APPLICATION FORM FOR MERIT SCHOLARSHIP (2018)

(KHYBER PAKHTUNKHWA GOVT. SERVANTS B/FUND PART-I & PART-II)

( FORM SHOULD BE FILLED IN CAPITAL LETTERS )

1. Personnel No.

2. Name of Government Servant

3. Designation

4. Pay Scale

5. Office / Department

6. Parent Department (if other than S.No.5)

7. Place of Duty
- -
8. CNIC No. of the Government Servant

9. Contact No. / Mobile No.

10. Name of Student

11. Class Passed

12. Exam Passed (Science / Arts) Subject

13. Date of Declaration of Result

/
14. Marks Obtained / Total Marks
/
15. Percentage / CGPA

16. Name of Institute

17. Address of Institute

DETAILS OF BANK ACCOUNT (GOVT. EMPLOYEE)

18. Account No. / IBAN No.

19. Bank Name

20. Branch Code

21. Branch Address

P.T.O
 CERTIFICATE FROM APPLICANT AND STUDENT
I do hereby solemnly affirm and verify that I am a serving employee of
Government of Khyber Pakhtunkhwa and the contents of the application are true to
the best of my knowledge and nothing has been concealed. I know that in the
event of making a willful misrepresentation, suppression of facts or submission of
duplicate case (for the same student) I shall be liable to criminal prosecution.

___________________ ___________________________
Signature of Student Signature of the Govt. Servant

CERTIFICATE FROM HEAD OF INSTITUTE CONCERNED

I do hereby certify that as per record of this institution entries recorded
against S.No.10 to 17 are correct and the student has obtained ___________
marks in Board / University FULL FINAL EXAM declared on _____________
(Date).

___________________ ___________________________
Official Seal Signature of Head of Institute

CERTIFICATE FROM HEAD OF DEPARTMENT CONCERNED

I do hereby certify that applicant is a serving employee of Government of
Khyber Pakhtunkhwa and regular contributor towards Benevolent Fund. It is further
certified that the details furnished in the application are correct with the record
available in this office and case of the grantee is genuine and no case has earlier
been submitted for release of Merit Scholarship out of Benevolent Fund for the
aforesaid student.

___________________ _____________________________
Official Seal Signature of Head of Department

DOCUMENTARY CHECK LIST

 Pay Roll  DMC  CNIC of Govt: Servant
 Grade Conversion / Equivalency / Percentage Certificate

NOTE
a. Application will not be entertained in case of deficiency, incompleteness, late
submission or not routing through administrative department.

b. Application are only processed for calendar year mentioned on title of form.

c. Application will only be considered for FULL FINAL EXAMS.