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Qarz e Hasna (Interest Free Loan) Application

Form and Guideline

THIS APPLICATION FORM MUST BE FILLED BY THE CANDIDATE

(APPLICANT) HIMSELF / HERSELF

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THIS APPLICATION FORM MUST BE FILLED BY THE CANDIDATE (APPLICANT)

HIMSELF / HERSELF
NO APPLICATION WILL BE ENTERTAINED WITHOUT THE FOLLOWING
DOCUMENTS
1) Two (02) Recent passport size photographs
2) Copy of CNIC
Self / B-Form (if CNIC not applicable)
Parents / Guardian
Spouse
Siblings / B-Form (if CNIC not applicable)
3) Domicile certificate (Self)
4) Admission letter (for new admission)
5) Photocopies of all Educational Certificates / Degrees
6) Copies of last and latest (unpaid) fee vouchers / receipts of self and Siblings
7) Copy of latest unpaid fee vouch / fee ledger
8) Updated resume (C.V) self
9) Income Certificate / Pay-slip / Pension Book – Slip (if Applicable)
Self
Parents / Guardian
Spouse
Siblings
10) Income tax return of all family members
11) Bank statement of last six (06) months (latest) of all family members having an account
12) Photocopies of latest three (03) months paid utilities bills
Electricity
Gas
Telephone
Water
13) Copy of Rent / Tenancy Agreement (if applicable)
14) Death certificate (if / whenever applicable) of parents, siblings & spouse (if any)
15) Statement of purpose (SOP)* in life
*SOP means:
 What the applicant wants to do in his/her life
 What ambitions you have, what special you have done in the past
 What peculiar and special qualities and personal attributes you posses which makes you
eligible for Ihsan Trust’s Qarz e Hasna (Interest Free Loan) scheme
 What plans you have for your country Pakistan to make it a better place to live
Note:-
Kindly do not mention the financial position and / or requirements at all in the statement of purpose.

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Do’s:
 THIS APPLICATION FORM MUST BE FILLED BY THE CANDIDATE (APPLICANT)
HIMSELF / HERSELF
 The applicant must visit and LIKE the Ihsan Trust facebook page
www.facebook.com/ihsantrust and Ihsan Trust website www.ihsantrust.org before
interview.
 Incomplete Forms or Forms without supporting documents shall not be considered.
 Submit your application form to your university’s Focal Person / Financial Aid
Officer only.
 Put all documents in right order as per above (1 to 15).
 Do consult with parent(s) / guardian(s) for financial data accuracy & reliability.
 For the information not present/relevant in the application form write in capital
letter N/A.

Do Not:
 Provide False / unclear / incomplete information.
 Provide expired CNIC of Self, parents / guardian and siblings.
 Send the application form directly to Ihsan Trust.

(Please attach additional sheet if required to mention any additional detail regarding the
fields present in the form).

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Ihsan Trust (IT)

Colored
S No: _________ Qarz e Hasna (Interest Free Loan) Application form Photo
(To be filled by IT) Applicant’s personal and family information

Date: ______________

Name of the applicant: _________________________________________Father’s Name: __________________________________

Applicant’s CNIC no. - - Date of Birth: D D M M Y Y Y Y

University/Institute Name: _______________________________ Reg. No.: ________________ Program: ______________________

Marital Status: Single Married Res PTCL: ______________________________ Cell No: ________________________

Present address: ______________________________________________________________________________________________

Permanent address: ___________________________________________________________________________________________

Email Address: ______________________________________ Current Semester: ___________ Total No. of Semester: ____________

Examination structure : Semester / Yearly

Parent’s information

Father / Guardian Mother Spouse (if any)

Name

CNIC no.
Residential address
(if different)
Email

Occupation

Designation
Name of the
Organization
Monthly income

Pension (if retired)

Cell no.

Explain in detail, why are you applying for the Interest free Loan from Ihsan trust?
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

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Family member’s details:

Marital Institute /
S. No Name of Family Member Relationship Age Cell No Occupation
Status Office
1
2
3
4

6
7
8

Academic qualifications:

Degree School / Institute Grade Passing Year

Metric / O-Level

Intermediate / A-Level

Bachelors

Masters

Other Qualification

Examinations to be taken in your Current Program

S. No Examination/Level Month/Year

Which other college/universities did you apply to? Where did you get accepted? Why did you choose to attend this one?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

What are your academic plans for the future?

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

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What are your long term personal aspirations?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

What are your aspirations for your career?

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Financial Appraisal

Who has paid your school or college fee up till now? How much that has been (per annum)?
Father Mother Guardian Other (specify)

Have your general financial conditions changed in the recent years? Or are there any reasons to believe that they may change
in the days to come?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Are any of the family members beside father/mother/guardian supporting your educational expense at this institute? If yes,
then please state the amount contributed and your relationship with that person. Rs. _________________________________.

Per Semester Fee: _____________________ Outstanding Fee (if any):____________________________ (provide fee summary)

How you would be able to return the amount to IT enabling it to provide similar facilities to other applicants?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

What alternate arrangements have you made or are able to make in case Financial Assistance is not approved?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Please state the tentative requirement of the cost and the contribution desired from IT

S. No Month / Year Total Cost Own Source Request from Loan

1
2
3
4
5
6

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Financial assistance previously received (if any)

Name of organization Type of assistance Amount applied for Amount received

Details of employment prior to admission: (if applicable)

Name of the Organization: ____________________________________________________________________________________

Designation: ____________________________________________ Experience in years: __________________________________

Salary per month during the program (Rs.): ________________Other benefits: __________________________________________
(Please attach a salary slip of the last drawn salary)

Status of the job during the program: Working: On leave with pay: On leave without pay: Resigned:

Did you ask the organization to sponsor your educational expense for this program? If yes,
outcome amount Rs. __________________________
If resigned, Date of resignation___________________________ Commutation received: ___________________________

Description In the name of Name of the bank Balance in hand Total

Bank Accounts
(for all family
members)

Cash in hand
(Please note that the bank statement should be for full year and should be latest)

Please mention the expenditure of transportation for the family which will include Public transport and private transport (please
specify the expenditure)
________________________________________________________________________________________________________
________________________________________________________________________________________________________

Have you or any of your family members been oversees in the last two years? If yes, then please specify the amount spent your
relationship with that person and sponsoring agency (if any).
________________________________________________________________________________________________________
________________________________________________________________________________________________________

Monthly household Ration expenditure (please specify):

________________________________________________________________________________________________________
________________________________________________________________________________________________________

Medical expense (please specifies and attaches medical certificates):

________________________________________________________________________________________________________
________________________________________________________________________________________________________

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Details of Income

Main sources of Income:

S. No Type Income sources (Rs.) Father Mother Spouse Self Other Total

1 Salary

2 Allowances

3 Annual Bonus

4 Leave encashment

5 Assistance for travel

Salary Income
Other
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( Please specify)
7 Total Gross Salary

Less deductions

8 Income tax

9 Provident fund

10 Loan(s)
Other
11 Salary deductions (please specify)
12 Total deductions

Net Salary

13 Pension

14 Annual Income
Less annual
15
expense
Business
16 Income/Agriculture Agriculture Income
Income Total business
17
Income

18 Bank deposit

19 From house property

From business
20
property
21 Shares/securities
Other Income
22 Others (specify)

Total (Rs.)

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Details of expenditure
Family members studying:

Fee per Private Boarding

Stationary
Name Relationship Name of institution (if studying) month Tuitions and
expenditure
(Rs.) fee lodging

House Detail: Owned Rental

Please mention details of your rental expenditure (if any)

Size of the house (yards) Monthly rent (Rs.) Deposit/Advance (Rs.) Yearly expenditure

Utility Expenditure (Rs.)

Last 3 months
Month Telephone Electricity Gas Water Total

Other expenditure (if any):

Legal expenditure Loan Repayment Donation Payment of Insurance

(please specify) premium (please mention
the thing insured)

Total family expenditure – Monthly (Rs.)

(a)Total (b)Total rental (C)Total (d)Ration (e)Medical (f)Total (g)Total other

Education expenditure transportation Expenditure Expenditure Utilities expenditure
Expenditure expenditure (if any) Expenditure
(average of 3
months)

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Total family expenditure (monthly): __________________

Description Amount (Rs.) Description Amount (Rs.)

Total monthly income Total yearly income

Total monthly expenditure Total yearly expenditure
Net monthly disposable income Net annual disposable income

If the net annual disposable income is in negative then please state the source you use to meet your needs.
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Details of Asset / Property (please mention the current market value in Rs.)
House Hold Items
Description Yes/No Quantity Current Value (Rs.) Registration No.

Air Condition

Car

Motor Cycle

Television

Computer/Laptop

Total value of property owned (Rs.):

Value of asset Father Mother Spouse Self Brother/Sister/children Total

Business

Land and building

Vehicles
Saving a/c and
deposits
Shares/securities

Others

Total

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Instructions
Kindly read the points below and reproduce it on the next page attached in your own
hand writing (Extra sheet can be attached if needed).

UNDERTAKING
a) We understand that the approval of the above facility will be evaluated by the IT on
“Need‐cum‐Merit” basis, and on the availability of the resources. Decision of the IT will be final.

b) We undertake that the applicant will try his level best, never to work for any organization which is
involved in spreading/promoting Interest/Usury and will always strive to promote Islamic Banking
and Finance.

c) We believes in the unity and oneness of Almighty Allah, in the absolute and unqualified finality of
the Prophet hood of Muhammad (peace be upon him), the last of the prophets, and do not
believe in, or recognize as a prophet or religious reformer, any person who claimed or claims to be
a prophet, in any sense of the word or of any description whatsoever, after Muhammad (Peace be
upon him).

d) The information given in this application is complete and true to the best of our knowledge and
we understand that any incorrect information will result in the cancellation of this application.
Further, if any information given in this application is found incorrect or false after grant of
financial assistance, IT will stop further aid.

e) If the student is awarded any other financial aid (scholarship) during the tenure of Interest free
Loan, we will immediately inform IT about it.

f) We will always choose Islamic Banking and Finance over conventional banking and will not
support any sort of interest-based transactions.

g) We will never knowingly and willingly get involved in any sort of exploitation, cheating, gambling,
fraud or any other unethical behavior whatsoever, classified as such by societal or Islamic
standards, whether in our personal life or professional life.

h) We will strive to work towards the betterment of the society, our beloved country Pakistan and of
the Muslim Ummah as a whole to the best of our ability.

i) We will uphold moral and ethical values and follow the code of conduct in the university,
workplace, and at home, according to societal and Islamic standards.

j) We will be fair, honest, and kind in dealings with peers including, but not limited to, family,
relatives, friends, neighbors, colleagues, and people working us.

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k) We will be supportive of fellow Muslims who need our help, and do our best to help them out
with their needs in whatever way we can.

l) We will always strive to learn, understand and implement more religion in our lives in order to
lead a balanced and blessed lifestyle.

m) We will not support any organization, cause, movement, or idea that is against the principles of
Shari’ah and Sunnah.

n) We will always support and help our beloved country Pakistan and will never ever speak, act or
work against it.

o) We will always remain goodwill ambassadors of Ihsan Trust and will always support it in achieving
its (Ihsan Trust’s) goals.

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Applicant’s Signature Father’s / Guardian’s Signature

Mother’s Signature Spouse (if any)

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