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NC/AD/02 Sr No: ___________
Financial Assistance Form
PO BOX 22, Mianwali, www.namal.edu.pk,
[email protected], Tel : +92-459-816816.
Check the right scheme for financial assistance: (Visit website for further details)
Merit/Need based scholarship
Interest free loans
Namal outreach programme
APPLICANT'S NAME Sr. No (ADMISSION FORM):
SECTION A: FAMILY DETAILS
FATHER'S NAME: STATUS: Alive Deceased AGE: Years
GUARDIAN NAME: If your father is not alive then give the following information about your guardian.
C.N.I.C # - - PROFESSION: DESIGNATION
ORGANIZATION: GRADE: OFFICIAL ADDRESS:
TELEPHONE: OFF CELL RES
GROSS MONTHLY INCOME: MEMBERS DEPENDENT On your Father/Guardian:
NUMBER OF FAMILY MEMBERS: MEMBERS LIVING WITH YOU: NUMBER OF EARNING MEMBERS OF THE FAMILY*:
*If any please fill the following table.
MONTHLY CURRENT
NO: NAME RELATION PROFESSION ORGANIZATION DESIGNATION
INCOME STATUS
BANK NAME: 1 ACC #: Balance on 30.04.10 Attach Statement of Last Six months
2 ACC #: Balance on 30.04.10 Attach Statement of Last Six months
Give details of the brothers/sisters/others studying
CLASS/
NO: NAME RELATION INSTITUTE FEE PER MONTH
STAGE
SECTION B: ACCOMODATION DETAILS
Bungalow Flat: House Self owned Family owned Govt: owned Rented
TYPE OF ACCOMODATION: STATUS:
Self Family Govt Others Electricity Gas Phone Water
RENT TYPE: NUMBER OF ROOMS: LAST SIX MONTHS AVERAGE BILL:
HOUSE/PLOT SIZE IN SQUARE FEET: COVERED AREA IN SQUARE FEET:
Post this application form along with all documenets to Admissions Namal College PO Box 22 GPO Mianwali
SECTION C: ASSETS DETAILS
Yes No Residential Commercial Agriculture Others
DOES YOUR FAMILY OWN LAND/PLOT? TYPE OF THE PLOT/LAND OWNED:
LOCATION OF LAND/PLOT OWNED:
AREA OF THE LAND/PLOT OWNED: INCOME OF THE LAND/PLOT OWNED:
In Rupees Yes No
WORTH OF THE PROPERTY OWNED: DOES YOUR FAMILY OWN ANY TRANSPORT/VEHICLE?
Car Bus Others
TRANSPORT TYPE BRAND NAME: MODEL: INCOME PER MONTH:
NUMBER OF CATTLE: DETAILS:
TOTAL ASSETS WORTH: TAX PAID (Attach copy of last tax paid): NTN #:
Why you need financial assistance?
SECTION D: References: Not a blood relative but known to you for at least three years
1)
TELEPHONE: OFF CELL RES
2)
TELEPHONE: OFF CELL RES
SECTION E: ACADEMIC RECORD DETAILS: Fill information given below only, no extra information is required.
Incomplete information will result in disqualification for the admission.
Certificate Degree Year of % Marks % Marks % Marks Physics/ Total %
Board/University Office Use Only
/Degree Title Passing English Mathematics Computer Science Marks/CGPA
SSC/'O'
Level
HSSC/'A'
Level/DAE
Other(s)
SECTION F: DECLARATION
I hereby solemnly undertake/declare that I have personally filled in this application form and the information contained therein is complete and
accurate to the best of my knowledge and belief. I understand that withholding or giving false information will make me ineligible for the scholarship
at any stage and I will payback all the amount. I further understand that I may be required to appear for an interview requested by the College
Admission Committee as a condition for the financial assistance to the programme of study for which I have applied.
Parent/Guardian's Signature Parent/Guardian's THUMB Applicant's Signature
Date: IMPRESSION Date:
Gazetted Officer Signature
Date:
OFFICIAL USE ONLY
Comments:
Admission Tutor's Signature Director Administration's Signature Vice Chancellor's Signature
Date: Date: Date:
Note: Please send your financial assistance form along with the followings
(1). Original deposit slip of Rs: 1000/- for financial assistance form.
(2). Copy of bills of gas, electricity and telephone.
(3). Proof of income tax paid during last two years.
(4). Bank statement of last two years.
Post this application form along with all documenets to Admissions Namal College PO Box 22 GPO Mianwali
