USAID Funded Merit & Need Based Scholarship Project
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 to appear for interview (s).

PROVIDING FALSE INFORMATION
Providing false information may result in one or 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 FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM:

• Fill in the form using black ball point pen and write in capital letters and leave space between
  words
• 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 office or focal person
• Furnish factual, comprehensive and authentic information in the form
• For family financial reporting parents/guardian may be consulted for guidance
• Whenever in doubt or lost, seek help from the Focal Person
• Check your application for spellings, grammatical errors and factual oversight
• Keep a photocopy of the filled-in original application form for your record
• 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

Definitions:
Family: Father, mother(s), brother(s), sisters(s), Maternal / Paternal Uncles (s) & Aunts, Grandparents etc.
Pucca House: A pucca house is one, which has walls and roof made of the following material.

Wall material: Burnt bricks, stones (packed with lime or cement), cement concrete, timber, ekra etc
Roof Material: Tiles, GCI (Galvanised Corrugated Iron) sheets, asbestos cement sheet,
RBC,(Reinforced Brick Concrete), RCC ( Reinforced Cement Concrete) and timber etc.
Kutcha House: The walls and/or roof of which are made of material other than those mentioned
above, such as un-burnt bricks, bamboos, mud, grass, reeds, thatch, loosely packed stones, etc. are
treated as kutcha house.
Semi -Pucca house: A house that has fixed walls made up of pucca material but roof is made up of the
material other than those used for pucca house.
Others: The houses, which are not covered by the types mentioned above, are to be treated as of
„others‟ type.

                                     Application Form Check List
SN               Description
1Copies of computerized NIC of
Father
Mother
Guardian
2 Income Tax Certificate
Father
Mother
Guardian
3 Copy of last Income Tax Return of
Father
Mother
Guardian
4 Salary Certificate of
Father
Mother
Guardian
5 Copies of last six (06) month utility bills
Electricity
Gas
Telephone
Water
6 Attested copy of rent agreement (if applicable)
7 Copies of last & latest fee receipts of self and siblings *
8 Copies of Medical bills/ expenditure related documents (if applicable)
9 Copies of pervious scholarship(s) attained (if applicable)
10 Statement of Purpose & two passport size Photographs
* Siblings are brother & sisters

1. Section A: Personal and family information
2. Section B: Cumulative information of Self, Parents & Guardian Assets
3. Section C: Financial arrangements for current year
4. Section D: Educational Record

DO’s:

• Send your application by post or submit by hand to the admission office or focal person.
• Place documents in right order as per above sections (1 to 10)
• Put all amounts in Pak Rs.
• Do consult with parent(s)/guardian(s) for financial data accuracy & reliability
• For the information not present/relevant write in capital letters N/A

DO NOT:

• Provide False/vague/ incomplete information.
• Overwrite/ scratch on the form.
• Send scholarship application form directly to HEC

Section A:

Applicant Personal and Family Information

 

9. If answer is Yes to Section No. 8 complete the sections (9-13)

* Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc.

**Remarks: List down the number of dependents supported by married brother(s)/ sister(s)

Details of Siblings Studying including the applicant own detail

If answer is Employed complete the sections (22-30) else from (27-30)

Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian) [Add
Page if required]

45. Asset Income (on monthly basis)

* For sources with annual income returns, kindly report the monthly income earned

44. Details of Family Members Earning:

** Please mentioned if the Family member supporting to Family in Remarks Column (Yes/No)
*** Family Member Occupation classification
1. Government Service (Specify the employment grade BPS/SPS/PTC etc.)
2. Private Job
3. Agriculture/Farming
4. Own Business (Self Employed). Details/nature of self business need to filled in at remarks column
5. Others. Details/nature of self business need to filled in at remarks column

46. Total Family Monthly Income

FAMILY EXPENDITURES
47. Accommodation Expenditures ( Please Check the relevant boxes)

(Detail
available at Page 1 &2)

49. Utilities Expenditures

Last Month Utilities Paid

Average of Last Six Months (Per Month Utilities Charges)

52. Travelling/ Miscellaneous Expenditures

Total Family Expenditures

Section B:

Cumulative information of Self, Parents and Guardian Assets

 Assets (with current market value)

If yes kindly fill the relevant details

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

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

Section C:

Financial arrangements for current year

 

 58. Funds Availability for Applicant Education (per annum in Pak Rupees)

Section D:

Applicant Educational Record

 * At least the name of the City is required in the field.

(If yes fill the details of scholarships & attach documentary proof of the scholarships)

UNDERTAKING

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 reserves the right to use information given in this form for verification and other purposes.
Date: Date:
Date: Parents / Guardian Signature ___________________ Applicant Signature: ______________________________

For Official use only

The notices furnished to the applicant for furnishing of required documentation

______________     _______________               ___________________________________
Date                        Department Name               Signature Head of Department / Focal Person

SPECIMEN (1 pages)
Each Page must be executed on stamp paper, Other papers not acceptable, type one side of paper only.
This Affidavit needs to be submitted after final selection
Deed of agreement
For Undertaking a Course of Studies
Under the Scheme HEC-US Need based Merit Scholarships for Pakistani University Students enrolled in
Agriculture & Business Administration study Program formally called as “USAID funded Merit and
Needs based Scholarship Project”
Mr./ Ms. _______________________________ son/ daughter of _____________________________________
Computerized NIC No. ______________________________ University Reg. No. _______________________
Dept. of _________________________________ studying in the University ____________________________
hereby called the Approved Student has been selected by Higher Education Commission for the award of scholarship under
USAID funded Merit and Needs based Scholarship Project in the field of study (Agriculture / Business)
____________________________ for completion of (B.Sc/ M.Sc , BBA/MBA)____________academic program. The
approved student has agreed to accept the award of the scholarship on the terms and conditions governing the scholarship
award.
Now this deed witnesses as under:
i) The payment of allowances admissible under the scholarship program shall be made subject to the complete
adherence to all rules and regulations governing the scholarship program as well as satisfactory performance in
the authorized studies.
ii) The student shall not change the specified course of studies nor register himself/herself for any other course or
program/University/Institute without prior approval of the HEC.
iii) The student shall not extend the specified period of studies without prior approval of the HEC. In case of
selection at any other scholarship scheme the student will immediately report the same at the university.
iv) In case the scholar fails to qualify the course/degree for which he/she was awarded scholarship, the HEC reserves
the right to recover all the payment received and or a penalty equal to total scholarship amount from the
Scholars/Guarantor/University.
v) The Parents/ Guardian of the student are unable to financially support his/her education.
vi) The Scholarship will be terminable in the following cases:
a) If the student fails to maintain class attendance of 75%.
b) If the student is involved in malicious/undesirable activities.
c) If the student fails to obey or act in accordance with HEC‟s order directing him/her, he/she will be liable
to action under the acts/rules in force in the country.
d) If the student is punished because of his involvement in violation of the university rules, damage to
institute property, misbehaviour with staff or colleagues or any other disciplinary action.
e) If the information provided by the student is found incorrect at any time during his study period.
g) If the student fails to maintain academic standards of the university
AND THE STUDENT FURTHER COVENANTS, that in case of breach of any of the above terms and conditions as well as
the rules / terms and conditions those governing scholarship award and / or his / her failure as directed by the HEC for the
specified period, the student shall be bound to obey the orders as prescribed and assessed by the HEC shall be final and
conclusive.
IN WITNESS WHEROF, the parties aforementioned have signed this deed in token of acceptance thereof.
Date: Date:
Signature of Student_____________________ Signature of Parent /Guarantor________________
Name: Name:
NIC No. NIC No.
Signature of Witness No. 1_________________ Signature of Witness No. 2___________________
Name: Name:
NIC No. NIC No.