You are on page 1of 3

KHAIRPUR NEED CUM MERIT SCHOLARSHIP

APPLICATION FORM PART-I 1. Name:_________________________ 2. Father/ Guardians Name__________________________ (IN BLOCK LETTER) 3. Gender (M/F) _________________________4.C.N.I.C No_________________________________ 5. Age/Date of Birth ______________________6. Telephone/ Contact No.______________________ 7. Domicile /PRC (a) Student_______________ (b)Father /Guardian _________________________ 8 Fathers /Guardian Occupation_________________________9. Religion_____________________ 10. Business /Job Description of Parents /Guardians & Postal Address _______________________ ____________________________________________________________________________________ 11. Parents/ Guardians Monthly income _________________________________________________ (Copy of Salary slip or income certificate by Mukhtiarkar to be attached) 12. No. of Dependent Family members of parents / Guardians _______________________________ 13. Class in which studying/ Name of Course _____________________________________________ 14. A)- Name of Course for which applying (for students under category II) ___________________
B)- Whether the applicant has appeared and qualified the written test as per requirement of institution please attach the result sheet of entry test, required for the candidate of category II) the

____________________________________________________________________________________ 15. Name of the Institution ____________________________________________________________ 16. Semester /Year/Date of Admission ___________________________________________________ 17. Duration of Course ______________________18. Temporary Address _____________________ 19. Permanent Postal Address _________________________________________________________ ____________________________________________________________________________________ 20. Previous Educational Record _______________________________________________________ 21. Detail of last Annual Examination (a) Year _________ (b) Total Marks Obtained____________ (Must attach copy of Mark Sheet / Transcript) 22. Details of Scholarship received during the last if any, ___________________________________ 23. If receiving any stipend or financial assistance from any other source amount Rs. ___________ Note- Copies of Documents attached must be attested by any Gazetted Officer Date_____________ Signature of Applicant __________

KHAIRPUR NEED CUM MERIT SCHOLARSHIP


PART-II (PARTICULAR OF APPLICANTS BROTHERS/ SISTERS WHO ARE IN JOB) S No 1. 2. 3. 4. 5. Name Profession / Jobs address (in case Date of Monthly nature of job / of service, name of employment income designation department)

Applicant Signature Date: _______________ PART-II

CERTIFICATE BY THE HEAD OF THE INSTITUTION


This is to certify that Mr. /Ms______________________________________________ S/O, D/O___________________________ is a bonafide student of ___________________________ He/ She is studying / has qualified for admission in ___________. It is also certified that he/she is not receiving financial assistance / Scholarship from any other sources. His/her conduct is satisfactory. I strongly recommend him/ her for KHAIRPUR NEED CUM MERIT SCHOLARASHIP DISTRICT GOVERNMENT KHAIRPUR.

Signature and Stamp Head of Institution SECRETARY KHAIRPUR NEED CUM MERIT SCHOLARSHIIP BOARD, DISTRICT GOVERNEMNT BEHIND DPO HOUSE KHAIRPUR CONTACT No. 0243-9280223 Required Documents
1. 2. 3. 4. 5. Domicile CNIC (of student, B-form of NADRA) Mark sheet of Last Examination Student ID Card Annual Income Certificate of Father / Guardian

KHAIRPUR NEED CUM MERIT SCHOLARSHIP


District Government Khairpur is pleased to announce NEED-cum-Merit scholarship 2010-2011, for deserving talented students of District Khairpur, who are seeking admission / getting education in higher or professional studies in the recognized Public / Private Sector Universities / Institutions / Colleges of Pakistan. The Criteria for grant of Scholarships are as follows:CATEGORY I Those students who are admitted during the year 2010-2011, as well as those who are already studying in the Federal / Provincial Government recognized Educational Institutions such as Medical Colleges, Nursing Colleges / Schools, Engineering Universities, General Colleges, and General Universities. Those students who have already received the Khairpur merit cum NEED scholarship in July 2010 are not entitled. CATEGORY II Fifty (50) scholarships will be awarded on the basis of NEED-cum-Merit to those students who are successful to get admissions in any of the following top ranking Universities / Institutions of Pakistan. Maximum limit of award will be Rs.100,000/- per annum for student till completion of his / her degree 1. Quaid-i-Azam University, Islamabad 2. Shaheed Zulfiquar Ali Bhutto Institute of Sci. & Tech. (ZABIST), Karachi 3. International Islamic University, Islamabad 4. Isra University. Hyderabad. 5. Pakistan Institute of Engg. and Applied Sciences (PIEAS), Islamabad 6. National University of Sciences and Technology (NUST), Islamabad 7. National University of Computer and Emerging Sciences (FAST-NU), Karachi 8. Lahore University of Management Sciences (LUMS), Lahore 9. Institute of Business Administration (IBA), Karachi 10. Institute of Business Administration (IBA), Sukkur 11. Iqra University, Karachi 12. Institute of Business Management (IBM), Karachi 13. Aga Khan University, Karachi ELIGIBILITY CRITERIA 1) The candidate/father or guardian must be possessing domicile and permanent residence of Khairpur District. 2) The Students undergoing studies who are already getting financial assistance, stipend or scholarships through any other source shall not be eligible. 3) The students those must have obtained minimum 60% marks in the last year examination. 4) Certification by the Head of the Institution regarding correctness of statement of student. 5) Attested photocopies of the following documents shall be furnished with the application form:i. C.N.I.C. & Student ID. Card. ii. Mark sheets of all the last passed examinations. iii. Fathers/ Guardians Income Certificate NOTE: The applications complete in all respect shall reach the Secretary Khairpur NEED-Cum-Merit Scholarship Board District Government Khairpur at Zila Council Office Khairpur, through Head of the Institution latest by 01-092010. The Incomplete applications or those received after due date will not be entertained. The application format given in the advertisement will be acceptable including photocopy. It can be downloaded from the District Government Khairpur website www.khairpur.gos.pk, www.dgk.gos.pk

SECRETARY KHAIRPUR NEED CUM MERIT SCHOLARSHIIP BOARD, DISTRICT GOVERNEMNT KHAIRPUR CONTACT No. 0243-9280223

You might also like