eme alumni associationscholarship form 2011

8/7/2019 EME Alumni AssociationScholarship Form 2011

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1 of7 EME Alumni Association | Scholarship Program | 2011

2011

ID No.: ___________

Applicants Name: ________________________ DE/Dept: ______________

Case reviewed by (for office use):

Please paste

your

photograph

here

y Financial assistance will be awarded primarily on needs basis. The Financial Assistance Committee wouldassess the need and merit as well as the availability of funds in order to finalize the amount of aid.

y The Financial Assistance Committee takes decisions on the basis of information provided in this form and

its own investigations. However, in some cases, candidates may be required to appear for an interview to

provide additional information.

y The committee determines the extent of assistance to be given, if any, and will pay the amount in the form

of cheque AT ONE TIME.

y PROVISION OFFALSE INFORMATION BY THE APPLICANT MAY LEAD TO CANCELLATION OF EME ALUMNI

ASSOCIATION MEMBERSHIP.

y Incomplete forms will NOT be entertained.

The Applicant MUST attach the following documents with this form to be considered for financial assistance.

y Recent Salary Certificates (photocopies) of earning family members (parents, guardians, brothers & sisters)

y Photocopy of transcript (Progress report)

y Photocopies of parents residence utility bills (Electricity, Telephone, Gas etc) [last 6 months]

y Written proofs for all expenditure mentioned in PART C of this form.

y Details of personal and family assets.

y Statement by the applicant (why I deserve to get this financial assistance from EME Alumni Association)

as mentioned in PART F of this form.

General Information for the Applicant

Attachments Required With This Form

For Office Use

Form received by: __________________ Signature: ____________________ Date:__________

EME Alumni Association | [email protected] | www.emealumni.com


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PART - A

[Personal Information]

1. Applicant's Name: _________________________________________________________

2. Rank: ____________ 3. Registration No (NUST): _________________________________

4. DE and Dept: _____________ 5. CGPA: ________ 6. Semester GPA (last):____________

7. GPA History (All semesters) : __________________________________________________

8. Present Mailing Address: ______________________________________________________

____________________________________________________________________________

9. Permanent Mailing Address: ___________________________________________________

____________________________________________________________________________

10. Telephone Numbers: _________________________________________________________

11. Email Address: ____________________________________________________________

[Family Information]

11. Fathers Name: ______________________________________

12. Guardians Name (if any): ______________________________

13. Telephone Numbers: __________________________________

14. Mothers Name: ______________________________________

15. Telephone Numbers: __________________________________

16. Siblings:

Name Age Occupation Income Institution Fee(Per month) (If studying) (Per month)

_______________ ____ ___________ _________ _______________ ______

_______________ ____ ___________ _________ _______________ ______

_______________ ____ ___________ _________ _______________ ______

_______________ ____ ___________ _________ _______________ ______

_______________ ____ ___________ _________ _______________ ______

_______________ ____ ___________ _________ _______________ ______

LEAVEBLANK


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PART - B

[Personal and Family Sources ofIncome]

1. Fathers Occupation: ______________________

2. Fathers Monthly Income (Please provide complete details):

2.1 G Total : ______________

3. Mothers Occupation: ______________________

4. Mothers Monthly Income (Please provide complete details):

4.1 G Total : ______________

5. Amount of Monthly Stipend Received (from all sources)

5.1 G Total : ______________

6. Are you receiving or likely to receive ANY other Scholarships (Please give details):

6.1 G Total : ______________

7. Any other source of Income/Financial Assistance (Please provide complete details):

7.1 G Total : ______________

8. Have you ever applied for EMEAA scholarship before? Please specify date and result.

LEAVEBLANK


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PART - C

[Expenditure]

1. Please provide details of all the expenses (monthly basis) that are related to your studies at College of

E&ME, Please include detailed denomination of your living expenses as well (Tuition, hostel bills, etc).

1.1 G Total: ________________

FOR OFFICIAL USE ONLY. PLEASE DO NOT WRITE BELOW THIS SPACE


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PART - D

[Feedback from College Administration]

1. Please provide feedback from the Administration of College of E&ME which may be from your

Department HOD, DEAN or any INSTRUCTOR who knows you well.

Name ____________________

Designation: _______________

Signature: _________________

Contact: __________________

(STAMP)



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PART - E

[Other Information]

1. Details of Car(s) owned/used (personal & official) by self and family (with make and model):

_________________________________________________________________________

_________________________________________________________________________

2. House owned by family

YES NO

3. If living in rented house, what is the rent per month? : _______________________________

4. If owned, location and area of plot : ______________________________________________

5. Other moveable/immoveable property owned by family (give details):

6. Any physical disability : __________________________________________________________

7. Anything else you would like to mention :



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PART - F

[Applicants Statement and Undertaking]

The Applicant MUST submit a detailed statement (on a separate sheet) describing the reasons as to

Why I deserve to get this financial assistance from EME Alumni Association? Please use separate sheet

and try to restrict your statement to less than 200 words.

UNDERTAKING

I honestly declare and certify that the information given on this form is accurate and correct to the best

of my knowledge. I have presented all the information in good faith and I understand that any

misrepresentation may cause cancellation of my membership and financial aid.

Applicants Name : ________________________ Applicants Signature: ____________________

Parent/Guardians Name: ___________________ Parent/Guardians Sign: ____________________

Date : ________________


Financial Aid: APPROVED / NOT APPROVED

Remarks by EME AA Committee:

Decision Taken By:

Name / Sign / Date Name / Sign / Date Name / Sign / Date

_________________ ___________________ __________________

eme alumni associationscholarship form 2011

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