92472018 Diya Pak- Online Application Fore QO, d2 Paesten, ‘Scholarship Application Form: WARNING: Any falsification / withholding of required information and Alteration / forging of documents will render you permanently disqualified for scholarship. Before filling and submitting form, make sure that you have all relevant information. After submission, you will not be able to re-submit the form. If you unable provide required information, ‘explain in "Other Information/Clarification Box” at the end. Incomplete application will not be accepted. Use Tab Key to move to next field Name: # NICNo: # Father's . . ‘Name: Father's CNIC No: Mater Mothers ENICNo; Soir (oeemberioow YN ener Male © Female Phone eto Permanent Address fear govt boys high school camanent Katan thuzdar inear gove Says Nigh school ‘Address kathan knuzdar aren: spans Sae Omias © Dinbled @ Desig Relgon: jpian istic fw ‘Orphan's Only: Mention year of Father's deat (| sale Ony Inet natare of abi" | ‘re you afi ura Ye 0% ‘eco elie for Zaha? @ Ye ONe 2. COURSE DETAILS [Name of University / College: # echt Univers of Engnerng & Tetnology Kuz * Course Title: 8& ’ Discipline Mechanical . r Roll pp Regsratin No: BUETKNEDD Starts Fepnay2017 [ESI wi complete On: 4 Programme /Course Duration Type: * © Year ® Semester Currently Envoled in Year /Semester: [Select eur) 4h Semesiar Mode of Adis (Open Merit © Reserved Seas © Self Finance 3. ACADEMIC RECORD Examination Year Marks Obtained Total Marks Percentage Matriculation oie |= |e Jee ] Termedinte 2576 | 00 | 00 |e IL 1] Bachelors | I I I I ] ] htpsswwwdiyapak orgats/applicalionform/RegForm php2isys_idYo= baseS4_encode(%27%27)%43E 7aranore Diya Pak- Online Application Fore Current Academic Performance Provide complete details of ll examinations that have bees administered by your university / college so far, including examinations for which ‘the reslt has not been declared yet. Examiniation Level Exam Conduct On Result DeclareOn Percentage /GPA Semest June 2007 FE Bi dine 2017 Fal a7e 2-Semester 71 December 2017 Ea] 29 December 2017 EE] 78 Semester 25 June 2018 Hal toy 2018 Ele a & i=] = a ral el Fal 4. GUARDIAN DETAILS, Name: # —_[ainawe NIC No: # sraoa7s068e-7 Relationship Earning Type with Father * (Salaried, means have fixed © Salaried © Non-Salaried Applicant: ‘monthly income) Reason why father is not your guardia [For Non-Salaried [Gaurdian (Have no fixed [For Salaried |a.e xed monthly income) enon income) fvnat exactly your guardian is living (Guardian [Yoh Type: + | Sect Jou tye" __ ther Occupation aot lob Status: * ‘Retired above: + (Grade: © Select Grade [Does your guardian own |v. a ng [Desigaation: « nd [Land Area (acres [Occupation ® abou ac tails (Type & Location): le Mothly Income (Salary / Pension / Others): ae How many brothers and sisters do you have? (write zer0 (0) ‘you are only child) t Do you have any other source of income?: 4 Yer © Now Detail of other source of income with amount: & ‘5, EDUCATIONAL EXPENDITURE, ‘Current Expenses on Education + Yearly Tuition Fee Yearly Hostel Fee fsi40 S000 ‘8000 ow Total Expenses Sources of Educational Financing other than Guardian's Monthly Income Loan from Relatives / Friends / Organization fe Remissiow/Discount from College / Universi oo ‘Are you receiving scholarship from another organization? + Yes ® No ‘Total Amount of Scholarship: [Name of Donor / Organi ‘Type of scholarship: One-time Monthly Yearly htpsswww diyapak orgats/applicationform/RagForm php2isys_idYo=.baseS4_encode(%27%27)%43E 21692472018 Diya Pak- Online Application Fore ‘Tuition Fee & other Expenses of Institutes Previously Attended 4 siteName Tne ary Expeass Sesesip/Remision Ava Institute Intitute Type ‘Yearly Expe nip / Ren MarR ferel"Eat” © © Gow. © Pivate Amu) fos eee fe 2 Yq_# No INTERMEDIATE: £5Y¢,0%,ce5re Govt. © Private Amomt "Note: For matriculation you should state the yearly expenses you had to incur in 10th cass only. lary, for Intermediate you should state the expenses of 2nd year oaly. In case of priv institutes provide fee challan, receipts or certificate from institute detailing fee structure. 6. HOUSEHOLD DETAILS Family House Type: > Howse Flat = Quarter Mud House Status: © Rented © Owned Provided by Govt /Onganization ‘Average Electricity Units from April to September: W___Jadd wits consumed of April to September and devide it by 6 Reference No Reference Number on bill, a ‘Consumer Name on Bi 0 Name on bill Relation to Applicant oo like Fater, House Owner ete Electricity Company Name c “hore no abevetty m ou ike IESCO, MEPCO, LESCO, HESCO ete Ifyou do n0t have bill explain below clarification box. Details of family members currently employed / retired (leave blank if not applicable) @ Name ‘Age Relation Designation Company ‘Monthly Income i I | Select ¥ [ I I ] i I | Select 7 | I I ] I | Select + | I I ] Details of family members currently engaged in business / commercial activity (leave blank if ot applicable) Name ‘Age Relation Type of Business Business Location Monthly Income [ IL | Select + | IL IL ] IL IL IL ] IL | Solect 7 | IL IL ] Details of Brothers and Sisters (Please write "ONLY-CHILD" in Name column below ifyou have no brothers and sisters) @ Name Age ‘Status Css, Name of estate Yearly Expenses iaayena a 1 ive (ee i ive Se i enya i 7 1 foment I a 1 ‘oy en | sews I 17. FAMILY ASSETS ‘Does the family own transport? > Yer No ‘Transport Type: Select Transport’ Make & Mode: [ Details of property owned bythe family: Property Type Area ‘Total Worth in Rupees Land /Prots:[ I htpssww-diyapak orglats/appliclion formiRagForm phpisys_i bhaso64_encodo(%27%27)%3E a6