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    Application Form 2022 23

    Uploaded by

    aftab ali
    This document is an application form for a scholarship program. It requests information such as the applicant's name, father's name, date of birth, educational institution, income details, bank account information, and required supporting documents. The form must be certified by the head of the applicant's educational institution, who must confirm enrollment and attest that the applicant is facing financial hardship. The completed form along with supporting documents must be submitted to the District Scholarship Board for consideration.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form 2022 23

    Uploaded by

    aftab ali
    181 views2 pages
    This document is an application form for a scholarship program. It requests information such as the applicant's name, father's name, date of birth, educational institution, income details, bank account information, and required supporting documents. The form must be certified by the head of the applicant's educational institution, who must confirm enrollment and attest that the applicant is facing financial hardship. The completed form along with supporting documents must be submitted to the District Scholarship Board for consideration.

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    Application

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    This document is an application form for a scholarship program. It requests information such as the applicant's name, father's name, date of birth, educational institution, income details, bank account information, and required supporting documents. The form must be certified by the head of the applicant's educational institution, who must confirm enrollment and attest that the applicant is facing financial hardship. The completed form along with supporting documents must be submitted to the District Scholarship Board for consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    181 views2 pages

    Application Form 2022 23

    Uploaded by

    aftab ali
    This document is an application form for a scholarship program. It requests information such as the applicant's name, father's name, date of birth, educational institution, income details, bank account information, and required supporting documents. The form must be certified by the head of the applicant's educational institution, who must confirm enrollment and attest that the applicant is facing financial hardship. The completed form along with supporting documents must be submitted to the District Scholarship Board for consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FORM

    Passport size photo

    PART-1
    1. Name 2. Father’s /Guardian’s Name

    3. Caste Male Female 4. 4. C.N.I.C No. - -


    5. Date of Birth 6. Taluka /Tehsil 7. Mobile No.
    (DD) (MM) (YYYY)

    8. Domicile/PRC (a) Student (b). Father / Guardian

    9. .Father’s / Guardian’s Occupation 10. Religion

    11. Parents / Guardians Monthly Income


    (SALARY SLIP/INCOME CERTIFICATE ATTACHED)

    12. Name of the Institution

    13. Semester/Year/Date of Admission

    14. Name of Degree/Duration of Course

    15. Studying whether on: please tick mark (✓) (a). Merit Basis (b). Self-Financing Basis

    16. Permanent Address

    17. Present Postal Address

    18. Last Examination Passed: Year Total Marks Marks Obtained %age
    (An Original Mark sheet must be attached)

    19. Bank Account No. with area code and name of Bank Branch
    (With city name) (only students account detail acceptable)

    Certified that information provided by me is true & correct if anything proved to be false at any stage, then my
    application shall be liable to be rejected.

    Date: Signature of Student

    1
    PART-II
    CERTIFICATE FROM THE HEAD OF INSTITUTION / DEPARTMENT (Mandatory Requirement)

    This is to certify that Mr. /Ms._____________________________________________________


    S/O, D/O ________________________________ is a bonafide student of _________________________Year
    under class Roll No. ___________. He / She is studying in ______________ at this Institute /College /
    University. His / her conduct is satisfactory, facing financial hardships to continue his/her education.
    Therefore, his/her case is recommended for consideration to District Scholarship Board Khairpur / District
    Administration Khairpur, Sindh.
    PLEASE TICK MARK REQUIRED DOCUMENTS (✓)
     The candidates will have to produce certificate from the Head of Department of concerned college/Institute/University
    on prescribed application form of 2022-23 showing the enrollment in the respective College/Institute/University.
     Original Marks Certificate of last examination passed (2021 and onwards) 75% or 3.00 CGPA would be considered.
     Student’s personal bank account statement / cheque leaf
     Attested copy of Domicile and PRC of Student and his father/Guardian
     CNIC of student (if under age, B-Form of NADRA must be attached) and his/her father/guardian.
     Attested Copy of Student ID Card
     Attested Copy of Pass Certificate of Matriculation showing Date of Birth issued by the concerned Board.
     Father/ Guardian’s Income Certificate. In case, father/guardian are government employee, his last month pay slip may be
    attached.
     One fresh passport size photograph.
     All Attached Documents Must be Attested from Gazetted Officer
    Very Important: The Enrollment of the student & documents are verified by the Head of Department / institute

    Signature and Stamp


    Head of the Department/College /Institution
    MOST IMPORTANT
    • This form & criteria can be downloaded from Facebook page of “Khairpur Poverty Cum Merit Scholarship Board
    (https://www.facebook.com/kncmsb)
    • All the students (Male / Female) are strictly directed to please submit application forms through their respective
    / concerned institutions / Degree College / Universities where they are pursuing their study and after having
    been scrutinized, the heads of the institutions / Degree College / Universities are requested to please forward
    the eligible cases only as per criteria with covering letter to the Scholarship Branch established AT OFFICE OF
    THE DEPUTY COMMISSIONER OFFICE / CHAIRMAN DISTRICT SCHOLARSHIP BOARD KHAIRPUR for further
    process.
    For Office Use Only
    Application of the Student accepted Scholarship Amount Sanctioned Rs:

    Application of Candidate Rejected


    Reasons of Rejection

    Name and Signature of the Authorized Person __________________________________________________

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