Scholarship Application Form - Pak Usaid Merit & Needs Based Scholarship Program Page 6

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USAID-MNBS APPLICATION FORM
Page 6 of 14
31.
Mother’s Status:
: Alive
Deceased
(if deceased please mentioned
the date of demise (dd-mm-yy) ____________)
32. Marriage Relationship: Combined
Separated/Divorced
33. Professionals Status: Working
Not Working
Any Other Supporting Person (Mother/ Guardian/ Brother/ Sister/Family Relative/Guardian) [Add
Page if required]
34. Name: ___________________________
Relationship: _________________________
35. Address: ____________________________________________________________________
36. Tel (Off/Res) _______________Mobile No._______________ NIC no.__________________
37. Occupation __________________________________________________________________
38. Designation _____________________Name of Company/Employer _____________________
39. Total Monthly Gross Income (Salary/ Pension/ Others) ___________________________
40. Total Net Monthly Take Home Income (Salary/ Pension/ Others): _______________________
41. Total Net Annual Income______________ 44. Monthly Financial Support Available from
supporting person to Applicant in Pak Rs. ___________________________
45. Asset Income (on monthly basis)
S #
Income Source
Father
Mother
Spouse
Self
Other
Total
1
Property Rent
2
Land Lease
3
Bank Deposits*
4
Shares / Securities*
5
Other (Specify)
45
Total
* For sources with annual income returns, kindly report the monthly income earned
42. Total Earning Members in Family: _____________________________________________
43. Total No of family members not earning _________________________________________

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