INSTITUTE OF MANAGEMENT SCIENCES PESHAWAR
IM|Sciences Fully Funded FATA Scholarship Program
For BBS 2013-2015
SCHOLARSHIP APPLICATION FORM
GRADUATE LEVEL SESSION 2013-2015
This financial aid / scholarship application form is only for the above mentioned fully funded need based merit scholarship program.
Institute of Management Sciences Peshawar
IM|Sciences Fully Funded FATA Scholarship Program for
BBS Session 2013-2015
Instructions for Applying (Read Carefully)
ü These scholarships are only for FATA domiciled applicants.
ü The 30% of the allocated slots are reserved for female applicants.
ü Award of Scholarships will be decided on the NEED cum MERIT basis.
ü All the FATA applicants will have to submit this separate prescribed scholarship form along with admission form. This is provided with admission prospectus.
ü Applicants, who do not secure admission, will not be entertained.
ü Last date for submission of application form with all required supporting documents is similar as last date for submission of admission forms for BBS Session 2013-2015.
ü Incomplete application forms will not be entertained.
ü In case of providing false information or concealment of any relevant fact regarding financial status, in any point of time from application date till graduation, his/her scholarship will be immediately deferred and he/she will be terminated from the program.
Required Supporting Documents:
Please Attached attested photo copies of the following applicable documents
1. Domicile of Applicant
2. CNIC / Form B of the Applicant
3. CNIC of the Applicant’s Father /Guardian
4. Income Certificate of the Father /Guardian of the applicant
i. Salary Slips if the father/Guardian is a salaried person
ii. In case of the own businesses, the Income Certificate should be prepared on the letter head of the business or stamp paper and duly endorsed by the office of PA / APA or Tehsildar of the concerned Agency or FR.
iii. Pension Copy if Father/Guardian is retired.
5. Utility Bills (Electricity, Gas, Telephone, Water) of last six months.
I. The applicant has to submit an affidavit from Tehsildar Office of the concerned Agency / FR that, in the area where the applicant is residing, no utility bills are applicable.
6. If the Medical expenses exceeds Rs. 2000 then attached Medical Bills.
7. Fee receipts of the studying brothers/sisters.
8. Death Certificate from Competent Authority (Medical Doctor, Employer, Secretary Union Council, Tehsildar or Political Agent).
9. Rent agreement, if house is rented.
Fully Funded Merit & Needs Based Scholarship Program
IMPORTANT INFORMATION
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:
ü Fill in the form using black ball point pen and write in capital letters and leave space between words
ü Read the application form carefully.
ü Make a photocopy of the application form
ü Complete the photocopy form and make sure everything is correct and final
ü Copy all information from photocopied form to the original form
ü Submit duly completed application form to the admission office or focal person
ü Furnish factual, comprehensive and authentic information in the form
ü For family financial reporting parents/guardian may be consulted for guidance
ü Whenever in doubt or lost, seek help from the Focal Person
ü Check your application for spellings, grammatical errors and factual oversight
ü Keep a photocopy of the filled-in original application form for your record
ü Ensure that you have attached all the required documents by putting a tick mark in checklist
ü Answer all questions. Those not applicable should be marked “N/A”
ü 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.
Page 6 of 15
INSTITUTE OF MANAGEMENT SCIENCES PESHAWAR
FULLY FUNDED NEED BASED MERIT SCHOLARSHIP PROGRAMME
BBS (Session 2013-2015)
PERSONAL INFORMATIONS
Name / Father Name / Date of Birth / Discipline / Semester / Admission Year / Domicile / National ID # / Contact #Educational Background
Level / Institute / College / Board / Marks Obtained / Total Marks / Percentage / Per Month Tuition Fee in Pak Rs. / Per Annum Tuition Fee in Pak Rs. / TotalMatric
FA / FSc
FAMILY INFORMATIONS (Per Month)
Candidate Marital Status / Father Status Alive/Deceased / Father / Guardian Profession / Family Members / Earning Hands / Studying Members / Father Income / Mother Income / Income from Land / Misc Income / TotalFAMILY UTILITY BILLS, FOOD AND MISCELLENEOUS EXPENSES (Per Month)
Electricity
/ Telephone / Gas / Water / Food / Kitchen Expenses / Medical Expenses / Miscellaneous Expenses / Educational Expenses / TotalFAMILY EDUCATIONAL EXPENSES (Per Month)
Relationship With Student / Name of The Institute / College / Tuition Fee / Hostel Charges / Books Charges / Travelling Charges / TotalSelf
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Brother / Sister
Total
GAP / DIFFERENCE IN TOTAL MONTHLY INCOME AND TOTAL MONTHLY EXPENSES (Per Month)
Total Monthly Income / Total Monthly Expenses / Gap / DifferenceASSETS
Accommodation Type(Own / Rented) / Accommodation Size
in Marlas / Kanals / Accommodation Address / Value of
Home / Status of Construction / Agricultural Land Address and Size / Value of Agricultural Land / Vehicle Type / Bank Balance / Total
Pakka
Semi Pakka
Kachha
ASSETS (if living in Rented house)
Accommodation Type(Rented) / Accommodation Size
in Marlas / Value of
Home / Status of Construction / Total
Pakka
Semi Pakka
Kachha
ADVANCE LOAN / ANY OTHER SOURCE
Advance Loan*
/Other Source Other than This Scholarship
/Total
· Please mention that from whom you have taken the loan. Name, NIC Copy and Contact Number of the person (Legal proof, if any)
______
Page 6 of 15
Institute of Management Sciences Peshawar
Need & Merit Based Scholarship Program
SCHOLARSHIP APPLICATION FORM
Name of the University: Institute of Management Sciences, Hayatabad, Peshawar
Degree Title / Program: BBS Session (2013-2015)
Section A:Applicant Personal and Family Information
1. Applicant’s Name: ______Gender: Male Female
- / -2. Applicant CNIC No.
3. Marital Status Single Married Divorced
4. Age : ______Place of Birth ______
5. Present Address ______
6. Permanent Address: ______
7. Email: ______Mobile ______
Tel(Resident)______
8. Are you currently working : Yes No
9. If answer is Yes to Section No. 8 complete the sections (9-13)
Designation: ______Name of Employer /Company: ______
10. Previous Employer/Company Name (if applicable): ______
11. Total Monthly Applicant Gross Income in Pak Rs. ______
12. Total Monthly Applicant Take Home Income* in Pak Rs. ______
13. Total Annual Applicant Gross Income: ______Applicant NTN No. ______
* Take Home Income: Salary / Pay available after deduction of taxes, provident fund charges etc.
14. Total Members in the Family: ______
15. Total Family Members currently living with you: ______
16. Total Number of Brothers/Sisters married ______
17. Family Members Details
S # / Name of Family Member (s) / Relationship / Marital Status / Remarks1
2
3
4
5
6
18. Total Earning Members in Family: ______
19. Total No of family members not earning ______
20. Brothers/Sisters/Children/Family Members studying ______
21. Details of Siblings Studying
S # / Name / Relation with applicant / Name & Address of Institute / Fee per month1
2
3
4
5
6
22 / Total Fees & Tuition Charges
22. Father’s Name: ______Computerized N.I.C. No ______
23. Status: Alive Deceased
24. Professional status: Employed Retired Business Owner
25. Name of Company/Employer: ______
26. Address: ______
27. Tel (Off): ______Mobile: ______
28. Occupation Type: ______
29. Designation & Grade ( BPS/ SPS etc): ______
30. Total Monthly Income (Salary/ Pension/ Others): ______
31. Total Annual Income: ______
32. Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian):
33. Name: ______Relationship: ______
34. Address: ______
35. Tel (Off/Res) ______Mobile No.______NIC no.______
36. Occupation ______
37. Designation______Name of Company/Employer ______
38. Total Monthly Gross Income (Salary/ Pension/ Others) ______
39. Total Net Monthly Take Home Income (Salary/ Pension/ Others): ______
40. Total Net Annual Income______
41. Monthly Financial Support Available to Applicant in Pak Rs. ______
42. Total Earning Members in Family: ______
43. Total No of family members not earning ______
44. Details of Family Members Earning:
S # / Family Member Name / Relationship / Family Member occupation *** / Organization Name / Designation / Monthly Gross Pay/Earning / **Remarks1
2
3
4
44 / Total Monthly Family Income (add self income, if applicable) Pak Rupees
** 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
45. Asset Income (on monthly basis)
S # / Income Source / Father / Mother / Spouse / Self / Other / Total1 / Property Rent
2 / Land Lease
3 / Bank Deposits*
4 / Shares / Securities*
5 / Other (Specify)
45 / Total
46. Total Family Monthly Income
S # / Family Member Name / Relationship / Monthly Income from Assets(Sec. 45) / Total Monthly Income from All Sources
1
2
3
4
5 / Applicant Monthly Gross Pay/Earning
(Sec. 11)
6 / Applicant Monthly Net (Take home) Pay/Earning (Sec. 12)
46-A / Total Monthly Income in Pak Rupees
46-B / Total Annual Income in Pak Rupees
FAMILY EXPENDITURES
47. Accommodation Expenditures ( Please Check the relevant boxes)
Type: Bungalow Apartment /Flat Town House Village House
Structure: Pucca House Kutcha House Semi Pucca House Others (Detail available at Page 1 &2)
Status: Rented Self or Family owned Employer / Govt Owned
Rent Payment: Self Employer/Govt Others
Total Size of the House in Sq. ft.______Covered Area in Sq. ft.______
S # / Accommodation Location /Address / Number Of Bed Rooms / Number Of Air conditioners / Accommodation Monthly Rent / Accommodation Annual Rent1-2 /
2-4 /
4-6 /
6-8 /
Above 8 /
/ Nill /
1-2 /
3-6 /
6-8 /
Above 8 /
48 / Total Accommodation Rental Expenditure
Last Month Utilities Paid*
Telephone / Electricity / Gas / Water
49. Utilities Expenditures
Average of Last Six Months (Per Month Utilities Charges)S # / Telephone / Electricity / Gas / Water / Total
49
50. Monthly Food /Kitchen Expenditures(Per Month) ____________
51. Medical Expenditures:____________
52. Travelling/ Miscellaneous Expenditures
Average of last six months (Per Month Expenditure)______
Total Family Expenditures
S # / EducationExpenditure
(Sec. 22) / Accommodation Expenditure
(Sec. 48) / Utilities Expenditure
(Sec. 49) / Food
Expenditure
(Sec. 50) / Medical
Expenditure
(Sec. 51) / Misc.
Expenditure
(Sec. 52) / Total Monthly Expenditure
(52.A) / Total Annual Expenditure
(52.B)
(52.A) x 12
52
S # / Description / Amounts in Pak Rupees
(Sec.46-A) / Total Monthly Income
(Sec. 52-A) / Total Monthly Expenditure
53-A
(46.A – 52.A) / Net Monthly Disposable Income*
S # / Description / Amounts in Pak Rupees
(Sec.46-B) / Total Annual Income
(Sec. 52-B) / Total Annual Expenditure
52-B
(46.B – 52.B) / Net Annual Disposable Income*
* If the monthly / Annual Disposable Income is negative, kindly explain the reasons for the gap, and the arrangements through which the differential gap is met by the family
Cumulative information of Self, Parents and Guardian Assets
Assets (with current market value)
53. Does the family own any Transport? Yes No
If yes kindly fill the relevant details
S # / Transport Type(Car/ Motor cycle/ Others*) / Make /Model / Engine Capacity (CC) / Registration No. / Value
1
2
* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
54. Number of Cattle(s) (with kind) ______
55. Area and location of Land(s)/Plot(s) owned ______
Assets Title / Qty / Size / Location (Address) / Cultivable Area / Agricultural Yield per AcreResidential (House)
Commercial (Shop, Plaza, On Rent)
Agricultural
Employer/ Govt Scheme House/flat
56. Assets worth (Current Market Value in Pak. Rs.)
S # / Assets Title / Father / Mother / Spouse / Guardian / Total1 / House
2 / Business
3 / Vehicle/Car
4 / Bank Balance
5 / Stocks/Prize bond
6 / Cattle(s)
7 / Agricultural Land
56 / Total
57. Taxes paid (per annum in Pak. Rs)______