Form No. 10. 14 12, 18, 14, 15, 16, 17, 18, 19. oe: Atested [Photograph HAMDARD PAKISTAN HAMDARD FOUNDATION PAKISTAN Hamdard Centre, Nazimabad No. 3, Karachi-74600, Pakistan Tel: 6616001-4, 6620045-49, Tolefax No. (92-21) 6811755, E-mail: hfp@hamdardfoundation.org APPLICATION FORM FOR HAKIM MOHAMMED SAID MEMORIAL SCHOLARSHIP Namie of the Student: =n aaa CTECEELEEEEEEEEEEEECEE [Guardian's Name: I Father's/Guardian's Profession: Name & Address of Father's/Guardian's Employer: Relationship with Guardian Date of Birth Sex National Identity Card No., if any (Photocopy to be attached) National Identity Card No. of Father/Guardian (Photocopy to be attached) and his age College or School/College Identity Cara No. (Photocopy to be attached), Present Address with Telephone No(s). Permanent Address with Telephone No(s). Is your house owned or rented: Name of the School from where the student matriculated Name of the College from where the student passed the Intermediate Examination Name of Institution where presently studying Class, Session & Group (Pre-Medical or Pre-Eng.) The dale of completion of present academic year “Contd.20. The date of completion of ‘entire course: 21. Programme after completing the couse 22. Present Monthiy/Annual fee (Documentary proof to be attached) 24._Academic Record Examination ‘Name of Board/University Year Marks | Grade | % 25. Are you getting scholarship from any other source? Give detail with amount: 26. Scholarship drawn previously {rom Hamdard, if any, give details year-wise 27. Scholarship drawn previsouly from Hamdard, if any, by your brother sisters.give details, year-wise, 28, Monthly income of Father! Guardian from all sourses (Documentary Proof to be attached): 29. Number of dependents on Father/Guardian with details of School! College going children: a 30, Any other relevant information: Signature of the Student Signature of Father/Guardian Date: Date: This form st Institute whi | cerify that the above information is correct: - Signature: Date: Name Designation: Tel No. Address: NB: i) Foi with incompletefincorrect information wil nat be con waved Il) The decision of selection committee with regard to acceptance of Application Form and awarding of scholarship will be final and unchallengeable