Bahauddin Zakariya University –HBL Platinum Scholarships
(FINANCIAL ASSISTANCE FORM)
Name of the Department & Faculty: __________________________________________________
Degree Title / Program: ______________________________________Session_________________
Current Semester/Year/Prof.: _________________ Division/CGPA of Last Exam._____________
1. Applicant’s Name: ____________________________________Gender: Male Female
2. University Reg. No:
3. Applicant NADRA - -
NIC No.
4. Marital Status Single Married
5. Age : ______________________ Place of Birth ______________________________
6. Present Address:_______________________________________________________________
____________________________________________________________________________
7. Permanent Address: _________________________________________________________
__________________________________________________________________________
8. Tel (Res.): _____________________ Mobile: ___________________________________
9. Email: ___________________________________________________________________
10. Total Members in the Family: ________________________________________________
11. Applicant Educational Record
Level of Per Month From------ Division/
Name and Location of Institute to ------Year CGPA
Study Fee
Bachelors month/ yr.
Intermediate
Secondary
12. Per month fee/ tuition charges of the institution last attended ___________________________
13. Father’s Name: ______________________________________________________________
14. Father’s computerized N.I.C. No ________________________________________________
15. Status: Alive Deceased
16. Professional status: Employed Retired Business Owner
17. Name of Company/Employer: ___________________________________________________
18. Designation & Grade ( BPS/ SPS/PTC etc): ________________________________________
19. Total Gross Monthly Income (Salary/ Pension/ Others): _______________________________
20. Total Annual Income: ___________________________
21. Electricity Bill (Average of Last Six Months) Rs._____________________.
22. Area and location of Land(s)/Plot(s) owned
Assets Title Qty Size Location (Address) Market Value
Residential
Commercial
Agricultural
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
UNDERTAKING
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.
Parents / Guardian Signature: ______________ Applicant Signature: ____________________
Date: ______________ Date: ____________________
Remarks of the Chairman/Director/Principal
Date:________________ Signature Head of Department
Application Form Check List
Documents Attached Documents Attached
Copies of last six (06) month utility bills
Copies of CNIC
Electricity Yes☐ No☐ N/A☐
Father Yes☐ No☐ N/A☐ Gas Yes☐ No☐ N/A☐
Mother Yes☐ No☐ N/A☐ Telephone Yes☐ No☐ N/A☐
Guardian Yes☐ No☐ N/A☐ Educational Certificates
Matric Yes☐ No☐ N/A☐
Salary/Income Certificate of
F.A/F.Sc Yes☐ No☐ N/A☐
Father/Guardian Yes☐ No☐ N/A☐ B.A/B.Sc Yes☐ No☐ N/A☐
Mother Yes☐ No☐ N/A☐ Last Semester Yes☐ No☐ N/A☐
