1application Form
1application Form
1application Form
Semester:______________________________________________________________________
Father Name:___________________________________________________________________
CNIC.No._____________________________________________________________________
E-mail:________________________________________________________________________
Contact No.____________________________________________________________________
Address:______________________________________________________________________
Hostel / DayScholar:_____________________________________________________________
Average per month Gas Bill (put average of last six months):_____________________________
Average per month Electricity Bill (put average of last six months):_______________________
Average per month Water Bill (put average of last six months):___________________________
Average per month Telephone Bill (put average of last six months):_______________________
Size of House:__________________________________________________________________
Accommodation (Own/Rented):____________________________________________________
Refund of all the payment received and or a penalty equal to total scholarship amount.
2 Salary Certificate of
Father
Mother
Guardian
28A Total
Higher HEC Needs Based Scholarship Program (2023-24) Page 3 of 6
Education
Commission
32. Medical Expenditures: Average of last six months (Per Month Expenditure)
Total Family Expenditures
Education Accommodation Utilities Medical Misc. Total Monthly Total Annual
S# Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure
33
* If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and
the arrangements through which the differential gap is met by the family
Make Ownership
S# Transport Type Engine Capacity (CC) Registration No.
/Model Period
(Car/ Motor cycle/ Others*)
1
2
* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
Higher HEC Needs Based Scholarship Program (2023-24) Page 5 of 6
Education
Commission
Agricultural
Employer/Govt Scheme
39. Assets worth (Current Market Value in Pak. Rs.)
S# Assets Title Father Mother Spouse Self Guardian Total
1 House
2 Business
3 Land & Building
4 Bank Balance
5 Stocks/Prize bond
6 Others/ Cattle(s)
40. Total
41. Loan taken for Applicant Education
* Family/ Friend Loan
(Specify details of loan taken and relationship with the relative / friend)
45. Per month fee/ tuition charges of the institution last attended
46. Have you ever got any other Scholarships: Yes No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
UNDERTAKING
1. The information given in this application are 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 institute will stop further assistance and the student will have to
refund all payment received and or penalty equal to total scholarship amount.
2. HEC reserves the right to use information given in this form for verification and other purposes.
Date: Parents / Guardian Signature Applicant Signature: