SHAHEED ZULFIKAR ALI BHUTTO INSTITUTE

OF SCIENCE & TECHNOLOGY

Application form for Fee Installment

1. Student Name:

2. Reg no: Program:

3. Present Address

4. Are you availing any scholarship: Yes No

5. Are you working? Yes No

(If yes, please complete the questions (6-7) otherwise put N/A

6. Designation Employer/Company

7. Monthly Gross income in Pak Rs

8. Tel (Res): Mobile:

9. Email:

FATHER/GARDIAN

1. Father’s Name

2. Status: Alive Deceased

3. Professional status: Employed Retired Business Owner

4. Name of Company/Employer:

5. Tel (Off): Mobile:

6. Occupation Type:

7. Designation & Grade (BPS/ SPS/PTC etc):

FAMILY STAUS

1. Family Income: Total Monthly income in Pak Rs.

2. Brothers/Sisters/Children/Family Members studying (total number of family members
studying with relation) _____________________________________________________

1
 3. Family Expenditure : (in Pak Rs)

Education Accommodation Utilities Food and Self Total Expenditure

Other Misc
Monthly Annual

Fee Installment breakdown:

Outstanding amount Rs: Semester:_____________________

1st Installment (Percentage of amount to be paid) Date: _____________

2nd Installment (Percentage of amount to be paid) Date: _____________

3rd Installment (Percentage of amount to be paid) Date: _____________

UNDERTAKING

The information given in this application is true to the best of my knowledge and I understand that
any incorrect information will result in the cancellation of this application.
I solemnly declare that I will deposit fee installments on notified dates, in case I fail to submit my
fee, SZABIST reserves the right to cancel my admission and use the information given in this form
for verification and other purposes.

Parents/ Guardian Signature Applicant signature

Date:

Supporting Documents
• Copy of CNIC:
o Father/Guardian
o Applicant
• Copy of Admission letter
• Copies of last paid Utility bills: Electricity, Gas, Telephone