Pakistan Engineering Council

Need-cum-Merit Based Scholarship Application Form

(Please fill in Block Letters)

1. Name of the University/ Campus: ______________________________________________

2. Title of Undergraduate Engineering Program: ___________________________________
3. Year of Enrollment/ Admission: ________________________________________
4. Current Semester: ___________________________________________________
5. Applicant Name: ___________________________________________________
6. Applicant CNIC: - -

7. Marital Status: Single Married Divorced

8. Date of Birth: ___________________________________________________
9. Domicile:
a. District: __________________________ b. Province: ________________________
10. Applicant Educational Record:

Sr. Education Level Name and Location Fee (Annual/ Duration Division/
of Institution Semester) of Studies %age
1. SSC or Equivalent
2. HSSC or Equivalent

11. Have you ever availed any other Scholarship: Yes: No:
(If yes, fill the details in table below)

Sr. Institution Name Scholarship Educational Year of Amount of

Name Level Award Scholarship
i.
ii.

12. Postal Address: ___________________________________________________

___________________________________________________
13. Contact Information:
a. Email: _________________________ b. Mobile Number: ____________________
14. Brother, Sister Studying:

Sr. Name Relationship Name and Address of Fee per

with Applicant Institute Month
1.
2.
3.

Total Fee & Tuition Charges

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15. Father Name: _____________________________________________________
16. Father CNIC: - -

17. Status: Alive Deceased

18. Professional Status: Employed Retired Business Owner
19. Name of Employer: _____________________________________________________
20. Designation & Grade: _____________________________________________________
21. Guardian Name & CNIC (If applicable): __________________________________________
22. Detail of Family Income:

Sr. Income Source Monthly Income Yearly Income

(PKR) (PKR)
i. Salary/ Pension (Father/ Mother/ Brother/ Sister etc.)
ii. Business/ Stocks etc.
iii. Property Rent/ Land Lease/ Plots (Residential/
Commercial/ Agricultural etc.)
iv. Bank Deposit(s)/ Shares/ Securities
v. Owned Vehicle/ Agricultural Machinery etc.
vi. Live Stock (Cattle/ Dairy/ Poultry etc.)
vii. Other (Specify)
Total (PKR)
Gross Total (PKR)

23. Detail of Family Expenditure:

Sr. Expenditure Name Monthly Expenditure Yearly Expenditure

(PKR) (PKR)
i. Accommodation (Rented/ Leased/ Hired)
ii. Education (School/ College/ University etc.)
iii. Utilities (Electricity/ Gas/ Telephone/
Internet etc.)
iv. Medical
v. Vehicle/ Agricultural Machinery (Fuel/
Maintenance etc.)
vi. Live Stock (Cattle/ Dairy/ Poultry etc.)
vii. Other (Specify)
Total (PKR)
Gross Total (PKR)

24. Balance of Income and Expenditures:

Sr. Duration Net Income Net Expenditure Difference (PKR)

i. Monthly
ii. Yearly

25. Applicant’s Statement of Purpose (Explain your suitability for this scholarship):

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26. Required Attachments (attested copies only):

Sr. Document Description Tick the Relevant

i. Applicant’s Domicile
ii. Applicant’s CNIC/ Form-B
iii. CNIC of Father/ Guardian
iv. Evidence of Father/ Guardian monthly salary/ pension
v. Last month Utility Bills (Electricity/ Gas/ Telephone etc.)
vi. Rent/ Lease Agreement (if applicable)
vii. Latest tuition fee receipts of Applicant and siblings
viii. Medical bills/ expenditure (if applicable)
ix. Previous scholarship(s) availed (if applicable)
x. Educational Transcripts (SSC/ HSSC etc.)
xi. Applicant’s admission letter in HEI

I hereby submit that the above documents are attached with “PEC Need-cum-Merit Based
Scholarship Application Form” and the information provided is true to the best of my
knowledge.

Name of Applicant: ______________________ Signature: __________________

27. Undertaking by Applicant:

I, Mr. / Ms. ______________________ s/d/o Mr. ________________________ do hereby

solemnly affirm that:

i. 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 scholarship, Pakistan Engineering Council (PEC) will stop further assistance
and I will have to refund all payment received and or penalty equal to total
scholarship amount.

ii. PEC reserves the right to use information given in this form for verification and other
purposes.

Applicant Name: ________________ Father/ Guardian Name: _______________

CNIC: _________________________ CNIC: ______________________________

Signature: ______________________ Signature: ___________________________

Dated:

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28. Certification by the Concerned HEI:

a. It is certified that the above information provided by the applicant is true and the same
has been duly checked/ verified by this HEI. It is further certified that the applicant is not
availing any other Need-based scholarship/ financial assistance from this HEI/ HEC or
any other source through the HEI system.

b. Are the applicants’ documents in order? Yes: No:

c. Comments of HoD/ Dean/ Registrar/ Campus Director:

d. Applicant’ s Performance Appraisal by the HEI (Not applicable for First semester students):

Sr. Semester Scored GPA Remarks by PEC Scholarship

(out of 4.0) Committee
i. Semester – I

ii. Semester – II

iii. Semester – III

iv. Semester – IV

v. Semester – V

vi. Semester – VI

vii. Semester – VII

viii. Semester – VIII

e. Certified by:
HoD/ Dean: Registrar/ Campus Director
Name: ______________________ Name: ________________________

____________________________ ______________________________
Signature with official seal/ stamp Signature with official seal/ stamp

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29. For PEC Use Only:

a. Assessment by PEC Scholarship Committee as per Approved Criteria:

b. Recommendations of PEC Scholarship Committee:

i. Recommended:

ii. Not-Recommended:

iii. Deferred (incomplete):

_________________________
Signature of Convener /
Authorized Member
Dated: _______________

c. Approval by PEC Competent Authority (on the selected students list):

d. PEC Accounts and Finance Department:

Applicant Name:
Applicant HEI/ Campus:
Program Name:
Year of Scholarship:
Amount Disbursed (PKR):
Cheque No:
Cheque Issuance Date:
Drawn on Bank / Bank Name:
Ledger Number:

Deputy Manager/ Head (Finance & Accounts)

Dated: _________________________

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