(Page-1) (Annex.a) FEDERAL EMPLOYEES BENEVOLENT AND GROUP INSURANCE FUNDS BENEVOLENT FUND BUILDING, BLOCK C-ll, NEAR ZERO POINT, P.O.BOX NO.2035, ISLAMABAD APPLICATION FOR GRANT OF EDUCATIONAL STIPEND (For post Matric studies excluding M.S/M.Phill & Phd) PART. PARTICULARS OF EMPLOYEE: - . 1] 9) Name of Employee =e) | | Gnblock tetters) [D)_ Designation 2 | ENICNo. [- | 3 | ENIC of Husband (incase of Female | Employee) . 4 | Department; with complete | Postal address and contact No. Place of Last Posting Bank A/C No. of Employee 7 [a)_| Basic Pay Seale 'b)_[ Stats of employee Gazetied 7 Non-Gavetted | 8 | Particulars of the stipend, ifany. received last] Amount year from the FEB & GIF t Class Certified that the application is preferred first time for payment of Educational Stipend for the year 2. Thereby solemnly affirm that the above information is correct to the best of my knowledge and belies Dated:__ “(Signature of the employee) PART-B (To be filled in by the Head of jepartment of the employee) No. Dated: Certified that Mr/Mrs. .. : holds the post of in this office and that his/her basic pay scale at present is BS-........ (Gazetted/Non-Gazetted). Signature and seal of Head of the Department jon Payment Order, (1°, irement order and LP‘ eb(Page-2) PART-C PARTICULARS OF STUDENT [1] Fall name ofthe Student T (in block letters) | (27 TFather's name 4. Particulars of present studies:- Nameandadére ofthe | NAMEOTEBON. T” Cans | premtaunects | commnaconent | instation where nversity oF | semester of | Presentsublecs | commencement | ofthe epactent recon cfstuly | ofthe scademie studying einen | PR Se) session | WP ‘5. Previous academic record (starting from the last examination passed) Name and address | Examination | Dateof passing | University ~ ‘Of the Institution(s) passed the examination Board bitte lust attended Tora | Obiained [%. “Marks obained are essentially required alongwith GradklGPA, Postal Address and Contact No of Parents. (Signature of the Student) vaRT-D (o be ited in by the Head of the Educational Institution where the student is on roll) Certified that Mr/Miss on Sto Dio : is a bonafide student of this Institution, studying in Class. ‘and thatthe particulars furnished by hiner from Serial Nos 1 to of Part “C" of this application form are cores. 2. Cenlfied that Mr/Miss solbio had obtained ‘marks out of total marks Of...-------nin term of percentage... inthe last examination (either present institution oF Board/University). Histher date of admission to the present program is 3. Certified that this institution is a Government Insttution/Accredited Private Institution recognized by the Government of ‘Intermediate —& Secondary Board/University ‘of Higher Education Commission, Islamabad, 4. Ceatified that Mr/Miss. has got admission inthis institute on merit and not on self finance basis (In ease of student studying in MBBS, B.E.BDS.MBA,BBA.MCS,BCS.BEIT ete from public sector instituteaniversities) Postal Address and Contact No, of Institutio Signature and Seal of EE Head of the Institution et owing documents nite alongwith Detail marks sheet ofthe last examination passed (02 6 University/Intituion admission offer lester for Cte copies) Wa. 2. Centificatesdegree of student 7. Original Bank paid fee Challans for Cat-¥ of Joe 3. CMC or Form 'B ofthe student. reimbursement 02 coptes) 4 CNIC ofemployee 8. Latest pay slip of employee showing complete detail S.Incase of female employee, Husband CNIC Of BF & GI deduetions 02 copies) Death Cerificate of deceased employee 10, Case may be submitted through parent Depariment swith covering eter seaveevensform Endtistestestene