NEED-CUM-MERIT SCHOLARSHIP

(Under Zakat and Usher Department, Govt. of Sindh)

Degree Title/Program:____________________________________________________
1. Applicant’s Name: ___________________________________ Gender: Male Female
Registration No______________________________________
2. Application NADRA NIC No.
3. Marital Status Single Married Divorced
4. Age : ___________ Domicile ___________________________________________________
5. Present Address: _______________________________________________________________
6. Permanent Address: ____________________________________________________________
7. Are you currently working: Yes No
8. If answer is Yes to Question No. 7 complete the section (9-10)
Designation: _____________________ Name if Employer / Company:
9. Total Monthly Gross Income in Pak Rs. __________________________________
10. Total Monthly Take Home Income* in Pak Rs. ____________________________
*Take Home Income: Salary / Pay available after deducation of taxes, provident fund charge etc.
11. Tel (Res.): ____________ Mobile: ________________ Email: _________________________
12. Total Family Members currently living with you: ____________________________________
S.# Name of Family Member (s) Relationship Marital Status Remarks*

13. Detail of Family Members Earning (Take extra sheet if required)

Monthly
Family Member
S Family Member Relation Organization Designat Gross Remar
occupation
# Name ship Name ion Pay/Earni ks
(Specify)
ng
1

14 Total Monthly Family Income (add Self Income, if applicable) Pak

Rs.
 NEED-CUM-MERIT SCHOLARSHIP
(Under Zakat and Usher Department, Govt. of Sindh)

15. Brother/Sister/Children/Family Members studying _____________________________________

Relation
S.# Name with Name &Address of Institute Remarks
Applicant

15A Total Fee & Tuition Charges

15. Father’s / Husband’s Name: __________________________________________________

Computerized CNIC No.____________________________
16. Status: Alive Deceased
17. Professional Status: Retired Employed Business Owner
18. Name of Company/Employer: _____________________________________________________
19. Tel (Off): ______________________ Mobile: _______________________________________
20. Occupation Type: _______________________________ NTN __________________________
21. Designation & Grade (BPS/SPS/PTC etc): _________ Gross Monthly Income: ______________
22. Total Net Monthly Take Home Income (Salary/Pension/Others): _________________________
23. Any Other Supporting Person ( Mother / Father / Brother / Sister / Family Relative / Guardian ):
24. Name: ___________________________________ Relationship _________________________
Occupation and Designation _____________________________________________________

25. Monthly Financial Support available to Applicant in Pak Rs. ____________________________

Asset Income
S.# (on monthly Father Mother Spouse Self Other Total
basis)

1 Property Rent

2 Land Lease

Bank
3
Deposits
Shares /
4
Securities
Other
5
(Specify)

25A Total
 NEED-CUM-MERIT SCHOLARSHIP
(Under Zakat and Usher Department, Govt. of Sindh)

26. Total Family Monthly Income:

Monthly Monthly Monthly Net

S.# Family Member Name Relation Income from Gross (Take home)
Assets Pay/Earning Pay/Earning

3
Applicant Monthly Gross
4
Pay/Earning
Applicant Monthly Net
5
(take home) pay
Total Monthly Income in
26A Pak Rs:
26B Total Annual Income in
Pak Rs:
27. FAMILY EXPENDITURS:

27A. Accommodation Expenditures

Type: Bungalow Apartment / Flat Town House Village
House
Status: Rented Self or Family Owned Employer /Govt Owned
Rent Payment: Self Employer / Govt Others
House Plot Size in Sq. ft. _____________________ Covered Area in Sq. ft. ________________
Accommodati Number of Accommodatio Accommodati
Number of
S.# on Location / Air n Monthly on Annual
Bed Rooms
Address Conditioners Rent Rent
1-2 1-2

2-4 2-4

4-6 4-6

Above 6 Above 6

27B Total Accommodation Rental Expenditure

Any other house / flat owned by the parents / Guardian ( if yes please specify with location and
size. _______________________________________________________________________________________

28. Utilities Expenditure

Last Month Utilities Paid

Telephone Electricity Gas Water
 NEED-CUM-MERIT SCHOLARSHIP
(Under Zakat and Usher Department, Govt. of Sindh)

29. Medical Expenditures: Average of last six month (Per Month Expenditure) _______________________
Total Family Expenditures

Total Total
Education Accommodation Utilities Medical Misc.
S.# Monthly Annual
Expenditure Expenditure Expenditure Expenditure Expenditure
Expenditure Expenditure

30

S.# Description Amounts in Pak Rupees

(Sec.26A) Total Monthly Income

(Sec.30) Total Monthly Expenditure
31 (26.A-
Net Monthly Disposable Income*
30A)
S.# Description Amount in Pak Rupees
(Sec.26B) Total Annual Income
(Sec.30) Total Annual Expenditure
32(26.B-
Net Annual Disposable Income*
30.B)
* If the monthly / Annual Disposable Income is negative, Kindly explain the reasons for the gap, and the
arrangement through which the different gap is met by the family .

Assets (with current market value)

33. Does the family own any transport ? Yes NO
If yes kindly fill the relevant details
Transport Type (Car / Engine Registration Ownership
S.# Make / Model
Motor cycle / other Capacity (CC) No. Period

*Other: include tractor, rickshaw, bi-cycle, motorcycle, carriage pick, truck etc.
34. Number of Cattle(s) (with kind) _________________________________________________
35. Area and location of Land (s) / Plot(s) owned ______________________________________
Agricultural
Cultivable
Assets Title Qty Size Location (Address) Yield per
Area
Acre
Residential
Commercial

Agricultural

Employer/Govt Scheme
 NEED-CUM-MERIT SCHOLARSHIP
(Under Zakat and Usher Department, Govt. of Sindh)

36. Assets worth (Current Market Value in Pak Rs.)

S.# Assets Title Father Mother Spouse Self Guardian Total
1 Home
2 Business
3 Land & Building
4 Bank Balance
5 Stocks/Prize bond
6 Others/Cattle(s)
37. Total

38. Loan taken for Applicant Education

* Family / Friend Loan
(Specify details of loan taken and relationship with the relative / friend)
___________________________________________________________________________________
___________________________________________________________________________________
39. Any source of financing other loan (Please specify) __________________________________
____________________________________________________________________________________
____________________________________________________________________________________
40. How were the admission / first semester charges paid ?
____________________________________________________________________________________
____________________________________________________________________________________
41. Applications educational record:

To From month/ Division / % age /

Level of Study Name of Location of Institute Per Month Fee year GPA CGPA

Bachelor

Intermediate

Secondary
 NEED-CUM-MERIT SCHOLARSHIP
(Under Zakat and Usher Department, Govt. of Sindh)

42. Per month fee/ tuition charges of the institution last attended
43. Have you ever got any other Scholarships: Yes No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
Class /Level at
Total Total
Scholarship which
S.# Name of Institution Scholarship Scholarship
Name Scholarship
Amount Period
was granted
1

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. SMBBMU, Larkana reserves the right to use information given in this form for verification and other
purposes Date: Parents / Guardian Signature _____________________ Application Signature:
___________________

Are the applicant documents in order? Yes No

Application Cash Review Dates (i)__________________ (ii) ________________________________

Additional Remarks

Date Department Name Signature Head of Department/ Focal Person