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SZABIST Fee Installment Form

This document is an application form for a fee installment plan at Shaheed Zulfiqar Ali Bhutto Institute of Science & Technology. It requests information about the student such as name, registration number, program, address, and contact details. It also asks for information about the student's father/guardian including name, employment status, company/employer details, and contact details. Additionally, it requests family details such as monthly income, number of family members studying, and monthly expenditures. The form outlines the fee installment breakdown specifying the percentage and due date of each installment. It includes an undertaking that the information provided is true and the applicant will pay installments on time, otherwise SZABIST reserves the right to cancel their

Uploaded by

Muhammad Tahir
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© © All Rights Reserved
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694 views2 pages

SZABIST Fee Installment Form

This document is an application form for a fee installment plan at Shaheed Zulfiqar Ali Bhutto Institute of Science & Technology. It requests information about the student such as name, registration number, program, address, and contact details. It also asks for information about the student's father/guardian including name, employment status, company/employer details, and contact details. Additionally, it requests family details such as monthly income, number of family members studying, and monthly expenditures. The form outlines the fee installment breakdown specifying the percentage and due date of each installment. It includes an undertaking that the information provided is true and the applicant will pay installments on time, otherwise SZABIST reserves the right to cancel their

Uploaded by

Muhammad Tahir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SHAHEED ZULFIKAR ALI BHUTTO INSTITUTE

OF SCIENCE & TECHNOLOGY


Application form for Fee Installment

1. Student Name:

2. Reg no: Program:

3. Present Address

4. Are you availing any scholarship: Yes No

5. Are you working? Yes No

(If yes, please complete the questions (6-7) otherwise put N/A

6. Designation Employer/Company

7. Monthly Gross income in Pak Rs

8. Tel (Res): Mobile:

9. Email:

FATHER/GARDIAN

1. Father’s Name

2. Status: Alive Deceased

3. Professional status: Employed Retired Business Owner

4. Name of Company/Employer:

5. Tel (Off): Mobile:

6. Occupation Type:

7. Designation & Grade (BPS/ SPS/PTC etc):

FAMILY STAUS

1. Family Income: Total Monthly income in Pak Rs.


2. Brothers/Sisters/Children/Family Members studying (total number of family members
studying with relation) _____________________________________________________

1
3. Family Expenditure : (in Pak Rs)

Education Accommodation Utilities Food and Self Total Expenditure

Other Misc
Monthly Annual

Fee Installment breakdown:

Outstanding amount Rs: Semester:_____________________

1st Installment (Percentage of amount to be paid) Date: _____________

2nd Installment (Percentage of amount to be paid) Date: _____________

3rd Installment (Percentage of amount to be paid) Date: _____________


UNDERTAKING

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.
I solemnly declare that I will deposit fee installments on notified dates, in case I fail to submit my
fee, SZABIST reserves the right to cancel my admission and use the information given in this form
for verification and other purposes.

Parents/ Guardian Signature Applicant signature


Date:

Supporting Documents
• Copy of CNIC:
o Father/Guardian
o Applicant
• Copy of Admission letter
• Copies of last paid Utility bills: Electricity, Gas, Telephone

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