Higher HEC Needs Based Scholarship Program 1 of 7

Education
Commission

HEC NEEDS BASED SCHOLARSHIP APPLICATION FORM

Scholarship is based on assessment of need and merit as well as availability of funds. Selection will be
Decided on the basis of information provided in this form and investigations for the authentication of
provided information. Candidate may be required appearing for interview (s).

PROVIDING FALSE INFORMATION

Providing false information may result all of the following:

 Cancellation of admission.
 Rustication from the university.

 Initiation of criminal proceedings.

 Disqualification for award of any future loan/scholarship.

 Refund of all the payment received and or a penalty equal to total scholarship amount.

INSTRUCTIONS FORFILLING OUT THE SCHOLARSHIP APPLICATION FORM:

✓ Fill in the form using black ball point pen and write in capital letters

✓ Read the application form carefully.

✓ Make a photocopy of the application form
✓ Complete the photocopy form and make sure everything is correct and final

✓ Copy all information from photocopied form to the original form

✓ Submit duly completed application form to the admission officer focal person

✓ Furnish factual, comprehensive and authentic information in the form

✓ For family financial reporting parents/guardian maybe consulted for guidance

✓ Whenever in doubt or lost, seek help from the Focal Person

✓ Ensure that you have attached all the required documents by putting a tick mark in checklist

✓ Answer all questions. Those not applicable should be marked “N/A”

✓ Affidavit needs to be submitted after final selection of the candidate
 Higher HEC Needs Based Scholarship Program 2 of 7
Education
Commission

Application Form Check List

Sr. No Documents Attached

1 Copies of CNIC
Father Yes☐ No☐ N/A☐

Mother Yes☐ No☐ N/A☐

Guardian Yes☐ No☐ N/A☐

2 Income/Salary Certificate
Father Yes☐ No☐ N/A☐

Mother Yes☐ No☐ N/A☐

Guardian Yes☐ No☐ N/A☐

3 Copies of last month utility bills

Electricity Yes☐ No☐ N/A☐

Gas Yes☐ No☐ N/A☐

Telephone Yes☐ No☐ N/A☐

Water Yes☐ No☐ N/A☐

4 Attested copy of rent agreement (if applicable) Yes☐ No☐ N/A☐

5 Copies of last & latest fee receipts of self and siblings Yes☐ No☐ N/A☐

6 Copies of Medical bills/ expenditure related documents (if applicable) Yes☐ No☐ N/A☐

7 Copies of previous scholarship(s) attained (if applicable) Yes☐ No☐ N/A☐

8 Statement of Purpose & passport size Photographs Yes☐ No☐ N/A☐

9 Picture of house (Inside & Front View) Yes☐ No☐ N/A☐

10 Verified Result Card of Last Semester with GPA/CGPA Yes☐ No☐ N/A☐

11 Copies of Paid Fee Voucher of Last Semester

 Higher HEC Needs Based Scholarship Program 3 of 7
Education
Commission

General Information
University Name:______________________________ Class/Program:___________________

Affix your
Program Duration:_______________ Current Semester: _____________ Recent
Passport
Size
Session:____________ Roll No:________________ GPA/CGPA of Last Semester__________ Photograph

1. Applicant Information

Name: Gender Male ☐Female ☐

Guardian Name
Father’s Name: :
[if applicable]

CNIC Number/ Form B No:

- - Applicant’s Single ☐Married☐Separated/divorced☐

Marital Status

Date of Birth Age:

(dd/mm/yyyy)

Nationality: Domicile:

Mobile No: PTCL:

Present Address:

Permanent Address:

2. Previous Education of the Applicant

Level of Study Name of the Type of Institution Start- End Per Month Division/
Institution Date Fee GPA/ Grade

Secondary School Certificate Public☐ Private☐

Higher Secondary School

Public☐ Private☐
Certificate

Bachelors or equivalent Public☐ Private☐

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Education
Commission

3. Family information
Father Status Alive☐ Deceased ☐ Earning Status: Earning ☐ Not Earning ☐
Physically Disable ☐ Retired ☐

Father CNIC: Profession Pensionable Retired ☐Public /Government

Job ☐ Private Sector Job ☐ Business☐
- - Farmer ☐ Laborer ☐self-employed ☐Other
☐Detail in case of Other

Father/Guardian’s Address of Employer

Employer/ [Address, City, Country,)

Company Name

Father/Guardian Financial Support Mother ☐ Brother(s) ☐

other than father Sister☐Uncle(s) ☐ Aunt(s) ☐ Other
NTN Number and Income [Please check ☐ Not Applicable ☐
Tax paid the relevant boxes]

4. Family Members
Dependent Family Members:________________ Total Earning Member(s)_________________
Family Member(s) Studying________________

S# Name of Family Member(s) Relationship Marital Status Remarks

1
2
3
4
5

5. Family Income (Add extra sheet if required)

Name of earning person Profession Relationship Gross Monthly

Net Monthly
with Income
Income
Applicant

Total Monthly Income in Pak Rupees

Total Annual Income in Pak Rupees
Source of Income other than Family Members Monthly Income Annual Income
Family Income from Land/own business
Family Income from Stock/Prize Bonds/Cattles etc
Other
Total Income in Pak Rupees
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Education
Commission

6. Current Monthly Educational Expenditure of family(Add extra sheet if required)

Name Relationship Institution Name Type of Class Per Month

with Institution Education
Applicant Expenditure
Public☐
Private☐

Public☐
Private☐

Public☐
Private☐

Total(Per Month)
[Please convert semester, bi annual expenditure into monthly expenditure ]

7. Monthly Family Expenditure

Detail Per Month Amount

Average Telephone bill of last Six months(Please attached Bills with application form]

Average Electricity bill of last Six months(Please attached Bills with application form]

Average Gas bill of last Six months(Please attached Bills with application form]

Average Water bill of last Six months(Please attached Bills with application form]

Average Family Educational Expenditure other than applicant

Applicant Educational Expenditure

Average Family Expenditure on Kitchen/Food

Average Family Medical Expenditure (Please attached Bills with application form]

Accommodation Expenditure , in case of rent(Please attached rent agreement]

Average Family Misc. Expenditure including taxes paid

Total Monthly Expenditure

Detail Per Month Amount

Disposable Income (Total Monthly Gross Income – Total Monthly Expenditure)

8. If the monthly Disposable Income is negative kindly explain the reasons for the gap, and the
arrangements through which the differential gap is met by the family
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Education
Commission

9. Accommodation

Type : Bungalow ☐ Apartment/ Flat ☐ Village Structure of Pucca☐ Semi Pucca☐Kutcha☐

House☐ Town House ☐ House:

Status : Self Owned ☐Family Owned☐ No of Rooms: 1☐2-3☐4-6☐6-8☐

Rented ☐ Employer Owned ☐

Size of Home [in Sq. Ft] Covered Areas[in Sq. Ft]:

No of Air 0☐1-2☐3-4☐ Above 4☐ Number of 0☐1-2☐3-4☐ Above 4☐

Conditioners: Servants:

Address / Location of House:

Current Market Value of House: Monthly Rent Paid(if applicable):

10. Assets
Does the family own any Transport Yes☐ No☐, if yes please fill the following

Type of Transport (Motor Bike/Car etc.) Engine Quantity Current

Capacity Market
CC Value

Total Value of Transport

Does the family own any cattle Yes ☐ No☐, if yes please fill the following

Type of cattle Quantity Current

Market
Value

Total Value of cattle

Other Assets (If Yes Fill The Quantity Current Market

Next Columns)
Value
Does the family have any Stocks/Prize bond Yes☐ No ☐
Does the family have any Bank Balance Yes☐ No ☐
Does the family have any Plot(s)Yes☐ No ☐ Yes☐ No ☐ Size in Sq Ft
Does the family have any other House Yes☐ No ☐ Size in Sq Ft
Does the family have any Agriculture Land Yes☐ No ☐ Size in Acre:
Does the family have any Business Yes☐ No ☐ N/A
Any other Asset
Total
 Higher HEC Needs Based Scholarship Program 7 of 7
Education
Commission

Have You ever been awarded any Scholarship Yes/No___________ If yes then please provide details.

S# Name of Institute Scholarship Name Total Amount Scholarship Class/Level at Which

Period Scholarship Was
Granted

Statement of Purpose (attach separate sheet if required).

Under taking
1. The information given in this application is 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 and University reserve the right to use information given in this form for verification and other purposes.

Applicant Signature:_______________ Parent/Guardian Signature:_________________

Date:____________________________ Date:____________________________________

Recommendation by Head of Concerned Department

Name of HOD:____________________________________ Contact No:________________________

Remarks_________________________________________ Signature __________________________

(With Stamp)

For Official Use Only

Application Form Complete with supporting documents? Yes☐ No☐

Application Case review Dates(i)_______________________ (ii)_______________________________

Additional Remarks:

_______________________________ _________________________________

Date Signature of Focal Person