KHWAJA FAREED UNIVERSITY OF ENGINEERING AND INFORMATION
TECHNOLOGY RAHIM YAR KHAN
Need Based Scholarships Application Form (For official use only)
Application No. ___________________
Degree Title / Program:___________________________________ Date:
1. Applicant/Student's Detail:
Applicant’s Name: ______________________________________Registration No. ___________
ÿ Applicant's CNIC No.
- -
ÿ Fee Challan No.______________________ Fee Paid (Rs):_____________ Dated:_____________
ÿ Present Address: ____________________________________________________________
ÿ Permanent Address: __________________________________________________________
ÿ Tel (Res.):______________________Mobile:___________________Email:___________________
2. Applicant/Student's Father/Guardian's Detail:
Father’s/Guardian’sName:_________________________CNIC. No_______-____________-__
ÿ Status: Alive Deceased
ÿ Professional status: Employed Retired Business Owner Farmer
ÿ Name of Company/ Employer : _______________________________________________________
ÿ Tel (Off): ________________________________Mobile: ______-___________________
ÿ Occupation Type:______________________ NTN ___________________________
ÿ Designation & Grade ( BPS/ SPS/ PTC etc):________ Gross Monthly Income: _________________
ÿ Total Net Monthly Take Home Income ( Salary/ Pension / Other):___________________________
ÿ Any Other Supporting Person:
Name:_____________________ Relationship:_______________
Occupation and Designation:_________________________________________________________
ÿ Monthly Financial Support Available to Applicant in Pak Rs. _______________________________
ÿ Total number of family members depending on Parents / Guardian
3. Detail of Family Members Earning (Take extra sheet if required):
Family Member
Sr. No. Family Member Monthly Gross
Relationship Occupation Organization Name Designation Remarks
Name Pay/Earning
(Specify)
1
2
3
4
5
A Total Monthly Family Income (add self-income, if applicable) Pak Rupees
B Total Annual income Pak Rupees
4. Brothers/Sisters/Children/Family Members studying:
Relation With
Sr. No. Name Applicant Name & Address of Institute Fee per month
1
2
3
4
5
6
A Total Fee per month
B Total Fee per annum
5. Family Expenditures Detail:
Accommodation Expenditures
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. _______________
Any other house/flat owned by Parents/Guardian (if yes please specify with location and
size)____________________________________________
B. Total Accommodation Rental Expenditures
C. Utilities Expenditures
Last Month Utilities Paid
Total
Telephone Electricity Gas Water
Total Family Expenditures
Education Accommodation Utilities Medical Misc. Total Monthly Total Annual
Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure
Description Monthly Annual
Total Income
Total Expenditure
Net Disposable Income*
* 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.
6. Applicant's Academic Detail:
Degree Name and Location of Per Semester/ To- From GPA/ CGPA/
Level of Study month/ yr.
Name Institute Month Fee Division %age
Bachelors
Intermediate
Secondary
21. Applicants Educational Record:
Have you ever got any other scholarship: Yes No No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
Class/ Level at
Total Total
Sr. No. Name of the Institute Scholarship Scholarship Scholarship which
Name Amount Period Scholarship was
granted
1
2
UNDERTAKING
1. The information given in this application are true to the best of my knowledge and I understand that any incorrect
information will result in the cancellation of this application. If any information given in this application is found
incorrect or false after grant of financial assistance, the institute will stop further assistance and the student will have to
refund all payment received and or penalty equal to total scholarship amount.
2. KFUEIT reserves the right to use information given in this form for verification and other purposes.
Parents / Guardian Signature: _________________________ Applicant Signature: ___________________________________
Date:__________________
For Official use only
Applicant Case Review Dates (i) ___________________ (ii) _________________________
Remarks:
__________________ ____________________________
Date
Signature President Scholarships
Committee
Check List:
a) CNIC / Form ‘B’ _
b) Affidavit of parents/ guardians Income /Pension Copy/Salary Slip
c) Photocopy of Fee Challan Form
d) Last month utilities bills (photocopies)
e) Detail Marks Sheet (photocopy)
f) Death certificate (in case of orphan)
Affidavit
I Mr./Mrs. _____________ having CNIC #: ________________ s/o,d/o Mr. __________
resident of________________________________________________ Father/Guardian of
Mr./Ms._________________ who is a student of _________department, Registration
No.__________, Semester__________, Khwaja Fareed University of Engineering and
Information Technology (KFUEIT), do hereby solemnly affirm you that I am a low income person
and my monthly income is Rs. __________ from all sources. In case of wrong statement I will be
liable for legal action from University. Signed this day of________________.
Signed by:
___________________________
Student’s Father/Guardian Name:
WITNESSES:
1. Signature: 2. Signature:
Name: Name:
CNIC. No. CNIC. No. _
Address: Address: ________________________
