USAID Scholarship Performa 2014 15
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7/18/2019 USAID Scholarship Performa 2014 15
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University of Agriculture FaisalabadDirectorate of Financial Assistance and University Advancement
PAK-USAID MERIT & NEEDS BASED SCHOLARSHIP 2014-15
_____________________________________________________________________________________________
Ph: 041-9200161-70 Ext.3605, Dir. 9201750 Fax: 041-9200351E-Mail: [email protected]
Student Name :_________________________________________________________________
Gender:________________________________ Contact No:_____________________________
Father Name :__________________________________________________________________
Name of Previous Institute:_S.S.H._____________H.S.S.C.____________Gradu._____________
Class/Degree/Semester: __________________________________________________________
CNIC. No:______________________________ Domicile:________________________________
Name of Last Institution:_________________________________________________________
Per Month Fee of Last Institution\college: ___________________________________________
Marital Status of Candidates: __________________E-Mail Address:_______________________
Father Status: __________________________________________________________________
Parents/Guardian Profession:______________________________________________________
Total No. of Dependent Family Members:____________________________________________
Family member studying:_________________________________________________________
Govt./Private Institutes of siblings:_________________________________________________
Earning Hands:_________________________________________________________________
Father / Guardian Income:________________________________________________________
Mother Income:________________________________________________________________
Income from Land:______________________________________________________________
Misc Income:___________________________________________________________________
Total Monthly Income:___________________________________________________________
Total Annual Income:____________________________________________________________
Gas bill:________________________________ Electricity bill:___________________________
Telephone bill :__________________________ Water bill:______________________________
Sub Total:_____________________________________________________________________
Family Exp on Education:_________________________________________________________
Candidate Education Exp. per month:______________________________________________
Monthly Food Exp:______________________________________________________________Monthly Medical Exp.:___________________________________________________________
Monthly Misc./Travelling Exp.:____________________________________________________
Total Monthly Expenditure:_______________________________________________________
Disposable Monthly Income:______________________________________________________
Annual Expenditures:____________________________________________________________
No. of Vehicles:_________________________ Vehicle Type:_____________________________
Model of the Vehicle:____________________ Vehicle Engine Capacity / CC:________________
Size of Land:____________________________ Value of Land:___________________________
Accommodation & Location/Address:_______________________________________________
______________________________________________________________________________
Type of Accommodation and Size:_ Rural: __________Urban:___________Own/Rented:_____
Value of Home:_________________________ Home Structure:__________________________
Bank Balance:_________________________Stocks/Prize bond:__________________________
Misc:______________________________ Total Assets:_________________________________
Missing Documents:_____________________________________________________________
Signature of Candidate:__________________________________________________________