Scholarship Application Form Affix Photo
Scholarship Applied In:
1. SANA-FAME 2017
2. HEC Need Based Scholarships 2016-17
General & Applicant Information
University Name : Mehran University of Engineering & Technology
Applicant ID : SFAO/MUET/1255 Degree: Under Graduate University Reg No: 16CH55
Discipline: Engineering & Technology Sub- Discipline: BE Chemical Engineering
Program Duration: 4 Years
Name: Zafar Ali Gender: Male CNIC: 45208-7821784-7
Marital Status: Single Date of Birth: 1998-01-28 Age: 19
Nationality: Pakistani Birth Place City: Ranipur Birth Place Country: Pakistan
Domicile: Khairpur Telephone: Mobile: 03483514175
Email : [email protected]
Present Address: MUET Jamshoro LAtif Hostel Room no 06
Permanent Address: Vill Wada Bhellar Taluka Sobhodero Dist Khairpur
Family & Guardian Information
Father Name : Muhammad Idrees Father CNIC: 45208-6524627-7 Father Status: Alive
Professional Status: Working
Mother Status: Alive Marriage Relationship: Combined
Mother Professional Status: Mother Profession: Other
Other Income Support:
Applicant Previous Education
Level Institute Name Address Period Monthly Fees Division
Bachelors MUET Jamshoro Jamshoro Sindh 4 2700 3.77(1st
years(2016-2020 year)
)
Intermediate Mazhar Muslim Model Higher Ranipur 2 2500 A Grade
Sceondary School Ranipu years(2013-2015
)
Secondary Mazhar Muslim Model Higher Ranipur 2 2000 A-1
Sceondary School Ranipu years(2011-2013 Grade
)
Primary Masrror Model Elementary School Wada Bhellar 5years(2003-200 200 A-1
8) Grade
Family Members
Total Family Members: 7 Male Family Members: 3 Female Family Members: 4
Members Studying: 2 Married Brothers: 0 Married Sisters: 0
Family Income
Earning Person Name Profession Relationship Organization Designation Gross Income Net Income
Muhammad Idrees Agriculture/farming 15000 1000
Total Monthly Income 15000 1000
Source of Income Monthly Income Yearly Income
Salary / Pension 15000 180000
Property Rent 0 0
Land Lease / Own Business 0 0
Bank Deposits 0 0
Shares/Securities 0 0
Other Income(Specify) 0 0
Total Income 15000 180000
Monthly Family Expenditure
Detail Per Month Amount
Average Telephone bill of last Six months (Please attached Bills with application form] 0
Average Electricity bill of last Six months (Please attached Bills with application form] 833.333333333
Average Gas bill of last Six months (Please attached Bills with application form] 0
Average Water bill of last Six months (Please attached Bills with application form] 0
Average Monthly Mobile Bill 333.333333333
Average Family Educational Expenditure 7000
Average Family Expenditure on Kitchen/Food 5000
Average Family Medical Expenditure (Please attached Bills with application form] 1000
Accommodation Expenditure , in case of rent (Please attached rent agreement] 0
Average Family Misc. Expenditure including taxes paid 2000
Total Monthly Expenditure 16166.6666667
Detail (Total Monthly Income - Total Monthly Expenditures) Per Month Amount
Net Reusable Income 15000-16166.6666667 -1166
If the Monthly Income is negative kindly explain the reasons for the gap, and the arrangements through which the differential Gap is met by
the family..?
We Take help from our relatives and sometimes from neighbours to complete our needs.
Accomodation
Type: village house Structure of House: semi pucca house Status: self
No of Rooms: 1-2 No of ACs: nill
Size of Home [in Sqft] (Sqft=length * width): 350 Covered Area Home [in Sqft] (Sqft=length * width): 200
Location: 0
Assets
Name of Transport Make/Model Engine Capacity Registration # Ownership Period
0
Type of Land/Plot Quantity Size Location
Residential 1 200 Vill Wada Bhellar
Commercial 0 0 0
Agricultural 1 4840 Vill Wada Bhellar
Employer/ Govt Scheme 0 0 0
Other Assets Current Market Value
House 250000
Business 0
Land and Building 0
Bank / Balance 0
Stocks/Prize Bond 0
Others/Cattle(s) 50000
Total 300000
How were the admission /first semester charges paid?
By the Help of the relatives and we will pay , when I get Job in any Industry.
Statement of Purpose
I am applying for this scholarship in order to further my studies in education and Receiving financial aid will allow me to focus on my
studies during the week without having to worry about earning extra money. I would continue to work on the weekends to cover my living
expenses, but I would be able to keep the weekdays free to focus solely on my Uni. work.
Undertaking
1. 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 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 and Mehran University of Engineering & Technology reserves the right to use information given in this form for verification and
other purposes.
Signature
Date: Date:
Father / Guardian Signature: Applicant Signature:
For Official Use Only
Department Coordinator Department Chairman Signature
Signature with Stamp with Stamp
Document CheckList
Documents Attached (write Yes/No with pen on given)
Copy of Father CNIC
Copy of Mother CNIC
Copy of Guardian CNIC
Income Tax Certificate of Father
Income Tax Certificate of Mother
Income Tax Certificate of Guardian
Copy of Last Income Tax Return of Father
Copy of Last Income Tax Return of Mother
Copy of Last Income Tax Return of Guardian
Picture of House
Copy of last six (06) month Electricity Bill
Copy of last six (06) month Gas Bill
Copy of last six (06) month Telephone Bill
Copy of last six (06) month Water Bill
Attested copy of rent agreement (if applicable)
Copies of last & latest fee receipts of self & siblings
Copies of Medical Bills/Expenditure related documents (if applicable)
Copies of previous scholarship(s) attained (if applicable)
Passport Size Photograph
Salary Certificate of Father / Guardian
Salary Certificate of Mother
