Form No.

__________

(Office Use Only) M.R. # _______________________ GRADING____________, %TAGE _________________________

QUAID–E–AZAM ALIGARH SCHOLARSHIP TRUST

The Trustees Phone: 021-25821875-6

Quaid-e-Azam Aligarh Scholarship Trust, 0332-6280-623
Office # 1&2, 1st Floor, Plot # 8 – C,
9th Zamzama Commercial Lane, D.H.A-5,
K A R A C H I.
PHOTO
SUBJECT: APPLICATION FOR GRANT OF SCHOLARSHIP (Attested)

Dear Sirs,

I hereby apply for the grant of a scholarship. Necessary particulars are mentioned below:-

1. Name in full.

2. Address.

Contact No: Email ID:

3. Date of Birth. __________________________Registtn/Enroll No.______________________

4. Computerized NIC No. _ _

Issue Date: -
and date (attach photocopy).

5. Study Course/Degree.
6. University/College with address
(attach photocopy of latest
enrollment card certificate).

7. Name of Vice Chancellor/Principal.

8. Father’s full name occupation/designation.
and name and address of employer.
9. Father’s Current gross Income (annual).
10. Amount of Scholarship required.
11. Period of Scholarship required.
12. Purpose of Scholarship.
13. Past academic record S.S.C. H . S . C. 1ST PROF (PI.II) 2ND PROF 3RD PROF 4TH PRO F
Year/Total Marks. 20 850 20 1100 20 20 20 20
Marks obtained(GPA)
Grade/Percentage. %( % % % % %

14. Failures, if any.

15. Name with designation, 1. 2.

Occupation and address
of two references.

16. Other scholarship/grant, if any

17. General.

DECLARATION
I,______________________________________S/D/o____________________________________(under
signed) hereby declare that the particulars mentioned above are correct and true and that the amount of
scholarship. If awarded by the Trustees in their discretion, shall be utilised fully for pursuing my studies as
stated above and that I shall intimate to the Trustee in writing (with photocopies of certificates) the result of
each annual examination relating to the study course/degree being pursued. The Trustees may in their
discretion make reference directly to the University/College and send the amount of scholarship, if
awarded to the university/college.
Place: - _______________

Date: - _________________ APPLICANT

 ATTESTATION

I,_____________________________S/D/o__________________________ residing

at ________________________________________and employed / carrying on

business / work as ___________________________________________________

at ___________________________________ do hereby declare that the applicant

for grant of scholarship is known to me personally for the past __________ year and

that the particulars disclosed above are correct and true to the best of my knowledge

and belief and that the applicant M/r/s.____________________________________

bear a good moral character and is a fit and proper person to receive a scholarship

from Quaid-e-Azam Aligarh Scholarship Trust.

Place:- ___________________

_____________________
Sign & Stamp

INSTRUCTIONS

1. Please fill the application from the type of block letters.

2. Enclosed attested photograph photocopies of I.D Card, certificates and

testimonials including certificate of good moral character.

3. Attestation of the application form should be by any of the following

a) M.N.A or M.P.A.
b) Class I Government Gazetted Officers.
c) Principal of Concerned College
d) Advocate / Doctor / Architect (with copy of
registration certificate)
e) Professor of concerned University / College.
f) Municipal Councilors.

4. Retain one Photocopy of the application for your record.

5. Request for the renewal of scholarship whether annual or six monthly should be
sent in writing 30 days before expiry of scholarship with documentary evidence of
upto date progress.
Documents to be produce.

1) Attested (a) PHOTOGRAPH, (b) C.N.I.C (c) ENROLLMENT CARD (d) S.S.C (e) H.S.C/D.A.E copies.

2) Original certificate regarding your PROGRESS from Head of Department

3) a) Original Statement in respect of ANNUAL EDUCATIONAL EXPENSES incurred

by you, duly Verified by the Principal/Chairman of concerned department.

b) FEE’S VOUCHER in respect of annual educational expenses incurred, duly verified by the
Principal/Chairmen of concerned department.

4) Photo-copy of the Following MARKS SHEET: -

a) University Student attested by the CONTROLLER OF EXAMINATION.
b) College Student attested by the PRINCIPAL OF CONCERNED COLLEGE.

➢ For Medical

1ST PROF (PI,II) 2ND PROF 3RD PROF 4TH PROF

➢ For Engineering/Other University Student

1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR

5) Original Father/Guardian CURRENT INCOME CERTIFICATE from: -

(a) The employer in case of being Govt:/Private employed; or

(b) Income tax assessment certificate, in case of tax paying businessman; or
(c) The Chairman / Administrator of Municipal/Town committee in case of carrying on a
non-taxable business.
(d) Mukhtiarkar, if he is a farmer; or
(e) Attested photocopy of current pension book in case of a pensioner.

6) Original CURRENT HOSTEL Certificate / TENANCY AGREEMENT Certificate, RENT RECEIPT.

7) Original Certificate regarding the EXPECTED DATE FOR FINAL/ANNUAL year examination.

8) Certificate regarding the FINAL YEAR PROJECT (if any assigned from the chairman of the
concerned department, stating its TITLE, COST PER HEAD and the DATE OF ITS SUBMISSION.

9) An affidavit duly notarized and counter-signed by the DIRECTOR OF FINANCE (in case of
College Medical Student by the PRINCIPAL OF COLLEGE) stating that you have neither
received nor applied for any Scholarship / Qarz-e-Hasna or other financial aid during the current
year from any other source(s).

and further undertake that you will not apply for the same during the current year if Quaid-e-
Azam Aligarh Scholarship is sanctioned to you.

In case you have already applied for financial assistance from other source(s). Your case may
be reconsidered only if your application for the same is rejected and documentary evidence
regarding the same from the competent authority is duly produced to the Trust.

P.T.O
Instruction for filling Application Form for Quaid-e-Azam Aligarh Trust

1) Such Scholarship are awarded to the Students pursuing Professional

Graduate Degree Course (e.g. B.E. / M.B.B.S. / B.D.S / B.E.M.S / D.V.M) and
Post Graduate Degree Course (e.g., M.A / M.Sc / M.Com / M.B.A. / L.L.M /
M.P.A. / Pharm-D) in Pakistan.

2) The Candidate Must have neither received of nor applied for any other
Scholarship or Qarz-e-Hasna from any other Source(s).

3) He / She must have obtained first class marks in S.S.C and H.S.C. (D.A.E.)
and 60%/3.00 CGPA & above marks in each professional M.B.B.S. / B.D.S /
B.E.M.S / D.V.M. examination. While 70%/3.40 CGPA and above marks in
B.E. and other University post graduate Course (e.g., M.A / M.Sc / M.Com /
M.B.A. / L.L.M / M.P.A, Pharm-D) examination.

4) No scholarship can be granted unless the student has appeared in either the
first professional (Part I & II) examination (in case of Medical Student), and
the first University annual examination (in case of other student) and marks
sheet of said examination are enclosed with the application form.

5) Where results of any examination are awaited, the same should be specially
stated in the application form.

6) If you wish to avail of scholarship during the next year also provided you have
not appeared in your final year examination, request for renewal of
scholarship should be sent in writing before the expiry of period of
scholarship with the supporting documents.