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NUST Need Based Scholarship Form
NUST Need Based Scholarship Form
Page 1 of 10
Cancellation of admission.
Refund of all the payment received and or a penalty equal to total scholarship amount.
Definitions:
Family: Father, mother(s), brother(s), sisters(s).
Page 2 of 10
Description
Salary Certificate of
Father
Mother
Guardian
Ed
I
II
III
IV
u
c
a
Ed
DOs:
DO NOT:
NOTE:
Submit your application to the authorized office or focal person of your College/School/Centre.
u i
Place documents in right order as per above sections (1 to 9)
Put all amounts in Pak Rs.
c o
Do consult with parent(s)/guardian(s) for financial data accuracy & reliability
For the information not present/relevant write in capital letters N/A.
a
t a
i
o
In case of any omission/commission in providing incomplete/false information, NUST
reserves the
right to take disciplinary action which may result into cancellation of admission.
n R
a e
l
Page 3 of 10
Section A:
Applicant Personal and Family Information
1.
2.
3.
Applicant NADRA
NIC No.
4.
Marital Status
5.
Female
Single
(dd/mm/yy)
Married
Divorced
Domicile: __________District:___________Tehsil:____________
9.
* Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc.
13. Tel (Res.): _____________________
Mobile: ___________________________________
Alive
Deceased
( ___________(Mention date)
No*
Retired
Business Owner
Unemployed
________________________
Page 4 of 10
Contribution to family
S.No
Name
Relationship
1
2
3
28
Total
29. Details of Family Members Earning; including contribution from Brothers/sisters as per ser # 28.
S
#
Family Member
Name
Relationship
Family Member
occupation ***
Organization
Name
Designation
Monthly Pay/Earning
Gross
Remarks
Net
1
2
3
4
29
a. Total Monthly Family Income (add self income, if applicable) Pak Rupees
b. Total Annual Family Income (add self income, if applicable) Pak Rupees
*** Family Member Occupation classification
1.
2.
Private Job
3.
Agriculture/Farming
4.
Own Business (Self Employed) . Detail/ Nature of self business need to be filled in at remarks colum).
5.
Others.
S#
Name
Relation
with
applicant
1
2
3
4
5
6
30
Name &
Address
of
Institute
Institute
Type
(Public/P
rivate)
Tuition
Fee per
month
(A)
Type
Percentage/
amount of
scholarship
(if
applicable)
(B)
Tuition
fee
payable
per month
(C)
(A-B)=C
Misc
Educational
Expenses
(D)
Total
Educational
Expenses
(C+D)
Page 5 of 10
Income Source
Property Rent
Land Lease
Bank Deposits*
Shares / Securities*
Other (Specify)
31
Total
Father
Mother
Spouse
Self
Other
Total
* For sources with annual income returns, kindly report the monthly income earned
Relationship
Monthly Income
from Assets
(Section A, Ser. 31)
Monthly Gross
Pay/Earning
1
2
3
4
5
32-A
32-B
FAMILY EXPENDITURES
33. Accommodation Expenditures (Please tick the relevant boxes)
Type: Bungalow
Apartment /Flat
Town House
Status: Rented
Employer/Govt
Village House
Employer/Govt Owner
Other
Yes
No
Monthly Net
(Take home)
Pay/Earning
S#
Accommodation
Page 6 of 10
Location/Address
Number of Air
Accommodation
Accommodation
conditioners
Monthly Rent
Annual Rent
1-2
1-2
2-4
2-4
4-6
4-6
6-8
6-8
Above 8
Above 8
33
Gas
Water
S
#
Electricity
Gas
Water
Telephone
Total
1
35. Monthly Food /Kitchen Expenditures: _______________________________________
36. Medical Expenditures: Average of last six months (Per Month Expenditure)___________
37. Travelling/ Miscellaneous Expenditures
Average of last six months (Per Month Expenditure) _______________________________
Tuition Fee
________________
Yes
No
Hostel dues_________________
Food
________________
(if living in hostel)
Misc
Total
________________
_________Rs/month
S#
Education
Expenditure
(Ser. 30)
Accommodation
Expenditure
(Ser. 33)
Utilities
Expenditure
(Ser. 34)
Food
Expenditure
(Ser. 35)
Medical
Expenditure
(Ser. 36)
Misc.
Expenditure
(Ser. 37)
Self
Expenditure
(Ser. 38)
39
Ser. No.
Description
(Ser.32-A)
(Ser. 39-A)
40
(32.A 39.A)
Ser. No.
(Ser.32-B)
(Ser. 39-B)
41
(32.B 39.B)
Total Expenditure
Monthly
(39.A)
Annual
(39.B)
Page 7 of 10
* 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
Section B:
Cumulative information of Self, Parents and guardian Assets
Yes
No
Transport Type
Make/Model
Engine Capacity
Registration No.
(CC)
Ownership
period
1
2
3
4
*Others: Include tractor, rickshaw, bicycle, motorcycle, cartage pick, truck, cart etc.
Qty
Size
Location (Address)
Cultivable Area
Agricultural
Yield per Aere
Residential
Commercial
Agricultural
Employer/Govt
Scheme
Page 8 of 10
Assets Title
Father
House
Business
Land Building
Bank Balance
Stocks/Prize bond
Vehicle/cattle(s)/Others
50
Total
Mother
Spouse
Guardian
Total
Section C:
Financial arrangements for current year
46. Fund availability for Applicant Education (per annum in Pak Rupees)
S.#
Assets Title
Salary/Earnings
Family/
Father
Mother
Spouse
Guardian
Total
Friend
Bank Loan
Other (specify)
51
Total
47. Have you approached any other agency for assistance for your education i.e. banks, NGO, guardian/employer etc.
Agency
Outcome
____________________
___________________________
_______________________
____________________
___________________________
_______________________
____________________
___________________________
_______________________
48.
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________________________________
Page 9 of 10
Section D:
49. Applicant Educational Record
Level of Study
Per Month
Fee
To- From
month/ yr.
Division/
GPA/
Grade
%age /
CGPA
Masters
Bachelors
Intermediate
Secondary
50. Have you ever been awarded any other scholarship before:
Yes
No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
S#
Name of Institute
Scholarship
Name
Total
Scholarship
Amount
Total
Scholarship
Period
1
2
3
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________
45. UNDERTAKING
1.
The information given in this application is 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.
NUST reserves the right to use information given in this form for verification and other purposes.
3.
In case of any omission/commission in providing incomplete/false information, NUST reserve the right to take disciplinary action
which may result into cancellation of admission.
Date:
Date:
Recommendation @
______________
Date
@
__________________
College/School/Centre
_______________________________
Signature of DG/Comdt/Dean
Only those application forms are to be forwarded to Main office NUST, which are recommended for
further consideration alongwith filled data sheet. However, summary of no. of Students applied and
students recommended be given at the top of the Data Sheet, as provided therein.