University Level - Diya Application Form - 2011-12 ISRAR

8/2/2019 University Level - Diya Application Form - 2011-12 ISRAR

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Attach a scanned copy of the front side of your CNIC along with this fo

1. APPLICANT'S DETAILS

Name:

CNIC No: Age:

Father's CNIC No:

Gender: Domicile:

Email: Tel:

Present Address:

Permanent Address:

Applicant's Status:

Orphan's Only: Mention year of father's death:

Disabled Only: Indicate nature of disability:

2. COURSE DETAILS

Name of University / College:

Title of Programme / Course:

Roll No: Registration No:

Programme started on:

Total Duration of your Programme / Course: Years: 4 Semesters: 8

Mode of Admission:

Key person to be contacted in your department:

Name:

Designation: Tel:

DIYA PAKISTAN REGISTERED1304/474, Hasan Street, Defence Road, New Lalazar, Rawalpindi

Tel: 051-5859582, Mobile: 0300-5322592

(Office Telephone Timings: 3:00pm to 5:00pm)

14502 10F-BS(p&g)-14502

22/09/2014

MEHRULLAH MARRI

Lecturer 3337909969

22/09/2010

3rd semesterCurrently Enrolled in Year / Semester:

will complete on:

HOUSE # C2 SANGEEN HOUSING SCHEME AIRPORT ROAD

(QUETTA BALOCHISTAN).

village & p/o suratti kalla tehsil takht-e-nasratti district karak (KPK)

BUITEMS Quetta Balochistan

B.S petroleum & gas

ISRAR AHMED

14203-7198237-5 20 years 7 months

KARAK

[email protected] 3149200798

Father's Name: RAHIM KHAN

Mother's Name: EIMER KHELA

14203-1168687-3 14203-7499048-8Mother's CNIC No:

Male Female

Orphan Disabled Poor & Deserving

Open Merit Reserved Seats Self Finance
mailto:[email protected]:[email protected]


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3. ACADEMIC RECORD

Year Roll No.Marks

ObtainedTotal Marks % Position

2007 713380 754 900 83.78 A1

2009 5755 847 1100 77.00 A-grade

processing

Are you Hafiz-e-Quran?

Do you retain Hifz?

Current Academic Performance

4. GUARDIAN DETAILS

Name: RAHIM KHAN CNIC No:

Relationship: Occupation:

Note: For occupation, be exact. Do not say Government Servant, pensioner, worker etc.

14203-1168687-3

nil

RTD L/Nk F.C

Intermediate

Designation & Grade: L/Nk Organization / Dept.: F.C

Total Gross Monthly Income (Salary / Pension / Others): 15000

Total Net Monthly Income (Salary / Pension / Others):

FATHER

Bachelors

Examination Level

(Mention Year, Prof or

Semester)

Month / Year when

exam was conducted

Matriculation

processing3rd semester

2.23

2nd semester 3.23

1st semester

Results Declaration

Date / Status

Provide complete details of all examinations that have been administered by your university / college

so far, including examinations for which the result has not been declared yet.

Average Percentage or

GPA obtained

Examination

Yes No

Yes No


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5. EDUCATIONAL EXPENDITURE

Current Expenses on Education

Sources of Educational Financing other than Guardian's Monthly Income

Tuition Fee & Other Expenses of Institutes Previously Attended

Total Amount of Scholarship:nil

nil

If you are receiving scholarship from another organization, then please provide the details:

Type of Scholarship:

Name of the Donor / Organization:

Yearly Tuition Fee Yearly Hostel Fee

Yearly Expenses 12000

Name of the Institute

Amount of anyScholarship / Remission

Availed nil

Note: For matriculation you should state the yearly expenses you had to incur in class Xth

only. Similarly, for Intermediate you should state the yearly expenses of class XIIth only.

nil

Matriculation Intermediate

DANISH PUBLIC COLLEGE CHOKARA

KARAK

chowkara karak khyber pakhtoon

khwa

14400

HERA HIGH SCHOOL & COLLEGE

AHMAD ABAD KARK

Location AHMAD ABAD KARAK

If you have stated any amount for 'Income from other sources', then provide complete details of all

such sources:

Income from other sources

Loan from Relatives / Friends / Organization

Scholarship from another organization

Remission from College / University

Yearly Messing

ExpensesTotal Expenditure

29900 18000 20000 67900

One-time Yearly Monthly


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6. HOUSEHOLD DETAILS (Note: Family includes father, mother, brothers and sisters)

Family House Type:

Status:

If own house, give details:

Total constructed / covered area in Square Ft.: 1 KENAL Total Area in Sq. Yards: 1 KENAL

If rented, annual rent:

Details of family members currently employed / retired

AgeGross

Monthly

Income

3750

12500

Details of family members currently engaged in business / commercial activity

AgeGross

Monthly

Income

Details of family members currently studying

AgeYearly

Expenses

20 years 29900

15 years 1000

14 years 1000

12 years 3600

9 years 3600

UMAIR AHMED

Location of Business

Exact Designation

Type of Business

Muslim public school suratti kalla karak

Name

SUDHAIR AHMED

Gov girls high school suratti kalla karak

NIL

Name

Total amount of electricity bills from April to September (6 months):

Gov girls high school suratti kalla karak

Muslim public school suratti kalla karak

ISRAR AHMED

MASOOMA KHATTAK

BUITEMS

Name

JAVERIA KHATTAK

RAHIM KHAN

Employer

L/Nk

PRIVATE DRIVER

RTD F.C

SAMI ULLAH DRIVER

Full Name of Institute

House Flat Quarter Mud House

Rented Family Owned Provided by Govt. / Organization


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7. FAMILY ASSETS

Does the family own transport?

Details of property owned by the family:

be thankful if you people assist us .

Declaration by the Applicant and his/her Guardian:

Verification by Tehsildar or Competent Authority:

Family House kenal 4 lac

Land / Plots nil

Shop (Commercial)

Any other thing that you would like to add or say (related to this application):

All the information I have stated here are true. We live in village and having no cultivable land .

haven't that much money to adjust all the educational expenses of me and my bro & sisters. I should

Total Worth in Rupees

If yes, give details i.e. Motorcycle, car, rickshaw, pick up, truck, tractor etc.

Signature

we are 9 members family. my father has a shop and my brother teaches in private school.we

Applicant's Signature Guardian's Signature

I attest that the information contained in application form is accurate

and the applicant deserves the grant of scholarship award.

We, the undersigned solemnly affirm that the details/information provided are accurate

and that we shall be responsible for any inaccurate or false information.

Note: Competent authority includes Area Magistrate, Tehsildar, Naib Tehsildar, Mukhtiarkar or

Area Nazim

Stamp / Seal

Property Type Area

Yes No


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m.

N

DYSED

O

SPNAMO

YOOZ

FU


7/12

N

DYSED

O

SPNAMO

YO

OZ

FU


8/12

N

DYSED

O

SPNAMOYOOZ

FU


9/12

N

DYSED

O

SPNAMO

YOOZ

FU


10/12

N

DYSED

O

SPNAMO

YOOZ

FU


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For Diya's Office Use Only

Decision

Reason (if required)

Last Disbursement

History

Previous Folio


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Required Docs

Disability Cert

Hifz Cert

Semester Results

Income Certificate

Siblings Fee Receipts

Flood Attestation

Bachelor's

University Level - Diya Application Form - 2011-12 ISRAR

Documents

Transcript of University Level - Diya Application Form - 2011-12 ISRAR