FEDERAL EMPLOYEES BENEVOLENT AND GROUP INSURANCE FUNDS

BENEVOLENT FUND BUILDING, BLOCK A-I, ZERO POINT,

P.O. BOX NO. 2035, ISLAMABAD

APPLICATION FORM
ESSAY WRITING COMPETITION

Enrolment No. _______________

PART-A

1a) Name of employee (in block letter)

b) CNIC No. - -
c) Designation
d) BS Gazetted Non-Gazetted
e) Deptt/organization with complete address

2 a) Name of student (in block letters)

b) CNIC/B Form
No.
c) Date of birth - -
d) Class of present study Matriculate Under Graduate or
or equivalent equivalent

3 Name and address of the Educational

Institution in which students studying

4 Essay
5 Essay Category Urdu English

Complete postal address and contact No. of the applicant.

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Dated : _________________

(Name & signature of applicant) (Name & signature of the student)

Contd.. p/2
 PART-B

To be filled in by the Head of the Educational Institution where the student is enrolled
(In case of private student, no need to fill it)

Roll No. ___________________ Dated : _____________

Certified that Mr./Miss.____________________________________________________________S/o,

D/o ___________________________________________________ is a bonafide student of this
Institution, studying in Class __________________________ and particulars furnished by him/her at
Serial No. 2(d) & 3 of Part A of the Application Form are correct. It is also confirmed that script of the
subject Essay has been narrated by the said student as per his own ability without any support of the
other persons. Original copy of essay is enclosed.

Signature and Seal of

Head of the Institution

PART-C
To be filled in by the Head of the Department of the employee
(In case of retired/deceased employee, no need to fill it)

No. ______________________ Dated : _____________

Certified that Mr./Mrs.____________________________________________________________holds

the post of __________________________________ in this office and that his/her basic pay scale at
present in BS- _____ (Gazetted/Non-Gazetted).

Signature and Seal of

Head of the Department/Authorized Officer

Attested copies of the following documents are to be submitted along with application.

1. CNIC of the employee.

2. CNIC of student or Form B.
3. Copy of Pay Slip/Pension Payment Order copy of employee or family
members or Benevolent Grant Payment Order Copy as the case may be.
4. Certificate/Degree of last Board/University Examination of the student.