GOVERNMENT OF SINDH

NEED-CUM-MERIT SCHOLARSHIP FORM	Page 1 of 6

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):

	S			Family						Family Member			Organization						Monthly						
																									
							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								

  GOVERNMENT OF SINDH

NEED-CUM-MERIT SCHOLARSHIP FORM
                                                                                                                                   Page 2 of 6

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																				

GOVERNMENT OF SINDH

NEED-CUM-MERIT SCHOLARSHIP FORM             Page 3 of   6

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																																				
																																						
	2																																				
																																						
	3																																				
																																						
	4																																				
																																						
	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._________________		
																																					
						Accommodation				Number Of				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)_______________________________________________________________

             GOVERNMENT OF SINDH
NEED-CUM-MERIT SCHOLARSHIP FORM                         Page 4 of 6                                                                                                                                        
                     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													
																					
	S #			Transport Type			Make			Engine Capacity (CC)			Registration No.			Ownership			
																			
							/Model									Period			
				(Car/ Motor cycle/ Others*)																	

																				
1																				
																				
2																				

* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.

GOVERNMENT OF SINDH

NEED-CUM-MERIT SCHOLARSHIP FORM 	Page 5 of 6

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:
	Level of Study			Name and Location of			Per Month			To- From			Division/			%age /			

				Institute			Fee			month/ yr.			GPA/			CGPA			

	Bachelors																	
																		
	Intermediate																	
																		
	Secondary																	

GOVERNMENT OF SINDH

NEED-CUM-MERIT SCHOLARSHIP FORM	Page 6 of 6

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)

							Scholarship			Total			Total			Class / Level at which			

																Scholarship was			
	S #			Name of Institute						Scholarship			Scholarship						
							Name												
																granted			
										Amount			Period						

																			
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.	Committee 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