Session

APPLICATION FOR SCHOLARSHIP 2019-20

(Submission Date 1st Aug – 31st Oct)
Region: __________
Note: 3 Photos
1. Incomplete/late received applications will not be entertained.
2. Applicants having 70% marks (Matric) and 60% marks (Inter, DAE and above) in their Required
last Board Exam will only be eligible to apply. However Minority students having 60%
Size (2” x 1.5”)
marks (Matric) and 55% (Inter, DAE and above) can apply.
(Not Attested)
3. Students studying in lavish institution will not be entertained.
4. Students getting any financial aid/scholarship from any other organization like PEEF, HEC
NGO etc will not be eligible to apply.
5. Application Form to be filled in with black pointer. Old Application Form will not be accepted.
6. Before filling the Application form student must read instruction given on page # 3.
7. (For office use) Diary # ______________________ Reg. #_____________________

CATEGORY ( Tick the relevant) Orphan Disable Need based Muslim Non-Muslim

APPLICANT PERSONAL INFORMATION

1. Applicant’s Name: ______________________________ 2. S/D/O________________________________________
3. Applicant’s CNIC No: __________________________ 4. Date of birth ______________5. Cell # ______________
6. Email: _______________________Whats app #___________Facebook_________ Contact (PTCL) ____________
7. Present Postal Address: ___________________________________________________ District:_______________
8. Permanent Postal Address: ________________________________________________ District:_______________

EDUCATION INFORMATION
9. Class ___________________ Course of Study ___________________ Year/Semester______________________
10. Institution__________________________________________________ Contact No.________________________
11. Course start date: _DD_/_MM_/_YYYY_Course end date: _DD_/_MM_/_YYYY_ Any distinction _______________
12. Monthly Fee: _________________________ Hostel Expenses: _________________________________________
13. Name of Teacher __________________________________________ Contact No.__________________________
14.PREVIOUS EDUCATION RECORD

Degree Year Total Marks Marks Obtained Percentage

Matriculation
Intermediate
Graduation
Current Degree (Last result Sem/Year)

FAMILY & FINANCIAL INFORMATION

14. Father’s/Guardian’s Name:______________________________ Father’s CNIC No _______________________
15. Cell # (1) ____________________ (2) _____________________ Monthly Income:________________________
16. Father’s/Guardian’s professional status: Govt. Employee Private Employee
Self-Business Retired Abroad Un-Employed Disabled
1
17. If Father/Mother/Guardian/Brothers/Sisters are serving then give details (Please attach extra page if more than one
family members are serving)
a. Name ______________________________ Relation _________________Cell #: ___________________
b. Name of Department /Company/Employer: _________________________________________________
c. Address: _____________________________________________________________________________
d. Tel (Off): ________________________________ Cell #: (Employer)__________ ____________________
e. Designation & Grade ______________________ Total Monthly Salary____________________________
(Attach the relevant Proof i.e pay slip, copy of pension book etc.)
18. If Father /Brothers are shopkeepers give detail of Shop (Nature of Shop/Volume of Shop) ___________________
Total monthly income Rs: _______________________________________________________________________
19. Total Members in the Family: (Applicant, his parents, brothers and sisters will be considered as family)
20. Details of Siblings Studying including the applicant’s own detail

Sr. Name Class/Course Educational Institute with Type of Total Fee

Semeste
Gender

# Address Institute Per

r (Govt./Private) Month
1
2
3
4
5
(In case you have more details to enter please use extra page)
21. Total Fees & Tuition Charges of all siblings (Per Month) Rs/-__________________
22. Details of any other supporting person who is giving you a helping hand in your education.
Name: ___________________ Relation _____________ Cell # ________________ Amount being paid_________
23. If you or any other sibling is getting financial support from Alfalah or any other Government or Non-government
organization give its details
Name of Beneficiary: ____________________ Organization __________________ Amount of Stipend _________

REFERENCES
24. Provide details of two persons as references to certify your given details. The said persons should be educated
and they should be well aware of your family circumstances

1. Name:---------------------------------------------------- 2. Name:----------------------------------------------------
Profession/Occupation:--------------------------------- Profession/Occupation:---------------------------------
CNIC # ------------------------------------------------------ CNIC # ------------------------------------------------------
Cell # -------------------------------------------------------- Cell # --------------------------------------------------------

CERTIFICATION
25. Certification by the student and his/her father/guardian
It is certified that all particulars given above are correct.
Student’s Signature ________________ Father’s/Guardian’s Signature __________________Date: ___________
26. Certification by the Head of Institution
It is certified that above named applicant is a bonafide student of this institution. He/She is not getting scholarship from
any other organization/department and recommended for grant of scholarship being a deserving one.
Name ______________________________________
Office Stamp (Must be Readable)
Designation _________________________________
Signature ___________________________________
Date: _______________________________________
2
 INSTRUCTION FOR STUDENTS

)‫(یہ صفحہ صرف طلبہ کی راہنمائی کے لیے ہے اسکو درخواست فارم کے ساتھ لف نہ کریں‬
This page is only for the guidance of applicants and not to be attached with application form.
Attested documents to be attached
1. Photocopy of Self’s CNIC.
2. Photocopy of Father’s/Guardian’s CNIC.
3. 3 Recent Photographs.
4. Photocopy of current Electricity Bill.
5. Photocopy of Father/Mother/Brother/Sister’s Pension Book/Salary Slip.
6. Photocopy of all previous exams’ result.
7. Photocopy of fee slip (Last semester/year)
8. Bonafide Certificate (Mentioning course start and ending dates. Specimen is available on Alfalah website.
9. Iqrar Nama (to be downloaded from Alfalah website www.alfalahss.org
Applicants of intermediate, BA, BSc, B.Com will attach Iqrar Nama on plain paper (A4) while students of DAE,
BS(H), MS, Masters, MBBS, BSc Engineering, LLB etc will send the Iqrar Nama on stamp paper worth Rs./50,40
or 20 dully attested by the Notary Public/Oath Commissioner as and when asked by the office i.e. after
approval of their application for grant of scholarship.

Only those applicants may apply who are:-

1. Facing acute financial hardship to continue their studies.
2. Having good academic record in last Board/University exam with minimum 70% marks (Matric) and 60% marks
(Inter, DAE and above). Minorities 60% marks (Matric) and 55% marks (Inter, DAE and above).
3. Bonafide students of Govt. institutes. However students of intermediate class studying in a registered
private institutions may apply.
4. Not getting financial aid/scholarship from any other organization like PEEF, HEC, NGO etc.
Note: Call on cell phone during office hours (9:00am – 5:00pm) avoid to call during NAMAZ time please.
Application form to be submitted to concerned region. Addresses are given below:-
Name Regional
Name of
Sr. # Coordinator / Designation Mobile No. Office No. Office Address
Region
Manager
Program B-39 St. # 6. Sikandar Town
1 KPK Sana Ullah 0321-9208382 091-2263651-52
Coordinator GT Road Peshawar
B-1 2nd Floor Flat # 2. Noor
Muhammad Program
2 AJK 0345-4570656 051-4906080 Plaza, Chandni chowk.
Ishtiaq Manager
Rawalpindi
Central M. Faysal Hameed Manager 0333-5492944; 042-35454320-
3 711- J/2, Johar Town Lahore
Punjab Khan Programs 0322-4914569 21
North 124-A St # 5, Aghosh Society
4 Umar Saeed Coordinator 0309-2221215 051-5739206
Punjab Sawan Garden, Islamabad
South Prof. Khalid 85-A, Gulgasht Colony,
5 Director 061-6520077
Punjab Mehmood faisal Multan
Gilgit Near PWD Office, Gul Sher
6 Abdul Karim Coordinator 0346-9560006 0581-1457039
Baltistan Colony, Gilgit
Manager ST-3, Quba Complex , FB
7 Sindh Sohail Ahmad 0333-3527133 021-36344607
Programs Area , Block-13, Karachi
504-Quadeen Colony, near
8 Karachi Azhar Ghumro Coordinator 0300-3028440 021-34915361-4
Islamia College Karachi
Arbab Karam Khan Road
Mohammad
9 Quetta Coordinator 0321-8026408 081-2453967 Near Farooq Flour Mills
Faizan
Quetta
Fish Harbour Road, near
Ghulam Azam Secretory
10 Makran 0321-8091190 086-4810334 Sorag dil ground Gawadar
Dashti General
Balochistan