Shell Pakistan Limited
Scholarship Application Form
INSTRUCTION FOR FILLING OUT THE SCHOLARSHIP FORM:

Read every field carefully, it is advised to photocopy the form and fill it before filling the original
application form to make sure all information is correct and final.

Fields followed by an endnote should be filled after reading the endnote section given on last page.

Write in block letters with one character per block.

Keep a photocopy of the filled-in form for your record.

Ensure that you have attached all required documents by completing the checklist.

Answer all questions. Those not applicable should be marked “N/A”.

For family financial reporting parents/guardians should be consulted.

Fields marked with a tick mark (√) should only be answered in the same.

All amounts should be mentioned in Pakistani Currency (Rs)

Do not overwrite or cross any information on the form.

Do not Provide False or Incomplete information or one that cannot be supported with proof.

A complete file should be made containing first the attached form then all the photocopies of
mentioned documents in the following checklist.
Check List
1. Attested copies of Mark sheets (Matriculation & Intermediate)
□
2. Attested Copies of Rent agreement (if any)
□
3. Copies of latest fee receipts of self & siblings
□
4. Attested copies of last three months income.
Verified by legal slips of Father / Guardian
□
5. Attested copies of CNIC (Father, Mother or Guardian)
□
6.
□
Attested copies of last three months Utility Bills
(Telephone, Gas & Electricity)
7. Statement of purpose
□
8. Disability certificate from a recognized hospital (if applicable)
□
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Shell Pakistan Limited
Scholarship Application Form
Application Form
Which Degree Program / University have you applied for or are planning to apply for admission in Fall 2008 session?
Name of the University1:
Degree Title2
PART 1. PERSONAL INFORMATION
Applicant’s Name
Date of Birth3
Gender (√)
Male
Female
CNIC Number
Residential Address
Postal Address
Cell No4
Residential No.
Email Address (optional)
Disabilities (if any)5
PART 2. EDUCATIONAL INFORMATION
Previous
Education
Subjects (Science
/ Pre-Engineering
/ Arts etc)
Attended Institution
&
Address
Year of
Passing
Division/ Grade
/ Percentage
Do not Round-off
percentages,
CGPA etc
Matriculation /
School Study
(SSC)
Intermediate /
College Study
(FSc, HSSC. etc)
Bachelors Level
Education (for
Masters
Applicants only)
Any Other Honors / extracurricular activities (Distinctions, Awards won in competitions, Sports
associated or any other achievement you feel should be mentioned):
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Shell Pakistan Limited
Scholarship Application Form
Any Other Scholarship Awarded previously throughout your education
PART 3. FINANCIAL INFORMATION
Education Supported by (√)
Father
Mother
Or Guardian
Any other source
Father’s Name
Father’s CNIC Number
Status (√)
Employed
Unemployed
Retired
Alive
Deceased
Guardian’s Name (if any)
Guardian’s CNIC Number
Cell No.
Residential No.
Employer (if applicable)
Designation (if applicable)
Previous Occupation (if any)
Means of income (√)
Salaried
Other6(Kindly mention)
Total monthly income (Salary, added benefits, pension etc) or any other means
Total Income earned
Income Type
Father
Mother
Self
Brother
Sister
Other
Total
Salary
Any Other
Total
Housing Type (√)
Housing Status (√)
Rent (if applicable)
Bungalow
Family Owned
Apartment / Flat
Plot Size / Covered area7
Rented
Rent Paid (√)
By Family
Provided by employer
By Employer / Others
Any other Property owned by family of the guardian (please specify and location and size):
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Shell Pakistan Limited
Scholarship Application Form
Assets Owned (self / Parents or Guardian) with current value
Asset Type
Quantity
Size
Rent / Income
/profits earned
Address / Location
Commercial
Residential
Agricultural
Cars (if owned)
Make
Model
Value
Family Expenditure
Monthly Fee of college attended:
Additional Costs incurred8
Brother / sisters / Children / any other family members 9
Relationship with
applicant
Name
Name of Educational
institution (if studying)
Fee/Month
Utilities Expenditure10 (average of last three months)
Gas
Telephone
Electricity
Water
Transportation / Food / Traveling / Medical or any Other Expense (Per month) 11
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Shell Pakistan Limited
Scholarship Application Form
Any other source of educational financing other than this scholarship (Please mention) 12
Any Loan Taken for educational or any other purpose (kindly state the installment per month) 13
Application Processing Fee (Non Refundable)
Please attach Bank Draft (in Original) of Rs. 300/- made in favor of Shell Pakistan Limited,
Bank Draft Number
Date:
Name of Branch:
Statement of Purpose
(Explain your suitability for this scholarship):
14
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Shell Pakistan Limited
Scholarship Application Form
UNDERTAKING:
I confirm that information provided in this booklet is true in my knowledge and any false information
provided can result in cancellation of my scholarship and I would be legally responsible to refund all
payment received and or penalty equivalent to total scholarship amount.
Shell Pakistan Ltd. Reserves the right to cancel my scholarship if I am unable to maintain a GPA of no less
then 2.6 or 60% (which ever is applicable) in every semester.
Applicants Signature
For Office Use Only
Date of Application submission
Received By
REMARKS:
Date of assessment: _________________
Signature of Reviewer
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Shell Pakistan Limited
Scholarship Application Form
END NOTES
1
Selected university by the applicant from the list provided
2
Selected degree offered in the selected university
3
Date of birth should be numeric for example (25/12/1987)
4
Cellular Number of applicant
5
Any psychological or physical disability that be supported by doctor’s certificate
6
Any other source of income for example (profits / rents or returns from any investments made)
7
Plot size of Bungalow or covered area in case of apartment
8
Additional costs include transportation related expenses / books / other accessories
9
Any other family member, whose expenses are incurred from the same income source as the applicant
10
Sum up three months of each expense / 3 for example (gas bill of May + gas bill of June + gas bill of July divided by 3)
11
Sum of all the mentioned or any other expense incurred per month
12
Any other source considered or available apart from this scholarship
13
Loans taken for any purpose that effects the monthly income of Father / Mother / Guardian
14
Statement of purpose gives the candidate an opportunity to express why he / she deserves this scholarship / any other remarks
regarding applicant’s achievements in studies, ambition & purpose would be also encouraged. (Additional sheets can be attached)
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