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49 views6 pages

Hec Form

adgfdh

Uploaded by

AmarKumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 1 of 6

Name of the University: _____________________________________________________________


Degree Title / Program: _____________________________________________________________
1. Applicants Name: ____________________________________Gender: Male

Female

2. Applicant NADRA

NIC No.
3. Marital Status
4. Age : _________

Single

Married

Divorced

Domicile _______________________________________________

5. Present Address _________________________________________________________


6. Permanent Address: ______________________________________________________
7. Are you currently working : Yes
No
8. If answer is Yes to Section No. 8 complete the sections (9-13)
Designation: ___________________ Name of Employer /Company: _________________
9. Total Monthly Applicant Gross Income in Pak Rs. ________________________________
10. Total Monthly Applicant Take Home Income* in Pak Rs. ___________________________
* Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc.
11. Tel (Res.): ______________Mobile: ______________ Email: ________________________
12. Total Family Members currently living with you: ___________________________________
S#

Name of Family Member (s)

Relationship

Marital Status

Remarks**

1
2
3
4
5
6
13. Details of Family Members Earning (Take extra sheet if required):
S

Family

Member Name

Family Member
Relationship

occupation
(Specify)

Organization
Name

Monthly
Designation

1
2
3
4
14 Total Monthly Family Income (add self income, if applicable) Pak Rupees

Gross
Pay/Earning

Remarks

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 2 of 6

15. Brothers/Sisters/Children/Family Members studying _____________________________


S#

Name

Relation
with
applicant

Name & Address of Institute

Fee per month

1
2
3
4
5
6
15A Total Fees & Tuition Charges

16. Fathers Name: _________________ Computerized N.I.C. No ________________________


17. Status: Alive

Deceased

18. Professional status: Employed

Retired

Business Owner

19. Name of Company/Employer:__________________________________________________


20. Tel (Off): ______________________________ Mobile: ______________________________
21. Occupation Type: ______________________ NTN_________________________________
22. Designation & Grade ( BPS/ SPS/PTC etc): ________ Gross Monthly Income: ____________
23. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _______________________
24.Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian):
25. Name: ___________________________

Relationship: _________________________

26. Occupation and Designation ____________________________________________________


27. Monthly Financial Support Available to Applicant in Pak Rs. ___________________________
28. Asset Income (on monthly basis)
S#
Income Source
Father
1

Property Rent

Land Lease

Bank Deposits*

Shares / Securities*

Other (Specify)

28A Total

Mother

Spouse

Self

Other

Total

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 3 of 6

29. Total Family Monthly Income


S#

Family Member Name

Monthly Income

Monthly Gross

Monthly Net

from Assets

Pay/Earning

(Take home)

Relationship

Pay/Earning

1
2
3
4
5

Applicant Monthly Gross Pay/Earning

Applicant Monthly Net (Take home) Pay

29-A

Total Monthly Income in Pak Rupees


Total Annual Income in Pak Rupees

29-B
30.FAMILY EXPENDITURES
30A. Accommodation Expenditures
Type: Bungalow

Apartment /Flat

Status: Rented

Self or Family owned

Rent Payment: Self

Town House

Village House

Employer / Govt Owned

Employer/Govt

Others

House Plot Size in Sq. ft._________________ Covered Area in Sq. ft._________________

S#

Accommodation

Number Of

Location /Address

Bed Rooms

Number Of
Air
conditioners

1-2

1-2

2-4

2-4

4-6

4-6

Above 6

Above 6

Accommodation

Accommodation

Monthly Rent

Annual Rent

30B Total Accommodation Rental Expenditure


Any other house/flat owned by the Parents/Guardian (if yes please specify with location
and size)_______________________________________________________________

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 4 of 6

31. Utilities Expenditures


Last Month Utilities Paid
Telephone

Electricity

Gas

Water

32. Medical Expenditures: Average of last six months (Per Month Expenditure)___________
Total Family Expenditures
S#

Education

Accommodation

Utilities

Medical

Misc.

Total Monthly

Total Annual

Expenditure

Expenditure

Expenditure

Expenditure

Expenditure

Expenditure

Expenditure

33
S#

Description

Amounts in Pak Rupees

(Sec.29A)

Total Monthly Income

(Sec. 33)

Total Monthly Expenditure

34

Net Monthly Disposable Income*

(29.A 33A)

S#

Description

(Sec.29B)

Total Annual Income

(Sec. 33)

Total Annual Expenditure

35

Amounts in Pak Rupees

Net Annual Disposable Income*

(29.B 33.B)

* If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and
the arrangements through which the differential gap is met by the family

Assets (with current market value)


36. Does the family own any Transport? Yes

No

If yes kindly fill the relevant details


S#

Transport Type
(Car/ Motor cycle/ Others*)

Make
/Model

Engine Capacity (CC)

Registration No.

Ownership
Period

1
2

* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 5 of 6

37. Number of Cattle(s) (with kind) ____________________________________________


38. Area and location of Land(s)/Plot(s) owned _______________________________________
Assets Title

Qty

Size

Location (Address)

Cultivable Agricultural
Area
Yield per
Acre

Residential
Commercial
Agricultural
Employer/Govt Scheme
39. Assets worth (Current Market Value in Pak. Rs.)
S#

Assets Title

House

Business

Land & Building

4
5

Bank Balance
Stocks/Prize bond

Others/ Cattle(s)

40.

Father

Mother

Spouse

Self

Guardian

Total

Total

41. Loan taken for Applicant Education


* Family/ Friend Loan
(Specify details of loan taken and relationship with the relative / friend)
__________________________________________________________________________________
_________________________________________________________________________________
42. Any source of financing other than loan (Please specify)__________

____________

__________________________________________________________________________________
__________________________________________________________________________________
43. How were the admission /first semester charges paid?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
44. Applicants educational record:
Division/ %age /
Name and Location of
Per Month
To- From
Level of Study
month/
yr.
GPA/
Institute
Fee
CGPA
Grade
Bachelors
Intermediate
Secondary

HEC Needs Based Scholarship Program

Higher
Education
Commission

Page 6 of 6

45. Per month fee/ tuition charges of the institution last attended ______________________
46. Have you ever got any other Scholarships: Yes ______ No __________
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
S#

Name of Institute

Scholarship
Name

Total
Scholarship
Amount

Total
Scholarship
Period

Class / Level at which


Scholarship was
granted

1
2
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if required
__________________________________________________________________________________
_________________________________________________________________________________
UNDERTAKING
1.

The information given in this application are true to the best of my knowledge and I understand that any incorrect
information will result in the cancellation of this application. If any information given in this application is found
incorrect or false after grant of financial assistance, the institute will stop further assistance and the student will have to
refund all payment received and or penalty equal to total scholarship amount.

2.

HEC reserves the right to use information given in this form for verification and other purposes.

Date: Parents / Guardian Signature ___________________

For Official use only


Are the applicant documents in order?

Yes

Applicant Signature: ______________________________

No

Application Case Review Dates (i) _________________(ii) _________________________________


Additional Remarks

______________
Date

_______________
Department Name

___________________________________
Signature Head of Department / Focal Person

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