GC University Lahore Endowment Fund Trust Scholarship Application Form for a Boarder
Scholarship is based on assessment of need and merit. Selection will be decided on the basis of information provided in this form and investigations for the authentication of provided information. Candidate may be required to appear for interview (s). PROVIDING FALSE INFORMATION Providing false information may result in one or all of the following: Rustication from the university. Initiation of criminal proceedings. Disqualification for award of any future loan/scholarship. Refund of all the payment received and or a penalty equal to total scholarship amount. INSTRUCTIONS FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM: Read the application form carefully. Make a photocopy of the application form Complete the photocopy form and make sure everything is correct and final Keep copy of the filled-in form Furnish factual, comprehensive and authentic information in the form For family financial reporting parents/guardian may be consulted for guidance Whenever in doubt or lost, seek help from Student Financial Aid Office Ensure that you have attached all the required documents by putting a tick mark in checklist Answer all questions. Those not applicable should be marked “N/A” Application Form Check List
Description Tick the relevant 1 Copies of computerized CNIC of Father Mother Guardian 2 Salary Certificate of Father Mother Guardian 3 Copies of last six (06) month utility bills Electricity Gas Telephone Water 4 Attested copy of rent agreement (if applicable) 5 Copies of last & latest fee receipts of self and siblings * 6 Copies of pervious scholarship(s) attained (if applicable) * Siblings are brothers & sisters
Tick the Section When Completed
I Section A: Personal and family information II Section B: Cumulative information of Self, Parents & Guardian Assets III Section D: Educational Record DO’s: Submit your application in Student Financial Aid Office. Place documents in right order as per above sections (1 to 10) Do consult with parent(s)/guardian(s) for financial data accuracy & reliability For the information not present/relevant write in capital letters N/A DO NOT: Provide False/vague/ incomplete information. Overwrite/ scratch on the form. Affix two Passport size Photographs Degree Title / Program: ______
Section A: Applicant Personal and Family Information
1. Applicant’s Name: ______/ Male Female
2. University Roll No:
3. Applicant NADRA CNIC No. 4. Date of Birth: ______Age : ______Place of Birth (Name of City, Country) ______Domicile(District Name):______5. Present Address ______6. Permanent Address: ______7. Are you currently working: Yes No
8. Tel (Res.): ______Mobile: ______Email: ______9. Total Members in the Family: ______10. Total Family Members currently living with you: Total: ____ Male:____ Female:_____ 11. Total Number of Brothers/Sisters married Total: ______Brothers_____ Sisters_____ S # Name of Family Member (s) Relationship Marital Status Remarks** 1 2 3 4 5 6 7
12. Brothers/Sisters/Children/Family Members studying ______Details of Siblings Studying including the applicant S # Name Relationship with Name & Address of Fee per month Tuition per
applicant Institute month (if applicable) 1 2 3 4 5 6 Total Fees & Tuition Charges 13. Father’s Name: ______14. CN.I.C. No
15. Father Status: Alive Deceased (if deceased please mentioned the date of demise (dd-mm-yy) ______) 16. Professional status: Employed Retired
If answer is Employed complete the sections (22-30) else from (27-30) 17. Name of Company/Employer: ______18. Address: ______19. Tel (Off): ______Mobile: ______20. Occupation : ______21. Designation & Grade ( BPS/ SPS/PTC etc): ______22. Total Gross Monthly Income (Salary/ Pension/ Others): ______23. Total Net Monthly Take Home Income (Salary/ Pension/ Others): ______24. Previous Occupation (if applicable): ______25. Total Annual Income: ______NTN______
26. Mother’s Status: Alive Deceased (if deceased please mentioned the date of demise (dd-mm-yy) ______) 27. Marriage Relationship: Combined Separated/Divorced 28. Professionals Status: Working Not Working Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative) [Add Page if required] 29. Name: ______Relationship: ______30. Address: ______31. Tel (Off/Res) ______Mobile No.______NIC no.______32. Occupation ______33. Designation ______Name of Company/Employer ______34. Total Monthly Gross Income (Salary/ Pension/ Others) ______35. Total Net Monthly Take Home Income (Salary/ Pension/ Others): ______36. Total Net Annual Income______41. Monthly Financial Support Available from supporting person to the Applicant in Pak Rs. ______37. Asset Income (on monthly basis) S # Income Source Father Mother Spouse Self Other Total 1 Property Rent 2 Land Lease 3 Bank Deposits* 4 Shares / Securities* 5 Other (Specify) Total * For sources with annual income returns, kindly report the monthly income earned 38. Total Earning Members in Family: ______39. Total No of family members not earning ______
40. Details of Family Members Earning: Monthly S Family Member Relationship Family Member Organization Designation Gross **Remarks # Name occupation *** Name Pay/Earning 1 2 3 4 Total Monthly Family Income (add self income, if applicable) Pak Rupees ** Please mentioned if the Family member supporting to Family in Remarks Column (Yes/No) *** Family Member Occupation classification 1. Government Service (Specify the employment grade BPS/SPS/PTC etc.) 2. Private Job 3. Agriculture/Farming 4. Own Business (Self Employed). Details/nature of self business need to filled in at remarks column 5. Others. Details/nature of self business need to filled in at remarks column 41. Total Family Monthly Income S # Family Member Monthly Income Monthly Gross Monthly Net (Take Relationship Name from Assets (Sec. 45) Pay/Earning home) Pay/Earning 1 2 3 4 5 Applicant Monthly Gross Pay/Earning (Sec. 11) 6 Applicant Monthly Net (Take home) Pay/Earning (Sec. 12) Total Monthly Income in Pak Rupees Total Annual Income in Pak Rupees FAMILY EXPENDITURES 42. Accommodation Expenditures ( Please Check the relevant boxes)
Type: Bungalow Apartment /Flat Town House Village House
Structure: Pucca House Kutcha House Semi Pucca House Others
Status: Rented Self or Family owned Employer / Govt Owned
Rent Payment: Self Employer/Govt Others
Total Size of the House in Sq. ft.______Covered Area in Sq. ft.______
S # Accommodation Number Of Number Of Accommodation Accommodation Location/Address Bed Rooms Air conditioners Monthly Rent Annual Rent
Total Accommodation Rental Expenditure Any other house/flat owned by the Parents/Guardian (if yes please specify with location and size)______43. Utilities Expenditures Last Month Utilities Paid Telephone Electricity Gas Water
Average of Last Six Months (Per Month Utilities Charges) S # Telephone Electricity Gas Water Total
44. Monthly Food /Kitchen Expenditures ______45. Medical Expenditures: Average of last six months (Per Month Expenditure)______46. Travelling/ Miscellaneous Expenditures Average of last six months (Per Month Expenditure)______Total Family Expenditures
Education Accommodation Utilities Food Medical Misc. Total Monthly Total Annual Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure (Sec. 12) (Sec. 42) (Sec. 43) (Sec. 44) (Sec. 45) (Sec. 46)
52 Description Amounts in Pak Rupees Total Monthly Income Total Monthly Expenditure Net Monthly Disposable Income*
Description Amounts in Pak Rupees Total Annual Income Total Annual Expenditure Net Annual Disposable Income* * If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and the arrangements through which the differential gap is met by the family Section B: Cumulative information of Self, Parents and Guardian Assets
Assets (with current market value)
47. Does the family own any Transport? Yes No If yes kindly fill the relevant details Transport Type Engine Capacity S # Registration No Ownership Period (Car/ Motor cycle/ Others*) Make /Model (CC) 1 2 3 * Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
48. Number of Cattle(s) (with kind) ______49. Area and location of Land(s)/Plot(s) owned ______Assets Title Cultivable Agricultural Yield Qty Size Location Area per Acre (Address) Residential Commercial Agricultural Employer/ Govt Scheme
50. Assets worth (Current Market Value in Pak. Rs.) S # Assets Title Father Mother Spouse Self Guardian Total 1 House 2 Business 3 Land & Building 4 Bank Balance 5 Stocks/Prize bond 6 Others/ Cattle(s) Total
51. Taxes paid (per annum in Pak. Rs)______
Section C: Financial arrangements for current year
52. Funds Availability for Applicant Education (per annum in Pak Rupees)
S # Income Source Father Mother Spouse Self Other Total 1 Salary / Earnings 2 Family / Friend Advances & Loan * 3 Bank Loan 4 Other (Specify) Total
* Family/ Friend Loan (Specify relationship with the relative / friend) ______
______53. Any source of financing other then this scholarship (Please specify) ______
______54. How were the admission fee /first semester fee paid? ______
______
______55. How were the hostel charges paid? ______Section D: Applicant Educational Record
Examination Years Marks Division Institute from which passed Matric F.A. / F.Sc. B.A. / B.Sc. (Hons) Result of Last Semester
56. Have you ever awarded any other scholarship before tick any one: Yes No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
S # Scholarship Total Total Class / Level at Name of Institute Name Scholarship Scholarship which Scholarship Amount Period was granted 1 2 3
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required______57. 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. The Aid Committee reserves the right to use information given in this form for verification and other purposes. Date: Date: Date: Parents / Guardian Signature ______Applicant Signature: ______
For Official use only
Are the applicant documents in order? Yes No
The notices furnished to the applicant for furnishing of required documentation S # Notice Date Document Name Document Remarks Missing Submission Date 1 2 3
Application Case Review Dates (i) ______(ii) ______Additional Remarks
______Date Department Name Signature Head of Department / Focal Person Certificate (From the Chairman of Department / Hostel Superintendent through Tutor)
I______Hereby certify that to the best of my knowledge and belief the statement of facts (Supported by documents) given in the application by ______is correct and (Name of the applicant) his/her financial circumstance are such that he/she deserve to receive the Golden Scholarship from the G C University, Lahore. ______Signature with seal Dated______(Chairman of the Department) ______Signature with seal. (Tutor for Under Graduate Students).
Certificate from Hostel Superintendent (In case the applicant is residing in Hostel) Certified that Mr. / Miss .______S/O / D/O ______Roll No.______Class ______is residing in this Hostel w.e.f______and he / she has paid his / her full hostel dues paid from ______to ______. He /She has been paid Rs. ______as Financial Assistance out of Hostel Funds. He / She deserves to receive the Golden Scholarship from the GC University, Lahore. Dated: ______Signature with seal Hostel Superintendent