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SCHOLARSHIP FORM (ORPHAN BASED)

Degree Title / Program: ____________________________________________

1. Applicant’s Name: __________________________________________

2. Father’s Name: ____________________________________________

3. Gender: Male Female

4. Roll Number:___________________________________________________

5. Contact No.: _____________________ Email: _______________________

6. GPA of the last semester:___________ Over All CGPA:______________________

7. Number of Family Members: _______________________________________

Detail of Family Members:

Sr. No Name Relationship Material Status

8. Source of income:

_____________________________________________________________________

_____________________________________________________________________
SCHOLARSHIP FORM (ORPHAN BASED)

Check List of documents:

Copy of Student ID Card

Copy of Father’s Death Certificate


Issued by NADRA
Copy of Home Electricity Bill

UNDERTAKING
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 institution has the right to stop further assistance and the student
will have to refund all payment received and/or penalty equal to total scholarship amount.

Applicant’s Signature and Date:__________________________

For Office Use Only

Signature of the Head of Department: __________________________

Signature of the Dean/Director of Faculty: ________________________

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