QUAID-I-AZAM UNIVERSITY

OFFICE OF THE STUDENTS’ FINANCIAL ASISTANCE

APPLICATION FORM FOR FINANCIAL ASSISTANCE/SCHOLARSHIPS

Students admitted on self finance basis are not eligible for any type of scholarship/financial assistance

1. Personal Information of Applicant

Name of Applicant: Mr. /Ms.______________________________________________________
Department:________________M.Sc./M.Phil/BS/D.Pharmacy______________ Semester_______

CNIC / B Form No Date of Birth

- - - -

Present address________________________________________________________________
____________________________________________________________________________
Permanent address_____________________________________________________________
____________________________________________________________________________
Telephone #: (Res.)______________________ (Cell #) _____________________________
E-mail address _______________________________________________________________
2. Family Information
Father’s name ________________________________________________________________
[ ] Alive [ ] Deceased In case deceased, name of guardian_______________________
Employment Status of father/guardian:
[ ] Employed [ ] Retired [ ] Unemployed Self employed [ ]

If employed
Designation _______________________ Organization _______________________________
Office address: ______________________________________________________________
Telephone #(Parents/Guardian): _______________________ E-mail _____________________
Total monthly gross income of father/guardian __________________(attach copy of salary slip)
Number of persons in the family ______________________
2.1 Details of siblings (brothers/sisters) attending any educational institution (school, college or
university)

Sr.# Name of siblings Educational institution where enrolled Monthly fee

 2.2 Other source Family Income (in rupees)

Income source Father/Guardian Mother Brother(s) Sister(s) Total

Salary
Business income
Rental income
Other (Land etc)
Total

2.3 Family Expenditure (in rupees)

Utilities Annual
Education Accommodation Please Attach Food Medical Misc. Total
Utility Bills for
last 1-month

3. Educational Information:
3.1 Academic Record

Sr. Total
Name of Examination Board/university Marks obtained Percentage
# marks
1 SSC/O-Level
2 HSSC/A-Level
3 BA/B.Sc.
4 M..Sc. `

4. Financial Support /Scholarship

Did you receive any scholarship/Financial Support at graduate/undergraduate level .
Funding Source/Name of Study Progrmme Scholarship/FA (Full
Scholarship or Partial

Have you ever received/are receiving any scholarship from any source?
[ ] Yes [ ] No If you answered ‘yes,’ to the above question, please provides the following details:

Funding source/Name
Sr. # Amount Receiving since (specify dates)
of Scholarship

5. Any Achievement / Recognition/ Award (Attach certificates)

Sr. # Name of Activity Type Duration
 (Attach an additional sheet, if needed)

6. References (Please provide names of two persons you know well)

Reference 1 Reference 2
Name Name

Address Address

Telephone/cell Telephone/cell#

E-mail E-mail
Undertaking by Applicant
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 cancellation of this application. If any information given in this
application is found to be incorrect or false after grant of the Scholarship, the QAU will have the right to stop
further support and I shall refund all payments received and/ or penalty equal to total scholarship amount, as
decided by the University.
2. It is further declared that I will not hide if I receive any scholarship/financial support during my studies in
QAU and if at any stage.
3. QAU reserves the right to use information given in this form for verification and other purposes.

Father’s/Guardian’s signature: _____________________ Applicant’s signature: ________________________

Name: _____________________________________________ Name: _______________________________________
Date: ______________________________________________ Date: ________________________________________
 IMPORTANT
Checklist of documents to be enclosed with application (Attested Copies)

1. Copy of CNIC /B Form of applicant.

2. Copy of CNIC of father/guardian.
3. Income certificates of earning members of family (pay slip, certificate)
4. Copies of Matric and Intermediate result cards.
5. Copy of Electricity bill.
6. Copy of Gas bill.
7. Copy of Telephone bill.
8. Copy of rent agreement (if applicable).
9. Copies of medical bills/ expenditure related documents (if applicable).
10. Certificates to substantiate the claim of achievement/ recognition/award.

QAU may request additional information, or conduct a physical audit, in order to properly evaluate the
genuineness of your financial need. Please respond promptly to avoid processing delays. All data and
documents submitted with the application form will be treated in strict confidence.

Caution: Please note that incomplete applications or those with missing documents will not be
processed. Documents at Sr. No.1 to 7 are mandatory. If these documents are not available with you please
specify the reasons.

Note: Please read the instructions given below carefully before filling out this form.
QAU is committed to ensuring that no one is denied the opportunity to pursue higher education due to his/her inability to
pay. With this purpose in mind, QAU launched its scholarship program (QAUEF) from its Endowment Fund. The
program seeks to identify the most deserving students who have achieved academic distinction yet lack the financial
resources to pursue higher education. As the amount available for this purpose is very limited, it becomes absolutely
necessary to ensure that each scholarship recipient is selected on the basis of a very stringent screening process that also
gives donors the satisfaction that their contribution is well spent.

Instructions for Applicants

1. Read the application form carefully before filling it and attach additional sheets of paper, if required, for necessary
information.
2. Fill in the form in BLACK or BLUE ink.
3. Write in CAPITAL LETTERS.
4. Furnish factual, comprehensive and authentic information in the application form.
5. Answer all questions. Those not applicable should be marked “NA”.
6. Submit duly completed form to:

1. Department concerned
2. Office of the Students’ Financial Assistance Room No.17 Admin Block.
Phone: 051-90644091-90644030
Email: zulfiqar@qau.edu.pk

7. Providing false information may jeopardize your admission at QAU, recovery of payments received, penalty,
disqualification for award of any future financial support or loan, rustication from the QUAID-I-AZAM
UNIVERSITY and initiation of criminal proceedings.
8. The applicants must attach all documents, as per checklist, with the application form.
 STUDENT SCHOLARSHIPS/FINANCIAL ASSISTANCE

The QUAID-I-AZAM UNIVERSITY (QAU) takes special care of its deprived students and not only gives them
eminent education but also keeps a bird’s eye on their financial concerns and plays vital role to resolve
them so that the students may not face any obstacle in the way of education. QAU is committed to
support the “poor” students to pursue their academic excellence. There are so many students who cannot
afford the QAU fee because of their poor financial background. It has been therefore, decided that
Financial Assistance should be provided to students, who demonstrate their weak financial position, on
need basis. The magnitude of the Financial Assistance, in terms of amount, may be decided (by the
Financial Support Programs Committee) considering the need of the applicant. It is expected of the
students who are awarded QAU financial support that they would show Good academic performance, are
regular in classes and demonstrate good personal behavior.