Scholarship Application Form - Pak Usaid Merit & Needs Based Scholarship Program Page 5

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USAID-MNBS APPLICATION FORM
Page 5 of 14
4
5
6
7
List down the number of dependents supported by married brother(s)/ sister(s)
**Remarks:
18. Brothers/Sisters/Children/Family Members studying _____________________________
Details of Siblings Studying including the applicant own detail
Relation
Tuition
S #
Name
with
Name & Address of Institute
Fee per month
per month
(If applicable)
applicant
1
2
3
4
5
6
Total Fees & Tuition Charges
22
19.
Father’s Name:
_________________ Computerized N.I.C. No ________________________
20. Father Status:
Alive
Deceased
( if deceased please mentioned the date of
demise (dd-mm-yy) _________________ )
21. Professional status: Employed
Retired
If answer is Employed complete the sections (22-30) else from (27-30)
22. Name of Company/Employer: ___________________________________________________
23. Address: ____________________________________________________________________
24. Tel (Off): ______________________________ Mobile: ______________________________
25. Occupation : ____________________________________________________________
26. Designation & Grade ( BPS/ SPS/PTC etc): ________________________________________
27. Total Gross Monthly Income (Salary/ Pension/ Others): _____________________
28. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _______________________
29. Previous Occupation (if applicable): ______________________________________________
30. Total Annual Income: ___________________________NTN___________________________

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