Application Form for SS 2024 25

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Alfalah Scholarship Scheme

(Gulshan-E-Razzaq Dhoria Dinga Road (Kharian)


03451414457, 053-7701299
Session
2024-25
APPLICATION FOR SCHOLARSHIP (Submission Date 1st Aug – 31st Oct)
3 Photos
Note:
1. Incomplete/late received applications will not be entertained.
Required
2. Applicants having 70% marks (Matric) and 65% marks (Inter, DAE and above) in their
Size (2” x 1.5”)
last Board Exam, will only be eligible to apply. However, Minority students having 60%
(Not Attested)
marks (Matric) and 60% (Inter, DAE and above) can apply.
3. Students studying in lavish institution will not be entertained.
4. Students getting any financial aid/scholarship from any other organization like PEEF, HEC
NGO etc. will not be eligible to apply.
5. Application Form to be filled in with black pointer. Old Application Form will not be accepted.
6. Before filling the Application form student must read instruction given on page # 3.
7. (For office use) Diary # ______________________ Reg. #_____________________

CATEGORY ( Tick the relevant) Orphan Disable Need based Muslim Non-Muslim
If Previously registered with Alkhidmat Orphan Care Program: - OFSP Aghosh

APPLICANT PERSONAL INFORMATION


1. Applicant’s Name: ______________________________ 2. S/D/O________________________________________
3. Applicant’s CNIC No: __________________________ 4. Date of birth ______________5. Cell # ______________
6. Email: _______________________Wats app #___________Facebook__________ Contact (PTCL) _____________
7. Present Postal Address: ___________________________________________________ District: ______________
8. Permanent Postal Address: ________________________________________________ District: _______________

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

Degree Year Total Marks Marks Obtained Percentage


Matriculation
Intermediate
Graduation
Current Degree (Last result Sem/Year)
FAMILY & FINANCIAL INFORMATION

Father’s/Guardian’s Name:______________________________ Father’s CNIC No: _______________________


14. Cell # (1) ____________________ (2) _____________________ Monthly Income: ________________________
15. Father’s/Guardian’s professional status: Govt. Employee Private Employee
Self-Business Retired Abroad Un-Employed Disabled
16. If Father/Mother/Guardian/Brothers/Sisters are serving, then give details (Please attach extra page if more than one
family members are serving)
a. Name ______________________________ Relation _________________Cell #: ___________________
b. Name of Department /Company/Employer: _________________________________________________
c. Address: _____________________________________________________________________________
d. Tel (Off): ________________________________ Cell #: (Employer)__________ ____________________
e. Designation & Grade ______________________ Total Monthly Salary____________________________
(Attach the relevant Proof i.e. pay slip, copy of pension book etc.)
17. If Father /Brothers are shopkeepers give detail of Shop (Nature of Shop/Volume of Shop) ___________________
Total monthly income Rs: _______________________________________________________________________
18. Total Members in the Family: (Applicant, his parents, brothers and sisters will be considered as family)
19. Details of Siblings Studying including the applicant’s own detail

Sr. Name Class/Course Educational Institute with Type of Total Fee


Semeste
Gender

# Address Institute Per


r

(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: _______________________________________

INSTRUCTION FOR STUDENTS

)‫(ہیہحفصہبلطیکراامنہیئےکےیلےہ‬
This page is also for the guidance of applicants.

Attested documents to be attached


1. Photocopy of Self’s CNIC.
2. Photocopy of Father’s/Guardian’s CNIC.
3. 3 Recent Photographs.
4. Photocopy of current Electricity Bill.
5. Photocopy of Father/Mother/Brother/Sister’s Pension Book/Salary Slip.
6. Photocopy of all previous exams’ result.
7. Photocopy of fee slip (Last semester/year)
8. Bonafide Certificate (Mentioning course start and ending dates. Specimen is available on Alfalah website.
9. Iqrar Nama (to be downloaded from Alfalah website www.alfalahss.org
Applicants of intermediate, BA, BSc, B. Com will attach Iqrar Nama on plain paper (A4) while students of DAE,
BS(H), Masters, MBBS, BSc Engineering, LLB etc. will send the Iqrar Nama on stamp paper worth Rs./50,40 or
20 dully attested by the Notary Public/Oath Commissioner as and when asked by the office i.e. after approval
of their application for grant of scholarship.

Only those applicants may apply who are: -


1. Facing acute financial hardship to continue their studies.
2. Having good academic record in last Board/University exam with minimum 70% marks (Matric) and 60% marks
(Inter, DAE and above). Minorities 60% marks (Matric) and 55% marks (Inter, DAE and above).
3. Bonafide students of Govt. institutes. However, students of intermediate class studying in a registered
private institutions may apply.
4. Not getting financial aid/scholarship from any other organization like PEEF, HEC, NGO etc.

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: -

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