SZABIST Need-Based Scholarship Application Form

Instructions:

  1. Please fill in BLOCK LETTERS
  2. In case of non-applicable field, please write “NA”.
  3. Provide the required documents, mentioned on Pg. 4, for application processing.

1. PERSONAL INFORMATION:

2. ACADEMIC INFORMATION:

Academic Qualifications

Level of Study Institutions Name From (Year) To (Year) Grade/ Division Percentage/ CGPA
Master of Science (MSc.)
Masters
Bachelors
Intermediate/A-Levels
Matriculation/ O-Levels

3. FAMILY INFORMATION:

Particulars of Immediate Family Members * (use extra sheet in case of additional members)

Name Age Relationship Marital Status Occupation Institution/Organization Salary/Business Income/Pension per Annum
Total Income (a)

*Father, mother and siblings.

Particulars of Immediate Family Members * (use extra sheet in case of additional members)

Relation with Family Member Profit from Saving/Investments Rental Income Agricultural Income Others Total Income
Total Income (b)

Family Expenditures per Month (Provide documentary evidence)

Type of Expenditure Last Month’s Expense (Rs.)
Accommodation Expenditure (if rented)
Utility Expenditure
• Electricity
• Telephone
• Mobile
• Gas
• Others

Details of Property (Provide documentary evidence)

Asset Title Exact Location Area ( In Acres/Sq. Yards) Current Value (Rs.)
Bungalow / Apartment
Land / Plot
Commercial property
Agricultural Land

4. OTHER INFORMATION:

Details of financial assistance/scholarship/stipend received in the last three years.

Degree Program Academic Year Type of Financial Assistance/Scholarship Amount received Sponsoring Agency

UNDERTAKING










TERMS AND CONDITIONS

The scholarship will be terminated in the following conditions;

  1. If the student fails to maintain minimum CGPA of 2.5.
  2. If the student fails to maintain minimum 80% attendance in class.
  3. If student is punished because of his / her involvement in violation of the institute’s rules, damage to institute’s property, misbehavior with staff or students, or any other disciplinary violation.

DOCUMENTS TO BE SUBMITTED WITH THE FORM


Note: Please submit the application form and the required documents in a file. Incomplete application will not be considered for further processing.