APPLICATION FORM FOR WELFARE SCHOLARSHIP Applicants Name: ____________________________________________________________________________Regd. No. _____________________ Resident/ Non-Resident. _____________________________________

Session:________________________ Semester ____________________________________

Domicile: __________________ District: ______________Tehsil: ________________________

Permanent Address: _________________________________________________________________________

Tel (Res.): __________________Mobile: __________________Email: __________________________________Previous Education Record (Applicant)

DegreeYearTotal MarksMarks ObtainedPercentage

Academic Performance at UET, Taxila.Semester SGPACGPASemesterSGPACGPA

1st5th

2nd6th

3rd7th

4th8th

Fathers Name: ______________________________________________ Cell # ___________________________Father Status: Alive

Deceased--

(If deceased please attach death certificate and mention date of demise Fathers professional status: Govt. Employed Private Employed

Self-Business Retired Un-Employed Disabled AbroadIf Father is employed complete the given sub sections:

a. Name of Department /Company/Employer: _________________________________________________

b. Address: _____________________________________________________________________________

c. Tel (Off): _______________________________ Cell #: (Employer)_______________________________

d. Designation & Grade ____________________________________________________________________

e. In case of Self-Business, mention nature of business __________________________________________

Total Monthly Income (Salary/ Pension/ Others): ___________________________________________________

(Attach the relevant proof i.e pay slip, copy of pension book etc.)

Total Members in the Family:

(Applicant, his parents, brothers and sisters will be considered as family)

Family Members currently living with you:

Total: Male:

Female:

Number of Brothers/Sisters married

Total:

Brothers Sisters

Number of Brothers/Sisters/Children studying

Total:

Brothers Sisters Details of Siblings Studying including the applicants own detail

Sr. #NameGenderClass/CourseSemesterEducational Institute with AddressType of Institute

(Govt./Private)Total Fee Per Month

1

2

3

4

5

6

7

Total Fees & Tuition Charges of all siblings (Per Month) _________________________________Availing Any Other Scholarship / Loan / Personal Loan Etc. S NoDonor AgencyAmountSemester Wise AmountTotal Amount

1

2

3

4

Certification by the student and his/her father/guardian

It is certified that all particulars given above are correct.Students Signature _________________________ Fathers/Guardians Signature ____________________

Attested documents to be attached

1. Photocopy of Selfs CNIC.

2. Photocopy of Fathers/Guardians CNIC.

3. 1 Recent Photographs.

4. Photocopy of current Electricity Bill/Telephone Bill 5. Photocopy of Father/Mother/Brother/Sisters Pension Book/Salary Slip.

6. Photocopy of all previous exams result.

7. Photocopy of fee slip (Last semester/year)Note:

Incomplete/late received applications will not be entertained.

1 Photo Required

Size (2 x 1.5)

FAMILY INFORMATION

CERTIFICATION

INSTRUCTION

1