Scholarship Application Form - Pak Usaid Merit & Needs Based Scholarship Program Page 4
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14USAID-MNBS APPLICATION FORM
Page 4 of 14
Affix two
Passport size
Name of the University: _______________________________________
Degree Title / Program: _______________________________________
Photographs
Section A:
Applicant Personal and Family Information
1.
Applicant’s Name:
____________________________________Gender: Male
Female
2. University Reg. No:
3. Applicant NADRA
-
-
NIC No.
4. Marital Status
Single
Married
Divorced
5. Date of Birth: _________ Age : _______________ Nationality____________________
Place of Birth (Name of City, Country) ______________________________________
Domicile(District Name):_________________________________________________
6. Present Address _________________________________________________________
7. Permanent Address: ______________________________________________________
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. Tel (Res.): __________________Mobile: __________________Email: __________________
15. Total Members in the Family: ________________________________________________
16. Total Family Members currently living with you: Total: ____ Male:____ Female:_____
17. Total Number of Brothers/Sisters married Total: ___________Brothers_____ Sisters_____
S #
Name of Family Member (s)
Relationship
Marital Status
Remarks**
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