S. No.

Application for Membership of Habbah Club

Please seek clarification before filling this form. Append Recent
Passport Size Photo
Here

Application Date

APPLICANT DETAILS
Name of Applicant

Applicant CNIC - - Date of Birth

University/Institute Programme Student ID

Current Address

Permanent Address

Contact (Mobile) Email

SECTION A - ACADEMIC DETAILS

Current Educational Programme
Mention the programme details.

Programme
with specialization

Current GPA CGPA

Programme Completed Yes No Studying Applied for Admission

Why have you applied for Qarz-e-Hasana from Habbah Educational Trust?
Explain in detail.
Overview of all degrees and qualifications in chronological order, put earliest first.
Board Major Subjects School / Institution Grade or CGPA Year of Completion

O Level / Matriculation Details

Mention your achievements in detail.

A Level / Intermediate Details

Mention your achievements in detail.

Other Qualifications e.g. ACCA, CA, CIMA Standardized Tests e.g. SAT, IELTS, GMAT, etc.
Mention your achievements in detail. Mention your achievements in detail.
 SECTION B - FAMILY INFORMATION

About Your Parents

Please provide accurate details.

Father Mother

Name

CNIC

Profession

Educational
Attainment

Name of
Employer

Designation

Address

Office
Contact Number

Monthly Income

Pension
(if retired)

Personal
Mobile Number

About Your Siblings

Give educational attainment or profession details.

Name Educational Attainment Occupation / Institution Income

1.

2.

3.

4.

5.

6.
 SECTION C - MORE ABOUT APPLICANT

Your Interests
What are your major interests apart from academics.

Why are you seeking membership of the Habbah Club?

State your reasons.

What are your academic plans for the future? What do you want to study and why?
Share your plans and preferences.

What are your long-term personal aspirations?

What are your dreams and expectations from your own self?

What are your aspirations for your career?

How do you want to or think of making a difference?

Which other colleges / universities did you apply to?

Where did you get accepted?

What are your expectations of Habbah Educational Trust?

State your expectations, and queries, if any.
 SECTION D – PART I – FINANCIAL APPRAISAL

Who has paid for your school or college fee until now? How much has that been per annum?
Please specify relation and state the accurate figure of school and/or college fee.

Have your general financial circumstances changed in the recent past? Or are there any reasons to believe that they may change in the
foreseeable future?

When and how do you think you would be able to return the amount to Habbah Educational Trust, enabling it to provide similar facilities
to other applicants?

What alternate arrangements have you made or are able to make in case your application is not accepted?

Please state the requirement of cost of educational programme and the contribution desired from Habbah Educational Trust.
Semester Yearly Contribution from Own Request for Qarz-e-Hasanah
Requirement Requirement Sources Per Semester Loan Per Semester

Has your University/Institution approved any scholarship or fee waiver? Give accurate details and their conditions.
Attach the letters, vouchers received by your University/Institution.
 SECTION D – PART II – DETAILS OF INCOME

Type Income Sources Father Mother Sibling Self Guardian Spouse Total

Monthly Salary

Allowances

Annual Bonus
Salary

Leave Encashment

Other
(please specify)

Gross Salary

Income Tax

Provident Fund
Deductions in Salary

Loan(s)

Other (please
specify)

Total Deductions

Net Salary
Other

Pension

Annual Income
Agriculture Income
Business Income /

Less Annual Expense

Agriculture Income

Total Business
Income

Bank Deposit

From House
Property
Other Income

From Business
Property

Shares / Securities

Others (please
specify)

Total
 SECTION D – PART III – DETAILS OF EXPENDITURES

FAMILY’S EDUCATIONAL COST

Fee per Private Transport / Boarding &
Name Relation Name of Institution
month Tuition Fee Other Lodging

HOUSE DETAIL DETAILS RENTALS

Please mention details of your rental expenditure, if any

Monthly Rent Deposit / Advance

 Owned

Size of House Yearly Expenditure

 Rented

DETAILS OF UTILITY EXPENSES – LAST THREE (3) MONTHS

Month Telephone Electricity Gas Water Total

1.

2.

3.

DETAILS OF OTHER EXPENDITURES

Payment of Insurance Premium
Legal Expenses Loan Repayment
(please mention thing insured)

TOTAL FAMILY EXPENDITURES

Total Educational Expense Total Rental Expense Total Transportation Expense

Rations Expense Medical Expense Total Utilities

 SECTION D – PART IV – DETAILS OF ASSETS AND PROPERTY

HOME

Description Yes / No Quantity Registration Number

Air Condition --

Car

Motorcycle

Television --

Computer / Laptop --

TOTAL VALUE OF PROPERTY OWNED

Value of Asset Father Mother Spouse Self Sibling Total

Business

Land & Building

Vehicles

Saving Accounts

Deposits

Shares / Securities

Others

Total

DECLARATION

I _____________________________________________________________ hereby declare that

the details furnished above in Sections A, B, C and D are true and correct to the best of my knowledge and
belief, and I undertake to inform you of any changes, immediately. I am also aware that I am and will be held
responsible and accountable for any untrue, misleading or misrepresentation of facts in this application
form, and otherwise. I hereby authorize sharing of the information provided in this form with Habbah
Educational Trust for a fair appraisal of my need of Qarz-e-Hasanah for educational attainment only.
 Habbah Educational Trust
Application Form
List of documents required

S. No. Documents required Provided?

1 Two (02) recent passport size photographs

2 Copy of CNIC

2.1 Candidate / B-Form (if CNIC not applicable)

2.2 Parents / Guardian

2.3 Spouse, if applicable

2.4 Siblings / B-Form (if CNIC not applicable)

3 Admission confirmation letter

4 Photocopies of educational certificates / degrees / diplomas

5 Updated resume (C.V.)

6 Income certificate / latest payslip / pension book slip

6.1 Candidate

6.2 Parents / Guardian

6.3 Spouse

6.4 Siblings

7 Copy of latest income tax return of family members

8 Bank statement of last six months of family members (where applicable)

9 Photocopies of last two (02) months paid utilities bills along with paid utility bills for the months of June and July

9.1 Electricity

9.2 Gas

9.3 Telephone

9.4 Water

10 Copy of rent / tenancy agreement (if applicable)

11 Mission statement (please write few lines outlining your vision in life)

12 Student ledger clearly showing fee payment history and outstanding fee balance (for exisiting students)