Annex-B
FOUNDATION UNIVERSITY ISLAMABAD
FINANCIAL ASSISTANCE APPLICATION FORM
RAWALPINDI CAMPUS ISLAMABAD CAMPUS
Financial assistance is not binding on the FUI Campuses and is based on assessment of
need and merit as well as availability of funds with the Campus.
Decisions are based on the information provided in this form and investigation/
verification through sources/means.
Candidates will be required to appear for interview to provide additional information/
confirmation.
The FUI Campuses referred in this document is the campus of FUI (Foundation
University Islamabad) in which the student is studying.
The financial assistance is towards the tuition fee only and the FAP campus committee
will determine extend of assistance to be given if any.
SECTION A: Personal and Family Information
Applicant’s Particulars
1. Applicant’s Name/Address:_________________________________________________
________________________________Tel No.________________________________
2. Registration No__________________Program/Semester/Year_____________________
3. Last Class/Semester/Year Result (GPA/CGPA/%age):____________________________
4. Marital Status
Single Married Divorced
5. Occupation (Give Full Details if applicable) ______________________________________
__________________________________________________________________________
a. Designation __________________________________________________________
b. Name of
Company/Employer____________________________________________________
Tel: Off: ____________Fax: ________________Email_________________________
c. Monthly Income Gross_____________ Pension (If Retired)_____________________
6. Previous Occupation (If applicable) ____________________________________________
7. Details of any travels abroad in the last five years: (Including Hajj and Umra) ___________
___________________________________________________________________________
Are you expecting or getting funding for your education at the institute/college from any other
source other than mentioned above.
Yes No
If yes, please specify the source and amount
Source____________
Amount (In Rupees) Given_____________ Expected_____________ Not Known___________
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Father/Guardian’s Particulars
1. Father/Guardian Name/Address (in capital)___________________________________
____________________________________________________________________________
2. Occupation (give full details)________________________________________________
3. Tel No.__________________ Fax____________________ Email__________________
4. Monthly Income Gross:_________________ Pension (If Retired)___________________
5. Emoluments: (If re-employed) ___________ Previous Occupation (If applicable)_______
6. Details of any travels abroad in the last five years: (Including Hajj and Umra) _________
______________________________________________________________________
7. Spouse’s Name (in capital)________________________________________________
Mother’s Particulars
1. Mother’s Name/Address_________________________________________________
_____________________________________________________________________
2. Tel No.__________________ Fax______________ Email_______________________
3. Monthly Income Gross:___________________ Pension (If Retired)________________
4. Occupation (give full details)_______________________________________________
5. Details of any travels abroad in the last five years: (Including Hajj and Umra) ________
_____________________________________________________________________
6. Spouse’s Name (in capital)________________________________________________
Detail of Family Members
(Brother/sister/children) and dependents
Candidate’s Family
Name NIC No. Age/ Occupation Income & Institution (if Fee
Yrs. (if any) Source studying) (Per month) if
(Per month) Studying
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Guardian’s Family
Name NIC No. Age/Yrs. Occupation Income & Institution (if Fee
Source studying) (Per
(Per month) month)
Section B: Financial Information (Attach Documentary Evidence)
1. Family Monthly Income Detail::
Other Total Total
Father/
Mother Spouse Self Sources/ Monthly Annual
Guardian
Misc Income Income
Salary
Income from Rent
Income from Land
Others (Specify)
2. Utilities/Expenditures:
Utilities Paid
(Average of last six months)
Telephone Electricity Gas Water Total
3. Monthly Food /Kitchen Expenditures ____________________________________
4. Medical Expenditures: Average of last six months (Per Month Expenditure) __________
5. Travelling/ Miscellaneous Expenditures
Average of last six months (Per Month Expenditures) __________________________
Section C: Expenditures on Education
1. Candidate’s fee structure for the current Academic Semester/Year
Tuition Fee _________________
Examination Fee _________________
Other dues: _________________
Total (Semester/Year dues) _________________
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2. Family Expenditures on Education
Average of last six months (Per Month Expenditures) ____________________________
SETION D: Detail of Current Assets
1. Home owned by the family
Yes No
2. If owned, area of plot: _______________ Locality of House/General Area/Mohallah etc
______________________________________________________________________
3. Any other house, flat or property owned by the family.
Yes No
If yes give details regarding location, size rent etc. on a separate sheet
4. If living on rented house, what is the rent per month (attach copy of agreement)
_________________________________________________________________________
5. Number of Air conditioner: ________________ Number of cars owned by family (with make
and model) _______________________________________________________________
6. Agriculture land owned by the family Locality/Size etc______________________________
(Current Value of Assets in Pak Rupees)
Father/ Mother Spouse Self Brother/ Total
Guardian Sister/ Rs.
Children
House
Business
Land and Building
Bank Balance
Stocks/Bonds
Cars/Vehicles
Others
Total Assets
Supporting Documents Attached (Yes/No).
(To be used by the Campuses)
Income Yes No.
Rent Agreement Yes No.
Death Certificate Yes No.
Electricity Bill Yes No.
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Gas Bill Yes No.
Water Yes No.
Telephone Bill Yes No.
DECLARATION AND UNDERTAKING BY THE STUDENT:
I solemnly and sincerely declare/undertaking that:
1. All the above information provided by me, particularly the details given in the
Admission Form and this (Financial Assistance Form) are true, accurate and
correct in every respect to the best of my knowledge.
2. No information or detail has been withheld, misrepresented and nothing has been
concealed in any manner whatsoever. In case of 25% (or more) change in my
financial circumstances, I shall inform my campus at regular and responsible
interval.
3. I shall abide by the rules and regulations of my campus including financial
assistance policy, which may be modified from time to time by FUI.
4. I understand that at my stage of the program, my admission including financial
assistance may be cancelled by the campus due to the concealment/ withholding
of facts, misrepresentation and withholding of information by me.
5. In case of cancellation of my admission resulting from Para 4, any financial
assistance or other benefit taken/used by me will become immediately
payable/refundable to FUI.
6. I fully understand that FUI reserves the right and the prerogative to initiate civil as
well as pecuniary proceedings with regard to the above in respect of obtaining
pecuniary advantage.
Student’s Signature__________ Date:_____________________
DECLARATION AND UNDERTAKING BY THE PARENT/GUARDIAN
I, THE PARENT/GUARDIAN OF Mr. Ms. _____________________ do solemnly
declare/undertake that:
1. I have read all the information provided by him/her to FUI particularly the details given
in this form and declare that the information and details contained there in are true,
accurate and correct in every respect to the best of my knowledge.
2. No information or detail has been withheld, misrepresented and nothing has been
concealed in any manner whatever, In case of 25% (or more) change in my or the
student’s financial standing, I shall inform the FUI Campuses immediately on
occurrence
3. My son/daughter/ward shall abide by the rules and regulations of FUI including
financial assistance policy, which may be modified from time to time by FUI.
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4. I understand that at my stage of the program, his/her admission including financial
assistance may be cancelled by the FUI, due to the concealment/withholding of facts,
misrepresentation and withholding of information by me or the student.
5. In case of cancellation of admission of my son/daughter/ward resulting from Para 4,
any financial assistance or other benefit taken/used by me will become immediately
payable/refundable to FUI.
6. I fully understand that FUI reserves the right and the prerogative to initiate civil as
well as criminal proceedings with regard to obtaining and pecuniary advantage (as
explained/listed above).
Parent/guardian’s Signature: _______________ Date___________________________
Reference:
Relative: ________________________
Neighbour ________________________
Government Official/ex serviceman ___________________
Fauji Foundation employee of officer grade ___________________
WARNING
If the entire required documents are not enclosed, the application for financial
assistance will be rejected.
In case of providing false information, admission of the candidate will be
cancelled.
Incomplete information will result in disqualification of the candidate for
financial assistance.
FOR OFFICE USE ONLY
FAP Campus Committee Recommendations/Comments
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Application Review Dates:
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Members:
Name Signature
1.
2.
3.
4.
5. Secretary FAP Campus Committee
Recommendations by the Chairman
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Director, Campus
______________________________________________________________________
______________________________________________________________________
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Note: Part A, B,C, D and E must be filled.
Part A
Personal Information
Amount of
Discipline/ Batch/ CGPA/ other
Name of The Candidate Father,s Name Cat
Program Semester Marks scholarship
being availed
MBBS
Part-B
Family Status
Total No of Father
Father Parents Guardian Family Members
Marital Status Dependent Family Earning Hands /Guardian
Status Profession Studying
Member Income
Part-C
Total
Mother Income Income From Land Misc. Income (Pension ) Total Annual Income
Monthly Income
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No of Vehicles Gas
Vehicle Type
Electricity
Model of Vehicle
Phone
Vehicle Engine
Capacity
Water
Size of Land
Sub
Total
Value of Land Fixed Assets
Family Exp on
Education
Accommodation
& Location
Candidate Edu
Exp per month
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Part-E
Part-D
Type of
Accommodation
and Size Food Exp
Monthly Expenditure (Avg.of Last 6 Month)
Value of Home Medical
Misc.
Bank Balance
Total Monthly Exp
Stock/Prize Bond
Current Assets
Miscellaneous
Annual Exp
Montly
Income
Total
Assets
Disposable
FINANCIAL POSITION
1. Father/Guardian Current Occupation ____________________________
2. Monthly Income:
Father/Guardian Mother Self Brother/ Total Monthly
Sister Income
Salary
Income from Rent
Income from Land
Other (Specify)
Total
3. Family Current Assests
Father/Guardian Mother Spouse Self Brother/ Total (Rs)
Sister
House
Business
Land & Buildings
Car/Vehicles
Bank Balance
Total Assest
Total
4. Detail of Dependents of Father/Guardian
:
Name Relation Age Institution (if Fee (per
studying) month) if
studying
5. Monthly Expenditure
a. Approx exps on House hold/
Utilities: Rs____________________________
b. Approx Medical Exps : Rs____________________________
c. Approx Education Exps : RS____________________________
d. Approx Travel/Misc Exps : Rs____________________________
Total : Rs____________________________
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