usaid scholarship performa 2014 15

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:__________________________________________________________