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3 GOVERNMENT OF PAKISTAN 4, Kiayabanre-Toher semabed (O51 910134) BONAFIDE CERTIFICATE FOR PROVISION OF EDUCATION ASSISTANCE TO THE POOR DESERVING STUDENTS STUDYING IN G NMENT INSTITUTIONS 1. University/College/Institute Name: 2). Degree & Subject: (i, Present Semester or Yes From t.] (Gi), Duration of Present Semester or Year: [Month Year Month Year 3. (). Student Name: (i). Student's CNIC: (cine Pats) ‘Only Tess than 18 years, enclose form B) i), Rol No: (iv). Registration No: (). Father/Mother/Guardian Name: (Wi). CNIC: (vi, Father/Mother/Guardian Occupation: (vill), Home Address: Sz Paricalars Amount (Re) Tare [1 [Aamission fee (Only 1” Semester or Yeu Tuition fee Examination fee Registration fee (Only 1” Semester or Year) Library fee (Non refundable only) ‘Total Amount (in figures): (in words): 4-(). I is certified that above dues are NOT PALD by the student. (Only 1* Year / * Semester deposited fee will be reimbursed by Pakistan Bait-ul-Mal to the student on provision of paid receipt.) (i, All remaining Semesters/Years dues will be paid by PBM to the institution. Fee will not be reimbursed to the student by the institution, (it. Ieis also certified that student's Father/Mother/Guardian is NOT GOVERNMENT EMPLOYEE. (i) It is verified that information provided above is correct. In ease of any mis-statement/mis-declaration, the institution will be liable to refund the amount to Pakistan Bait-ul-Mal at any stage, HEAD OF INSTITUTION "Name and Signature with Stamp (Only for student residing in College / University Hostel 5. The Above named student is residing in Room No. of Hostel since His / Her hostel dues (excluding meal charges) per mv th are Rs, (in words) Hostel Warden (Concern ‘Name and Signature with Stamp IMPORTANT NOTE: 2) Bonafide certificate will not be entertained if any over writing / tempering / cutting is made. 2) Previous copies of academic degrees and result of last semester or Year must be enclosed. 3). Private and self finance/self sustained students are not eligible for education aosistance, 2 Applicants receiving financial assistance from any other government departmentiinstitution are not eli 5) All columns of this certificate MUST be properly filled. “PAKISTAN BAIT UL MAL CERTIFI This is to certify applicant Mr Ms Registration No, Head of Instity Name and signature tion with Stamp reusing PAKISTAN BAIT-UL-MALL DATA OF STUDENT ‘S FAMILY FOR ED UCATION STIPEND PERSOANL S/o, D/o { (1) Applieation 's name (2) CNIC of Student (3) CNIC No, of Father /mother (43 Complete Address (permanent), (5) Complete Address (present ). a (6) Contact No, Ac (7) Application & his “her family detail; Marital Relationship Qualification [Muslin | Momhly Status With 7Non Income | Application Muslim Rs. | j —+— [i | 1 | (8) Finaneial assistance received trom any other Organization La a {i (9) Resident : Own On Rent Rs, atene (10) Whether there is any movable Zin Property in the name of application or his /her dependants: Yes ——No.____(11; propery owner name if Worth of property (12) Total monthly income of the Family (13, Documents Attached . fi} oy Dully Signed Application of he Student, . vas (ii) Dully Attachment CINIC of the Student , ul (iti) Dully Attested copy of CNIC of Father /mother ‘ ith (iv) Dully Attested Copies of academic certificates, ‘ j } Dated Signature of Student - —_—_______ Qpinion of the univ si (a4) In the light of above mentioned information Mr. .Mis is recommended for Educational _ assis tince Signature he Name ee . Stamp, si Note;- s f . awe Information given above by the student if found incorrect by the Investigation Officer PBM, student / be banned for any financial asistancte form PBM but university authorities will also initiate punitive geti/ against student as ber rules. 1, hereby certify that th a provided by me inthe application fisi Tie aware of eda ati assistance by Pakistan Qait-ul-Mal (PEM) is correct ,true and base on facts. Neither my pare ts a governiment einploy nor they are in sound financial position to bear expenses on my educat any stage, the information given by me regarding my shall be bound to refund the schol stern disciplinary action agai ince. al position is proved false, thovitica has the right to initia Jeacing to my expulsion from the University. Signature aad a Father Name Cell No Class /Semester | have read the text of the above certificate given by my son/daughter along with his /her’ appli ‘orm for scholarship by PBM which is corres, true and based on facts. Signature

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