SZABIST Need-Based Scholarship Application Form
Instructions:
1. Please fill in BLOCK LETTERS
2. In case of non-applicable field, please write “NA”. Photograph
3. Provide the required documents, mentioned on Pg. 4, for application
processing.
Fresh / Renewal, please specify % of fee waived off in case of renewal: __________________________
1. PERSONAL INFORMATION:
Name: _______________________________________________________________________________
(First) (Middle) (Last)
Father’s Name: ________________________________________ Alive/Deceased ________________
Guardian’s Name (if different from father): _________________________________________________
Relationship with Guardian: _____________________________________________________________
Father/Guardian’s Mobile #: _____________________________________________________________
Present Mailing Address: ________________________________________________________________
_____________________________________________________________________________________
Residence Phone #: ________________________ Applicant’s Mobile #: __________________________
Applicant’s Email Address: ______________________________________________________________
Applicant's Occupation: _________________________________________________________________
In case of employment, Designation and Organization: ________________________________________
Salary per month: ______________________________________________________________________
2. ACADEMIC INFORMATION:
Roll Number:
Degree Program and Semester:
Previous Semester’s GPA (for continuing students): CGPA:
1
Academic Qualifications
From To Grade/ Percentage/
Level of Study Institutions Name
(Year) (Year) Division CGPA
Master of Science (MSc.)
Masters
Bachelors
Intermediate/A-Levels
Matriculation/ O-Levels
3. FAMILY INFORMATION
Particulars of Immediate Family Members * (use extra sheet in case of additional members)
Salary/Business
Relationship Marital Institution/
Name Age Occupation Income/Pension
to Applicant Status Organization
per Annum
Total Income (a)
*Father, mother and siblings.
Other Sources of Income per Annum (Provide documentary evidence for each source of income)
Relation with Profit from Rental Agricultural
Others Total Income
Family Member Saving/Investments Income Income
Total Income (b)
TOTAL INCOME (a+b) Rs:
2
Family Expenditures per Month (Provide documentary evidence)
Last Month’s Expense
Type of Expenditure
(Rs.)
Accommodation Expenditure (if rented)
Utility Expenditure:
Electricity
Telephone
Mobile
Gas
Others
Details of Property (Provide documentary evidence)
Area Current Value
Asset Title Exact Location
( In Acres/Sq. Yards) (Rs.)
Bungalow / Apartment
Land / Plot
Commercial property
Agricultural Land
4. OTHER INFORMATION:
Details of financial assistance/scholarship/stipend received in the last three years.
Degree Type of Financial Amount
Academic Year Sponsoring Agency
Program Assistance/Scholarship received
UNDERTAKING
I, , hereby state that the above information is true to the best of my
knowledge and belief. I understand that any falsification of information may result in cancellation of the
scholarship, admission, or graduation. In such case, I shall be liable to refund the entire amount received
under the scholarship to SZABIST.
Signature of Father/Guardian Signature of Candidate
Date: ________________ Date: ______________
3
TERMS AND CONDITIONS
The scholarship will be terminated in the following conditions;
1. If the student fails to maintain minimum CGPA of 2.5.
2. If the student fails to maintain minimum 80% attendance in class (Maximum 3 absences for courses
of 3-hour duration and maximum 6 absences for courses with 1.5-hour duration)
3. If student is punished because of his / her involvement in violation of the institute’s rules, damage
to institute’s property, misbehavior with staff or students, or any other disciplinary violation.
DOCUMENTS TO BE SUBMITTED WITH THE FORM
Copy of CNIC of:
o Applicant
o Mother
o Father/Guardian
Copy of Domicile Certificate of Father and Mother/Guardian.
Copy of Student Identity Card for Current Students
Copy of SZABIST Admission Admit Card for Fall 2019 Entrants
Copy of SZABIST Tuition Fee Ledger Account for current students (This will be issued by the Finance
Department)
Copy of academic certificates of previous qualifications
Copy of Salary Slip/pension book of Father/ Guardian and all other working family members
In case, Father / Guardian/ or any other family member is a non-salaried person i.e. Business man
/ Landlord etc., provide;
o Bank Statement of last six (6) months of personal and business account.
o Copy of Income Assessment / Return of Income duly issued by Income Tax Department,
Government of Pakistan
Copy of accommodation/house documents
Copy of documentary evidences of investments/real estate/property owned by the family
Copies of last paid Utility Bills: Electricity, Gas, and Telephone
Death certificate (if / whenever applicable) of parents, siblings & spouse (if any)
Any other Document to strengthen Case
Note: Please submit the application form and the required documents in a file.
Incomplete application will not be considered for further processing.
