Higher

HEC Needs Based Scholarship Program 2020-21

Education Page 1 of 6
Commission

Name of the University:

Degree Title / Program:
1. Applicant’s Name: Gender: Male Female

2. Applicant NADRA
NIC No.
3. Marital Status Single Married Divorced
4. Age : Domicile
5. Present Address
6. Permanent Address:
7. Are you currently working : Yes No
8. If answer is Yes to Section No. 8 complete the sections (9-13)
Designation: Name of Employer /Company:
9. Total Monthly Applicant Gross Income in Pak Rs.
10. Total Monthly Applicant Take Home Income* in Pak Rs.
* Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc.
11. Tel (Res.): Mobile: Email:
12. Total Family Members currently living with you:
S # Name of Family Member (s) Relationship Marital Status Remarks**
1
2
3
4
5
6
13. Details of Family Members Earning (Take extra sheet if required):
Family Member Monthly
S Family Organization
Relationship occupation Designation Gross Remarks
# Member Name Name
(Specify) Pay/Earning
1
2
3
4
14 Total Monthly Family Income (add self income, if applicable) Pak Rupees
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HEC Needs Based Scholarship Program 2020-21
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Commission

15. Brothers/Sisters/Children/Family Members studying

Relation
S# Name with Name & Address of Institute Fee per month
applicant
1
2
3
4
5
6

15A Total Fees & Tuition Charges

16. Father’s Name: Computerized N.I.C. No

17. Status: Alive Deceased
18. Professional status: Employed Retired Business Owner
19. Name of Company/Employer:
20. Tel (Off): Mobile:
21. Occupation Type: NTN
22. Designation & Grade ( BPS/ SPS/PTC etc): Gross Monthly Income:
23. Total Net Monthly Take Home Income (Salary/ Pension/ Others):
24.Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian):
25. Name: Relationship:
26. Occupation and Designation
27. Monthly Financial Support Available to Applicant in Pak Rs.
28. 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)

28A Total
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HEC Needs Based Scholarship Program 2020-21
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Commission

29. Total Family Monthly Income

Monthly Income Monthly Gross Monthly Net
S# Family Member Name Relationship from Assets Pay/Earning (Take home)
Pay/Earning
1

5 Applicant Monthly Gross Pay/Earning

6 Applicant Monthly Net (Take home) Pay

29-A Total Monthly Income in Pak Rupees

Total Annual Income in Pak Rupees

29-B

30. FAMILY EXPENDITURES

30A. Accommodation Expenditures
Type: Bungalow Apartment /Flat Town House Village House
Status: Rented Self or Family owned Employer / Govt Owned
Rent Payment: Self Employer/Govt Others

House Plot Size in Sq. ft. Covered Area in Sq. ft.

Number Of
Accommodation Number Of Accommodation Accommodation
S# Air
Location /Address Bed Rooms Monthly Rent Annual Rent
conditioners
1-2 1-2
2-4 2-4
4-6 4-6
Above 6 Above 6

30B Total Accommodation Rental Expenditure

Any other house/flat owned by the Parents/Guardian (if yes please specify with location
and size)
 Higher
HEC Needs Based Scholarship Program 2020-21
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Commission

31. Utilities Expenditures

Last Month Utilities Paid
Telephone Electricity Gas Water

32. Medical Expenditures: Average of last six months (Per Month Expenditure)
Total Family Expenditures
Education Accommodation Utilities Medical Misc. Total Monthly Total Annual
S# Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure

33

S# Description Amounts in Pak Rupees

(Sec.29A) Total Monthly Income
(Sec. 33) Total Monthly Expenditure
34
Net Monthly Disposable Income*
(29.A – 33A)

S# Description Amounts in Pak Rupees

(Sec.29B) Total Annual Income
(Sec. 33) Total Annual Expenditure
35
Net Annual Disposable Income*
(29.B – 33.B)

* 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

Assets (with current market value)

36. Does the family own any Transport? Yes No
If yes kindly fill the relevant details

Make
S# Transport Type Engine Capacity (CC) Registration No.
/Model Period
(Car/ Motor cycle/ Others*)

* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
 Higher
HEC Needs Based Scholarship Program 2020-21
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Commission

37. Number of Cattle(s) (with kind)

38. Area and location of Land(s)/Plot(s) owned
Cultivable Agricultural
Assets Title Qty Size Location (Address) Area Yield per
Acre
Residential
Commercial
Agricultural
Employer/Govt Scheme
39. 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)

40. Total
41. Loan taken for Applicant Education
* Family/ Friend Loan
(Specify details of loan taken and relationship with the relative / friend)

42. Any source of financing other than loan (Please specify)

43. How were the admission /first semester charges paid?

44. Applicants educational record:

Name and Location of Per Month To- From Division/ %age /
Level of Study Institute Fee GPA/ CGPA
month/ yr.
Bachelors
Intermediate
Secondary
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Commission

45. Per month fee/ tuition charges of the institution last attended
46. Have you ever got any other Scholarships: Yes No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)

Total Total Class / Level at which

S# Name of Institute Scholarship Scholarship Scholarship Scholarship was
Name Amount Period granted
1
2
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required

UNDERTAKING
1. The information given in this application are 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. HEC reserves the right to use information given in this form for verification and other purposes.

Date: Parents / Guardian Signature Applicant Signature:

For Official use only

Are the applicant documents in order? Yes No

Application Case Review Dates (i) (ii)

Additional Remarks

Date Department Name Signature Head of Department / Focal Person

 HEC-NEED BASED SCHOLARSHIP 2020-21

Degree and Department:

Semester:

Student Name:

Father Name:

Regd. No.

CNIC.No.

E-mail:

Contact No.

Address:

Name of Last Institute:

Per Month Fee of LastInstitue:

Hostel / DayScholar:

Marital Status of Candidate: Single /Married:

Father Status: Alive / Deceased:

Profession of the Father / Guardian:

No. of family members who are not working:

No. of family members studying:

No. of family members who are not earning:

No. of earning hand family members:

Father /Guardian (Salary/Pension/Business/Labourer/Shopkeeper:

Mother Income per month:

Income from Land:

Income from any other sources:

Total Monthly Income:_

Total Annual Income:

Average per month Gas Bill (put average of last six months):

Average per month Electricity Bill (put average of last sixmonths):

Average per month Water Bill (put average of last six months):

Average per month Telephone Bill (put average of last six months):

Total Per Month Utility Bills:

Per Month Education Expenditures of the family:

Per Month food/Kitchen Expenditures of the family:

Per Month Medical Expenditures of the family:

Other Misc Expenditures:

Total Monthly Expenditure of the family:

Total Annual Expenditures of the family:

Type of the Vehicle (Car/Motorcycle/others):

Make & Model of the Vehicle:

Size of House:

Market Value of the House:

Mentioned the Size of Land/Plot:

Market Value of the Land/Plot:

Accommodation (Own/Rented):

Type of Accommodation (Rural/Urban):

Current Bank Balance:

Other Misc Assets/Cattle’s:

 HEC NEEDS BASED SCHOLARSHIP APPLICATION FORM 2020-21
Scholarship is based on assessment of need and merit as well as availability of funds. 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:

• Cancellation of admission.
• 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:
 Fill in the form using black ball point pen and write in capital letters
 Read the application form carefully.
 Make a photocopy of the application form
 Complete the photocopy form and make sure everything is correct and final
 Copy all information from photocopied form to the original form
 Submit duly completed application form to the admission office or focal person
 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 the Focal Person
 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”

 Affidavit Needs to be submitted after final selection of the candidate
 Application Form Check List
SN Description Tick the
relevant
1 Copies of computerized NIC of
Father
Mother
Guardian and Dependents

2 Salary Certificate of
Father
Mother
Guardian
3 Copies of last 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 Medical bills/ expenditure related documents (if applicable)
7 Copies of pervious scholarship(s) attained (if applicable)
8 Statement of Purpose
*Tick the Section When Completed
I Section A: Personal and family information
II Section B: Cumulative information of Self, Parents & Guardian
III Section C: Financial arrangements for current year
IV Section D: Educational Record
DO’s:
• Send your application by post or submit by hand to the student financial aid office or
admission office or focal person.
• Place documents in right order as per above sections (1 to 10)
• Put all amounts in Pak Rs.
• 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. Send scholarship application form directly to HEC