APPLICATION FORM

FOR
MONTHLY STIPEND FOR UNEMPLOYED YOUTH

Name: __________ Father Name: ___________________________

Applicant CNIC No:
Father CNIC No:

Contact No: E-Mail (If any): ____________________________
Date of Birth: ________________ Gender: ________________
Account Number: ___________________________ Branch Name: ______________________________
Bank Name: _______________ District of Domicile: _Peshawar___
Permanent Address: ____________________________________________________________________
___________________________________ Present Address: _____________________________
_______________________________________________________________________________________
ACADEMIC QUALIFICATION:

Note: Enclose duly signed and attested copies of last Degree/DMC, CNIC, and Domicile.

DECLARATION:
I hereby declare that I am not working in any Government / Semi Government/
Autonomous or any Private Organization. Moreover, I am not receiving any Scholarship/Stipend from any other
Department.
I further declare that the information furnished by me is true and correct and my stipend
shall be cancelled at any stage if found incorrect.

Name of the Applicant: Signature:

____________________ ___________________

FOR OFFICIAL USE:
The Particulars are correct as per this office record and He/She is recommended
for the Stipend.


Signature & Stamp
Head of Department/Principal/Muhtamim:


Degree:
Postgraduate
/ Equivalent
Institution
/
Madrassa
University
/ Wafaq
Result
Declar-
ation
Date
Marks
Obtai-
ned
Total
Marks
Div-
ision
%age
of
Marks
CGPA As a
whole
or by
parts
Subject




















Recent
Passport size
Attested
photograph