Water 5 Attested copy of rent agreement (if applicable) 6 Copies of last & latest fee payment receipts of self and siblings * 7 Copies of Medical bills/ expenditure related documents (if applicable) 8 Copies of previous scholarship(s) attained (if applicable) 9 Statement of Purpose 0 Copy of Matriculation Mark sheet and Certificate Copy of Intermediate Mark sheet Copy of Graduation Mark sheet (if applicable) DO s: Submit the complete duly filled-in application in person to the Student Financial Aid Office before the deadline. Place documents in correct order as per above mentioned serial number ( to ) Put all amounts in Pak Rs. Do consult with parent(s)/guardian(s) for financial data accuracy & reliability For the information not present/relevant write in capital letters N/A or mark as (-) DO NOT: Provide False/vague/ incomplete information. Overwrite/ scratch on the form. Send scholarship application form directly to HEC We, the undersigned, hereby declare that above tick marked enclosed documents are genuine, true and best available as of below mentioned date. Signature of Applicant Date Signature of Parents

4 HEC Needs Based Scholarship Program Page 4 of 0 Name of the University: University of Karachi Degree Title / Program: Studying in Class: Department:. Applicant s Name: Gender: Male Female. Applicant CNIC# - - در ا ار ا ری دہ دا 08ا وہ ں (-) Number: 3. Seat 4. Marital Status Single Married Divorced Widow 5. Age : Domicile Place of Birth: 6. Present Address 7. Permanent Address: 8. Are you currently working : Yes No 9. If answer is Yes to Section No. 8 complete the sections (9-) Designation: Name of Employer /Company: 0. Monthly Applicant Gross Pay/Earning* in Pak Rs.. Monthly Applicant Net Pay/Earning ** in Pak Rs. *Gross Pay/Earning ( آ د اہ ) ** Net Pay/Earning: آ د اہ. Tel (Res.): Mobile: 3. Family Members currently living with you: ( ں ا ان ان ا اد ا راج آپ رہ ر دی ہ ہ رہ ر ان ا راج ) S # Name of Family Member (s) Relationship Marital Status Remarks** Details of Family Members Earning (Take extra sheet if required): ( روز ر اور ا راج ان ا اد ا ان ( ں Column- Column- Column-3 Column-4 Column-5 Column-6 Column-7 Family Member Name Relationship Family Member occupation (Specify) Organization Name Designation Monthly Gross Pay/Earning* (Before deduction of taxes, rent, etc.) Monthly Net Pay/Earning** (After deduction of taxes, rent, etc.) Monthly Family Income (add self income, if applicable) Rs.

5 د Higher HEC Needs Based Scholarship Program Page 5 of 0 6. Brothers/Sisters/Children/Family Members studying ( اور ر رہ ا راج ان ا اد ا ان ( ں Name Relation with applicant Name & Address of Institute ا رت ادا Fee per month ا / 6ر A Fees & Tuition Charges 7. Father s Name: Computerized N.I.C. No 8. Status: Alive Deceased 9. Professional status: Govt. / Pvt. Employee Retired Business Owner Daily Wages 0. Name of Company/Employer:. Tel (Off): Mobile:. Occupation Type: NTN 3. Designation & Grade (BPS/ SPS/PTC etc): Gross Monthly Income: (آ د روزا ا ت د ) *Gross Monthly Income = 4. Net Monthly Take Home Income (Salary/ Pension/ Others): (آ د روزا ا ت د ب/ **Net Monthly Take Home Income = ( 5. Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian): 6. Name: Relationship: 7. Occupation and Designation 8. Monthly Financial Support Available to Applicant in Pak Rs. ا در ا ار ر دار وا ر د/ ا اد وہ ل وا ر ا راج رتد ف(-) 9. Asset Income (on monthly basis): ا راج آ وا و ل و ہ ا ن ڈ زٹ ا ت ں Column- Column- Column-3 Column-4 Column-5 Column-6 Column-7 Income Source Father Mother Spouse Self Other Property Rent ں 6 آ Land Lease 3 Bank Deposits* 4 Shares / Securities* 5 Other (Specify) 9A

6 Higher HEC Needs Based Scholarship Program Page 6 of Family Monthly Income: ں ان( + +وا +وا ہ+در ا ار) ا ادی آ ا راج Column- Column- Column-3 Column-4 Column-5 Family Member Name Relationship Monthly Income from Assets 7 95اے وا و ل درجا ت دو رہ آ ں Monthly Gross Pay/Earning 6 54 آ ) ) درج دو رہ وہ ں Monthly Net (Take home) Pay/Earning 7 54 آ ) ) درج دو رہ وہ ں Applicant Pay/Earning 30-A Monthly Income in Rs. 30-B Annual Income in Rs. 3. FAMILY EXPENDITURES ( ا ان ا ا ت) (ر ا ا ت) 3A. Accommodation s Type: Bungalow Apartment /Flat Town House Village House Status: Rented Self or Family owned Employer / Govt Owned Rent Payment: Self Employer/Govt Others House Plot Size in Sq. ft. Covered Area in Sq. ft. S # Accommodation Location /Address Number Of Bed Rooms Number Of Air conditioners Accommodation Monthly Rent ذا ا ن ان (-) Accommodation Annual Rent ذا ا ن ان (-) Above 6 Above 6 3B Accommodation Rental Any other house/flat owned by the Parents/Guardian (if yes please specify with location and size) درج ن/ وہ ا اور اد ا ا راج رت د (-)

7 HEC Needs Based Scholarship Program Page 7 of 0 درجذ ادا ر ا راج s:.3 Utilities Bill Electricity Gas Telephone Water Mobile (Cards) December () Six Months Billed Amount for the year ادا ا ل) 07 ) ( ) November () October (3) September (4) August (5) July (6) ر ا راجاس Average Calculation of Utilities s Column-A Column-B Column-C Column-D Average Monthly Utilities Mention Value Calculation Received for Average ر او ہ ر اور دی Bill Bill ںا7 اور ( ) (6) وا ا ر ر در ا راج وا ر دا د دو رہ Average Bill= bill 6 Electricity 6 Gas 6 Telephone 6 Water 6 Mobile (Cards) 6 of Average Bills ڈی درجر م 33. Monthly Medical s: ا ا ت) ادو ت ) Family s Column- Column- Column-3 Column-4 Column-5 Column-6 Column اے 5 درج ا ا ت ںدو رہ Accommodation 3ب 6 درج ر ا ا ت ںدو رہ Utilities ا یڈ درج ا ر ر ں دو رہ Medical ا 33 درج ادو ت ا ا ت ںدو رہ Misc. (Food + Transportation etc.) د ا ا ت را ا رٹو ہاس Monthly ں 5 ا ا ت Annual 6 ں ا ا ت (x)ب

8 Higher HEC Needs Based Scholarship Program Page 8 of 0 Section# Column- Description 30-A Monthly Income دا 30اے 5درج آ 6 34 Monthly دا ا ا ت 6درج Net Monthly Disposable Income* = Monthly Income (Minus) Monthly Section# ر ر )34 ) اے ب 30 رہ( ) / ڈ ز ا وا ر ڈ ز ا ( رت -) ن ) -) ز Column- Description 30-B Annual Income دا 5درج آ Annual 36 (30B 34) دا ا ا ت 7درج 34 7 Net Annual Disposable Income* = Annual Income (Minus) Annual ر ر )34 ) 30 ب رہ( ) / ڈ ز ا وا ر ڈ ز ا ( رت ن -) ) -) ز Column- Amount in Pak Rupees Column- Amount in Pak Rupees * If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and the arrangements through which the differential gap is met by the family ا ڈ ز ا ں رہ و ت اور آپ ان رہ را Assets (with current market value) ا ت دہ ا 37. Does the family own any Transport? Yes No If yes kindly fill the relevant details S # Make Ownership Transport Type Engine Capacity (CC) Registration No. /Model Period (Car/ Motor cycle/ Others*) * Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc. 38. Number of Cattle(s) (with kind) اور اد ں (ذا ز ٹ ر اور 39. Area and location of Land(s)/Plot(s) owned (

9 HEC Needs Based Scholarship Program Page 9 of 0 ا ت دہ اور 40. Assets worth (Current Market Value in Pak. Rs.) S # Assets Title Father Mother Spouse Self Guardian House Business 3 Land & Building 4 Bank Balance 5 Stocks/Prize bond 6 Others/ Cattle(s) Loan taken for Applicant ( در ا ار ( ا ت * Family/ Friend Loan (Specify details of loan taken and relationship with the relative / friend) دو ا ب ) در ا ار )اور ان ن 43. Specify any source of financing other than loan ذر ا ن رتد (-) وہدر ا ار و دا حادا / /ض و ہ paid? 44. How were the admission /first semester charges 45. Applicants educational record: Level of Study Name and Location of Institute Per Month Fee To- From month/ yr. Division/ GPA/ %age / CGPA Bachelors Intermediate Secondary 46. Per month fee/ tuition charges of the institution last attended ا /د ادا ا رت ر Have you ever got any other Scholarships: Yes No (If yes fill the details of scholarships & attach documentary proof of the scholarships) S # Name of Institute Scholarship Name Scholarship Amount Scholarship Period Class / Level at which Scholarship was granted

10 HEC Needs Based Scholarship Program Page 0 of 0 Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required نں ا آپ ں دی UNDERTAKING. The information given in this application is true to the best of my knowledge and I understand that any incorrect information will not only result in the cancellation of this application. If any information given in this application is found incorrect or false after grant of financial assistance, University of Karachi (UoK) will stop further assistance, immediately, and the student will have to refund all payment received and or penalty equal to total scholarship amount or part thereof.. HEC/UoK reserves the right to use information given in this form for verification and other purposes. Date: Parents / Guardian Signature Applicant s Signature: REMARKS OF THE CHAIRPERSON OF THE DEPARTMENT CONCERNED The information given by the above named student is correct and his/her application is recommended for further processing. Date: SIGN.& SEAL OF THE CHAIRPERSON For Students Financial Aid Office use only Are the applicant documents in order? Yes No Application Case Review Dates (i) (ii) Additional Remarks Date Department Name Signature Head of Department/ Focal Person

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