Performa 1

SESSION 2005-2006

Class Roll No.______

Class ______

Session/Group ______

FORM OF ACCEPTANCE OF GOVERNMENT MERIT SCHOLARSHIP TO BE SIGNED BY THE CANDIDATE AND FORWARDED THROUGH HEAD OF INSTITUTION.

To

The District Education Officer

Pakpatten.

Sir,

With reference to your letter ______dated ______I have honour to inform you that I accept the Scholarship offered to me on the result of ______Examination 2005 and to state that I have joined on the University ______and a recognized hostel on ______

I have taken up Arts/Science/BA/B.Sc/MA/M.Sc.

Signature of Candidate

Name of Candidate ______Father's Name ______

(In Block Letters)

Date of Birth Guardian's Name ______

(In father died)

Roll No. Marks obtained Total Marks ______

Name of institution from which appeared ______

Certified that the candidate has joined the class Arts/Science/BA/B.Sc/MA/M.Sc and joined my institution on ______tenure of class is for ___ year with effect from ______to ______.

Also certified that the candidate is not in receipt of any scholarship or stipends and his/her date of birth ______(attested Certificate to showing)

Certified that the candidate actually residing in the hostel and taken his/her meals there. Attested copies of hostel dues receipts Matriculation/intermediate and BA/B.Sc certificate may also be attached with this application form.

Signature of Signature of

Hostel Warden/ Superintendent The Principal/Head of Department

Performa 2

APPENDIX "B"

CERTIFICATE-l

I ______resident of ______

______and by occupation (if Govt/Non-Govt Servant) and indicate designation with the name of department______Father/Guardian of ______pupil of the ______School/College ______and the candidate for the______Examination does hereby declare that my Annual Income (From all Sources) is ______and pay Rs.______as income tax.

I solemnly declare that my domicile is in Pakistan and my house address is as under below.

PERMANENT ADDRESS:

House no/Street/Mohalla Village ______

Police Station ______

District ______

PERMANENT ADDRESS IF DIFFERENT FROM ABOVE

House no/Street/Mohalla Village ______

Police Station ______

District ______

Signature of Parents /Guardian

Full Address ______

Dated.______

Certified that to the best of my knowledge this declaration is correct

Dated ______Principal/Head Master/Mistress

Note: 1 “A” Pupil lawful and defacto guardian may sign this declaration only when the father is dead and certificate to this effect be furnished by the head of the institution.

2 if the declaration is signed by headmaster or headmistress it must be countersigned by the District Education officer

Performa 3

CERTIFICATE FOR RURLAR AREA CANDIDATES ONLY

I ______solemnly declare that I Father’s /Guardian of ______belonging to rural area and my name is included in the Electoral Rolls of ______union council ______Tehsil ______District______

OR

CERTIFICATE FOR THOSE WHOSE FATHER/GUARDIAN NAME IS NOT INCLUDED IN THE ELECTRAL ROLLLS

I ______solemnly declare that I father/Guardian of ______is a permanent resident of village ______of own or am in possession of a dwelling house or other immovable property or I work for gain in this unit

Signature (Father or Guardian)

Full address: ______

______

Verified from Electoral Rolls Attested.

Signature

Chairman Union Council

Administrator Union Council

Tehsildar/Assistant Commissioner

Performa 4

Details & Documents Attached

Name
Father Name
NIC No
Last College/University Attendant
Last Degree Details
(on which you are applying) / Degree Name
Total Marks / Marks Obtain / Division
Address Home (Permanent)
Hostel Address
Contacts No(s) Resident
Mob
E-mail
Monthly Father/Guardian Income
Total family members
No of dependent family members
No of earning family members

Student Signature

Documents Attached

·  Attested complete filled Performa 1,2,3,4

·  Attested copy of Father/Guardian/Student NIC

·  Attested copy of FA/FS.c/ICS/BA/BS.c certificates