GC University Lahore
Endowment Fund Trust
Scholarship Application Form for a Day Scholar
Scholarship is based on assessment of need and merit. 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:
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:
Read the application form carefully.
Make a photocopy of the application form
Complete the photocopy form and make sure everything is correct and final
Keep copy of the filled-in form
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 Student Financial Aid Office
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”
Application Form Check List
Description
1
2
3
4
5
6
Tick the
relevant
Copies of computerized CNIC of
Father
Mother
Guardian
Salary Certificate of
Father
Mother
Guardian
Copies of last six (06) month utility bills
Electricity
Gas
Telephone
Water
Attested copy of rent agreement (if applicable)
Copies of last & latest fee receipts of self and siblings *
Copies of pervious scholarship(s) attained (if applicable)
* Siblings are brothers & sisters
Tick the Section When Completed
I Section A: Personal and family information
II Section B: Cumulative information of Self, Parents & Guardian Assets
III Section D: Educational Record
DO’s:
Submit your application in Student Financial Aid Office.
Place documents in right order as per above sections (1 to 10)
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.
Affix two
Passport size
Degree Title / Program: _______________________________________
Photographs
Section A:
Applicant Personal and Family Information
1. Applicant’s Name: ___________________________
/
Male
Female
2. University Roll No:
3. Applicant NADRA
CNIC No.
4. Date of Birth: _________________________ Age : _______________________
Place of Birth (Name of City, Country) ______________________________________
Domicile(District Name):_________________________________________________
5. Present Address _________________________________________________________
6. Permanent Address: ______________________________________________________
7. Are you currently working:
Yes
No
8. Tel (Res.): _________________Mobile: __________________Email: __________________
9. Total Members in the Family: ________________________________________________
10. Total Family Members currently living with you: Total: ____ Male:____ Female:_____
11. Total Number of Brothers/Sisters married Total: ___________Brothers_____ Sisters_____
S#
Name of Family Member (s)
Relationship
Marital Status
Remarks**
1
2
3
4
5
6
7
12. Brothers/Sisters/Children/Family Members studying _____________________________
Details of Siblings Studying including the applicant
S#
Name
Relationship with
applicant
1
2
3
4
5
6
Total Fees & Tuition Charges
Name & Address of
Institute
Fee per month Tuition per
month (if applicable)
13. Father’s Name: __________________________________________
14. CN.I.C. No
15. Father Status:
Alive
Deceased
(if deceased please mentioned the date of
demise (dd-mm-yy) _________________ )
16. Professional status: Employed
Retired
If answer is Employed complete the sections (22-30) else from (27-30)
17. Name of Company/Employer: __________________________________________________
18. Address: ___________________________________________________________________
19. Tel (Off): ______________________________ Mobile: _____________________________
20. Occupation : ____________________________________________________________
21. Designation & Grade ( BPS/ SPS/PTC etc): _______________________________________
22. Total Gross Monthly Income (Salary/ Pension/ Others): _____________________
23. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _____________________
24. Previous Occupation (if applicable): _____________________________________________
25. Total Annual Income: ___________________________NTN_________________________
26. Mother’s Status: Alive
Deceased
(if deceased please mentioned the
date of demise (dd-mm-yy) _________________ )
27. Marriage Relationship: Combined Separated/Divorced
28. Professionals Status: Working
Not Working
Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative) [Add Page if
required]
29. Name: ___________________________ Relationship: _________________________
30. Address: ___________________________________________________________________
31. Tel (Off/Res) _______________Mobile No._______________ NIC no._________________
32. Occupation _________________________________________________________________
33. Designation ____________________Name of Company/Employer ____________________
34. Total Monthly Gross Income (Salary/ Pension/ Others) ___________________________
35. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _____________________
36. Total Net Annual Income______________ 41. Monthly Financial Support Available from
supporting person to the Applicant in Pak Rs. ___________________________
37. Asset Income (on monthly basis)
S#
Income Source
1
Property Rent
2
Land Lease
3
Bank Deposits*
4
Shares / Securities*
5
Other (Specify)
Father
Mother
Spouse
Self
Other
Total
* For sources with annual income returns, kindly report the monthly income earned
Total
38. Total Earning Members in Family: _____________________________________________
39. Total No of family members not earning _________________________________________
40. Details of Family Members Earning:
Monthly
S
#
Family Member
Relationship
Name
Family Member
Organization
occupation ***
Name
Designation
Gross
**Remarks
Pay/Earning
1
2
3
4
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
41. Total Family Monthly Income
S#
Family Member
Name
Relationship
Monthly Income
Monthly Gross
Monthly Net (Take
from Assets (Sec. 45)
Pay/Earning
home) Pay/Earning
1
2
3
4
5
Applicant Monthly Gross Pay/Earning
(Sec. 11)
6
Applicant Monthly Net (Take home)
Pay/Earning (Sec. 12)
Total Monthly Income in Pak Rupees
Total Annual Income in Pak Rupees
FAMILY EXPENDITURES
42. Accommodation Expenditures ( Please Check the relevant boxes)
Type: Bungalow
Structure: Pucca House
Status: Rented
Rent Payment: Self
Apartment /Flat
Kutcha House
Self or Family owned
Employer/Govt
Town House
Village House
Semi Pucca House
Others
Employer / Govt Owned
Others
Total Size of the House in Sq. ft._________________ Covered Area in Sq. ft.__________
S#
Accommodation
Number Of
Location/Address Bed Rooms
Number Of
Accommodation Accommodation
Air conditioners
Monthly Rent
Annual Rent
Total Accommodation Rental Expenditure
Any other house/flat owned by the Parents/Guardian (if yes please specify with location and
size)____________________________________________________________________
43. Utilities Expenditures
Last Month Utilities Paid
Telephone
Electricity
Gas
Water
Average of Last Six Months (Per Month Utilities Charges)
Telephone
S#
Electricity
Gas
Water
Total
44. Monthly Food /Kitchen Expenditures ______________________________________
45. Medical Expenditures: Average of last six months (Per Month Expenditure)___________
46. Travelling/ Miscellaneous Expenditures
Average of last six months (Per Month Expenditure)_______________________________
Total Family Expenditures
Education
Accommodation
Utilities
Food
Medical
Misc.
Total Monthly
Total Annual
Expenditure
Expenditure
Expenditure
Expenditure
Expenditure
Expenditure
Expenditure
Expenditure
(Sec. 12)
(Sec. 42)
(Sec. 43)
(Sec. 44)
(Sec. 45)
(Sec. 46)
52
Description
Amounts in Pak Rupees
Total Monthly Income
Total Monthly Expenditure
Net Monthly Disposable Income*
Description
Amounts in Pak Rupees
Total Annual Income
Total Annual Expenditure
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
Section B:
Cumulative information of Self, Parents and Guardian Assets
Assets (with current market value)
47. Does the family own any Transport?
Yes
No
If yes kindly fill the relevant details
S#
Transport Type
Engine Capacity
(Car/ Motor cycle/ Others*)
Make /Model
Registration No
Ownership Period
(CC)
1
2
3
* Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
48. Number of Cattle(s) (with kind) _______________________________________________
49. Area and location of Land(s)/Plot(s) owned _____________________________________
Assets Title
Qty
Size
Location
Cultivable
Agricultural Yield
Area
per Acre
(Address)
Residential
Commercial
Agricultural
Employer/
Govt Scheme
50. Assets worth (Current Market Value in Pak. Rs.)
S#
Assets Title
1
House
2
Business
3
Land & Building
4
Bank Balance
5
Stocks/Prize bond
6
Others/ Cattle(s)
Father
Mother
Spouse
Self
Guardian
Total
Total
51. Taxes paid (per annum in Pak. Rs)______________________________________________
Section C:
Financial arrangements for current year
52. Funds Availability for Applicant Education (per annum in Pak Rupees)
S#
Income Source
1
Salary / Earnings
2
Family / Friend
Father
Mother
Spouse
Self
Other
Total
Advances & Loan *
3
Bank Loan
4
Other (Specify)
Total
* Family/ Friend Loan
(Specify relationship with the relative / friend)
______________________________________________________________________________
______________________________________________________________________________
53. Any source of financing other then this scholarship (Please specify)
______________________________________________________________________________
______________________________________________________________________________
54. How were the admission fee /first semester fee paid?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
55. How were the hostel charges paid?
______________________________________________________________________________
Section D:
Applicant Educational Record
Examination
Years
Marks
Division
Institute from which passed
Matric
F.A. / F.Sc.
B.A. / B.Sc. (Hons)
Result of Last Semester
56. Have you ever awarded any other scholarship before tick any one:
Yes
No
(If yes fill the details of scholarships & attach documentary proof of the scholarships)
S#
Scholarship
Name of Institute
Name
Total
Total
Scholarship
Class / Level at
Scholarship which Scholarship
Amount
Period
was granted
1
2
3
Statement of Purpose (Explain your suitability for this scholarship) - attach separate sheet if
required_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
57. 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. The Aid Committee 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
Are the applicant documents in order?
Yes
No
The notices furnished to the applicant for furnishing of required documentation
S#
Notice Date
Document Name
Missing
Document
Remarks
Submission Date
1
2
3
Application Case Review Dates (i) _________________(ii) _____________________________
Additional Remarks
____________
Date
_______________
_______________________________
Department Name
Signature Head of Department / Focal Person
Certificate
(From the Chairman of Department / Hostel Superintendent through Tutor)
I_____________________________________________________________________________
Hereby certify that to the best of my knowledge and belief the statement of facts (Supported by
documents) given in the application by __________________________________ is correct and
(Name of the applicant)
his/her financial circumstance are such that he/she deserve to receive the Golden Scholarship from
the G C University, Lahore.
_______________
Signature with seal
Dated________ (Chairman of the Department)
________________
Signature with seal.
(Tutor for Under
Graduate Students).