APPLICATION FORM

SHAHEEN FELLOWSHIP SCHEME

BACHELOR / MASTER LEVEL COURSES

Photograph

1.

Applicants Name:____________________________________________________

2.

Date of Birth:________________Form B/CNIC_____________________________

3.

Particulars of Father / Mother, Rank, Name & Pak No: _______________________

__________________________________________________________________

4.

Date of Enrollment and Retirement_______________________________________

5.

Service Status (Serving / Retired) ______________________________________

(Attach a certificate from Base/Unit Adjt / O i/c P Sqn in case of serving
personnel as per the specimen and discharge certificate/pen-1 in case of
retired personnel)

6.

Reason for retirement / discharge_______________________________________

7.

Applicants Postal Address:

House No:_____________ Street:__________ Sector/ Mohalla:________________
City:_______________Tehsil:_________________District:____________________
P O Box No _____________
Tel/Cell No ______________ E-mail______________ Fax No

8.
S
No

_______________

Particulars of Parents, Brothers & Sisters

Name

Age

Sex
F/M

Relation
ship

Profession

Studying
Class

Married
Yes/No

Depen
dent
Yes/No

9.

Name of Discipline and Institution where studying: __________________________

__________________________________________________________________

10.

Marks Obtained
(Attach duly attested Detailed Marks Sheets)

Qualification

Institution

Present
Discipline

Year

Total
Marks

Marks
Obtained

% age

SSC
HSSC
BACHELOR
DEGREE

11.

Date of Admission: ___________ Date of Commencement of Course: _________

12.
Course Duration: ________ Years _____ Months.
No of Semesters________
(Attach certificate of admission from the Head of the Institution as per the specimen)
13.
I, _____________________________ S/O, D/O____________________________
am not employed any where. I am fully dependant on my parents and not drawing any
scholarship / stipend from any Institution of Defence Forces. I declare that the above
mentioned information are correct to best of my knowledge. I further undertake that if later
on any information is found incorrect. I will be held liable for the refund of scholarship
received alongwith and any penalty that might be imposed by Shaheen Foundation.

Date: _______________

14.

_____________________
Applicants Signature

Countersigned by Father/Guardian:

Date: ________________

Signature _________________________

CERTIFICATE BY BASE/UNIT ADJ/O I/C P SQN

(ONLY FOR SERVING)

This is to certify that Mr / Miss __________________________________________

a

candidate

for

the

award

Rank____________________

of

Shaheen

Fellowship

is

the

Son/Daughter

of

Name________________________________________

Pak No _____________________ Branch/Trade ______________________________

who is posted to Unit / PAF Base_________ ____________________________________

Date: ___________________

Signature, Name, Rank & Official Stamp

COUNTERSIGNED BY BASE EDUCATION OFFICER OR OC PAF I&SC

Date: ___________________

Signature:________________________
(Name, Rank & Official Stamp)

Note: In order to obtain countersignature from the Base Education Officer / OC PAF
I & SC, it is essential to produce original documents / certificates to him.

CERTIFICATE OF ADMISSION
It is certified that Mr / Miss ____________________________________________
Son/Daughter of___________________________________________________________
has been granted admission in (Faculty)________________________________________
in (Name of Institution) _____________________________________________________
which is affiliated to (Name of University)_____________________________ in Pakistan.
(a)

His date of admission is ________________________________________

(b)

Registration No. ______________________________________________

(c)

Course commenced on _________________________________________

(d)

course duration is __________years (comprising of _______ semesters) and

likely date of completion is _________________.

FEE STRUCTURE DETAILS ARE AS FOLLOWS:(a)

Admission fee

Rs ________ (Per annum/semester)

(b)

Registration fee

Rs ________ (Per annum/semester)

(c)

Lab / Library fee

Rs ________ (Per annum/semester)

(d)

Tuition fee

Rs ________ (Per annum/semester)

(e)

Examination fee

Rs ________ (Per annum/semester)

(f)

Computer fee

Rs ________ (Per annum/semester)

(g)

Medical fund

Rs ________ (Per annum/semester)

(h)

Sports fund

Rs ________ (Per annum/semester)

(j)

Hostel charges

Rs ________ (Per annum/semester)

(k)

Other / Misc charges

Rs ________ (Per annum/semester)

Total charges

Rs ________ (Per annum/semester)

Date: ________________

Signature & Stamp of

Head of the Institution
Telephone Nos____________
Fax Nos________________