Application Form for SS 2024 25
Application Form for SS 2024 25
Application Form for SS 2024 25
CATEGORY ( Tick the relevant) Orphan Disable Need based Muslim Non-Muslim
If Previously registered with Alkhidmat Orphan Care Program: - OFSP Aghosh
EDUCATION INFORMATION
9. Class ___________________ Course of Study ___________________ Year/Semester______________________
10. Institution__________________________________________________ Contact No.________________________
11. Course start date: _DD_/_MM_/_YYYY_Course end date: _DD_/_MM_/_YYYY_ Any distinction _______________
12. Monthly Fee: _________________________ Hostel Expenses: _________________________________________
13. Name of Teacher __________________________________________ Contact No.__________________________
14.PREVIOUS EDUCATION RECORD
(Govt./Private) Month
1
2
3
4
5
(In case you have more details to enter please use extra page)
20. Total Fees & Tuition Charges of all siblings (Per Month) Rs/-__________________
21. Details of any other supporting person who is giving you a helping hand in your education.
Name: ___________________ Relation _____________ Cell # ________________ Amount being paid_________
22. If you or any other sibling is getting financial support from Alfalah or any other Government or Non-government
organization give its details
Name of Beneficiary: ____________________ Organization __________________ Amount of Stipend _________
REFERENCES
23. Provide details of two persons as references to certify your given details. The said persons should be educated
and they should be well aware of your family circumstances
1. Name: ---------------------------------------------------- 2. Name: ----------------------------------------------------
Profession/Occupation: --------------------------------- Profession/Occupation: ---------------------------------
CNIC # ------------------------------------------------------ CNIC # ------------------------------------------------------
Cell # -------------------------------------------------------- Cell # --------------------------------------------------------
CERTIFICATION
24. Certification by the student and his/her father/guardian
It is certified that all particulars given above are correct.
Student’s Signature ________________ Father’s/Guardian’s Signature __________________Date: ___________
25. Certification by the Head of Institution
It is certified that above named applicant is a Bonafide student of this institution. He/She is not getting
scholarship from any other organization/department and recommended for grant of scholarship being a
deserving one.
Name ______________________________________
Office Stamp (Must be Readable)
Designation _________________________________
Signature ___________________________________
Date: _______________________________________
)(ہیہحفصہبلطیکراامنہیئےکےیلےہ
This page is also for the guidance of applicants.
Note: Call on cell phone during office hours (9:00am – 5:00pm) avoid to call during NAMAZ time please.
Application form to be submitted to concerned region. Addresses are given below: -