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FINANCIAL ASSISTANCE FORM

HITEC UNIVERSITY
STUDENT DATA

Regd No: ____________________ Name: _________________________ S/O ______________________

Address: ______________________________________________________________________________

Telephone: ______________________ Mobile: _________________________________________________

SOURCES OF INCOME

1. Father (Fill which ever is applicable)

a. Serving.

Designation _________________ Deptt _________________ Salary Rs. ___________pm

b. Retd.

Designation _________________ Deptt _________________ Pension Rs. ___________pm

c. Re-Employed.

Designation _________________ Deptt _________________ Salary Rs. ____________pm

Total Rs. _______________

2. Mother (Fill which ever is applicable)

a. Serving.

Designation _________________ Deptt _________________ Salary Rs. ___________pm

b. Retd.

Designation _________________ Deptt _________________ Pension Rs. ___________pm

c. Re-Employed.

Designation _________________ Deptt _________________ Salary Rs. ____________pm

Total Rs. _______________

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3. Serving Brother / Sister (Who are financially supporting parents)

a. Brothers.

(1). Deptt _________________________ Salary Rs. __________________________pm

(2). Deptt _________________________ Salary Rs. __________________________pm

(3). Deptt _________________________ Salary Rs. __________________________pm

b. Sisters.

(1). Deptt _________________________ Salary Rs. __________________________pm

(2). Deptt _________________________ Salary Rs. __________________________pm

(3). Deptt _________________________ Salary Rs. __________________________pm

Total Rs. _______________

4. Assets (Show income where applicable)

a. Agricultural land _________________ Hectare _______________ Income Rs.___________

b. House (s) on rent _______________________________________ Income Rs.___________

c. No of motor cars (Make & Type / model) :-

(1)________________________________

(2)________________________________

d. Is the house you live owned by your parents – Yes / No

e. Any other Assets / Source of income.

(1) ________________________________

(2) ________________________________

(3) ________________________________

5. Total Income (with ref to S / No of Form)

a. Ref S / No -1 - - - Rs.______________

b. Ref S / No -2 - - - Rs.______________

c. Ref S / No -3 - - - Rs.______________

d. Ref S / No -4 - - - Rs.______________

Total Rs. _______________

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EXPENSES
6. Education No of Brothers / Sisters studying in different Schools, College or Universities:-

a. Name ______________Class _____ Institution ____________Fees Rs _________

b. Name ______________Class _____ Institution _____________Fees Rs _________

c. Name ______________Class _____ Institution _____________Fees Rs _________

d. Name ______________Class _____ Institution _____________Fees Rs _________

e. Name ______________Class _____ Institution _____________Fees Rs _________

f. Name ______________Class _____ Institution _____________Fees Rs _________

7. Utility Bills

a. Electricity . . . . . . . . . . _______________

b. Gas. . . . . . . . . . . . _______________

c. Telephone . . . . . . . . . . _______________

d. Medical . . . . . . . . . . . _______________

e. Transport (School Bus etc) . . . . . . . . _______________

f. Any Other. . . . . . . . . . . _______________

8. Loans

a. Through bank (show Branch name and attach evidence) Rs. ___________________

b. Through Relative . . . . . . . Rs. ___________________

c. Through Employer . . . . . . . Rs. ___________________

d. Any Other . . . . . . . . . Rs. ___________________

Total Rs. ___________________

9. Total Expenses (with ref to S / No of Form)

a. Ref S / No -6 - - - Rs.___________________

b. Ref S / No -7 - - - Rs.___________________

c. Ref S / No -8 - - - Rs.___________________

Total Rs. ___________________

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Documents (duly attested where required) to be attached

 Copies of CNIC of student and his / her father.

 Copies of salary certificate where applicable.
 Copies of current month utility bills (Elect, Gas, Water, Tel etc)
 Loan documents (if applicable)
 Fee concession of brothers / sisters (if availing / applicable)
 Any other scholarship documents justifying financial assistance.
 Rental lease agreement (if applicable)

Undertaking by student / parents.

I certify that the information given on this form is accurate to the best of my knowledge. I understand that
any misrepresentation may cause cancellation of my admission and financial aid, at any stage during the
programme. If I fail to maintain 2.50 GPA in any semester, University has the right to discontinue / reduce
my financial assistance. It is also certified that there are no outstanding University dues against me.

_______________________________
___________________________
Applicant’s Name / Signature Parent’s Signatures

Date: ________________________ Date: __________________

FOR OFFICIAL USE ONLY

Remarks of Fee Concession Committee

_________________________________________________________________________________
__

___________________________________________________________________________________

Signature __________________

Comments of Approving Authority

__________________________________________________________________________________

__________________________________________________________________________________

Signature __________________