UOG_fee_concession_form

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					                       UNIVERSITY OF GUJRAT
                     FEE CONCESSION/FINANCIAL ASSISTANCE APPLICATION FORM


        The process of Fee Concession is based on assessment of need and merit. Selection will be decided
        on the basis of information provided in the form and investigations by the Committee. Candidates
        may be required to appear for interview. More over concession in tuition fee will be applicable for
        two semesters. Each year student will have to apply for the concession on the basis of their semester
        results. Amount will be refunded through cheque from Treasurer Office.
        PROVIDING FALSE INFORMATION MAY RESULT OF THE FOLLOWING
        Disqualification for award of any future loan/scholarship/Financial Aid
        Refund of all the payment received and or a penalty equal to total scholarship amount.
        INSTRUCTIONS FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM:
        Complete the photocopy form and make sure everything is correct and final
        Copy all information from photocopied form to the original form
        Submit duly completed & verified documents with application form.
        For family financial reporting, parents/guardian may be consulted for guidance
        Whenever in doubt or lost, seek help from the (Scholarship Officer)
        Keep a photocopy of the filled-in original application form for your record

        REQUIRED DOCUMENTS
              1.    Copy of All academic certificates (Matriculation. Intermediate and BA/BSC/B.COM)
              2.    B-Form ) ‫ ) ﺏﻓﺎﺮﻡ‬and NIC
              3.    Copies of last & latest fee receipts of self and siblings
              4.     Copies of all Bills/ expenditure related documents (if applicable)
              5.    Income Certificate/Salary/Pay Slip of father/Mother/Guardian dully verified by following
                               Head of Institute in case of Govt/Semi Govt
                               ILAQA Tehsildar in case of Agriculture
                               Union Council in case of Labor

              6. Death Certificate of father must be attached. (Orphan Students)
              7. Disability Certificate (Disable student)
              8. Attach copies of all Utility Bills(Electricity, Gas, PTCL, Water) of previous month

Note:       Application form along with all required documents must be duly verified by their
            concerning Head of Department and submit directly to the office of Scholarship at Students
            Services center




                   Scholarship Officer
                   Students Services Center (SSC)
                   University of Gujrat
     Applicant’s Bio data
     Applicant’s Name: ______________________________________________________________
     Permanent Address______________________________________________________________
     ______________________________________________________________________________

     Religion: __________________________ Domicile/District Name: _______________________
     Contact (PTCL):__________________Cell (Personal):_____________Email: _______________
     University Roll No______________________ Department______________________________
     GPA (previous semester): ______________ CGPA____________________________________
     Total Fee (per semester): ______________ Hostel Charges (per semester): _________________
     Have you availed Fee Concession in past (Half/Full): ___________________________________
     Have you ever awarded any other scholarship before: Yes/No ____________________________
     Father/Guardian’s Particulars
     Father’s Name: _____________________________ Status: Alive           Deceased
     Father’s Professional Status:
     Employed            Retired     Business  Farmer      Laborer       Abroad       Jobless
     Mother’s Name: ________________________Mother‘s Occupation: _______________________
     Marital Status of Parents:    Combined   Separated        Divorced Any
     In case of above given any profession, please provide following details:
         o   Name of Company/Employer/Business/Laborer: _________________________________
         o   Tel (Off): ______________________________
         o   Total Net Monthly Income from all sources (Salary/ Pension/ Others) ________________
         o   Total Annual Income from all sources: ___________________________
         o   Previous Occupation (in case of father death/ retirement): __________________________
         o Total Monthly Income (Pension/ Others): _______________________________________
     In case of Guardian
         o   Guardian’s Name: _____________________ Relationship: ______________________
         o   Guardian‘s Occupation: ________________ Guardian’s Contact No ________________
     Family Details:
     Total Members in Family: ________
    Family Set-Up:       Joint        Independent
    Number of Brothers/Sisters married Total: _________Brothers_____ Sisters_____
    Total Earning Members in Family_____________________________________________
[




     Sibling’s Details
    Sibling studying in other Institutes/UOG (provide details. Other sheet may be used)

     S           Name              Class/Degree           Name of Institute               Fee         Hostel
     #                                                                              Semester/yearly   Charges
     1
     2
     3
     4
     Total Fees & Tuition Charges
Statement of Purpose (Explain your suitability for Fee Concession) attach separate sheet if required
  _____________________________________________________________________________
   _____________________________________________________________________________

 Family Assets Details:
 Residence Status:
 Rented        Self           Family owned         Employer / Govt Owned
 Rent Payment:        Self         Employer/Govt           Rent Payment in Rs________________
 Total Size of the House in Sq. ft._________________ Covered Area in Sq. ft._________

 Does the family own any vehicle?            Yes           No

     vehicle Type                            Make /Model             Engine Capacity (CC)         Ownership
     (Car/ Motor cycle/ Others*)                                                                  Period




  * Others: include tractor, rickshaw, bi-cycle, motorcycle rickshaw, carriage pick, truck etc.
  Number of Cattle(s) (with kind) _________        ___________      _______________ ___________
  Area and location of Land(s)/Plot(s)/ owned ________________________________________
 Residential                 Commercial             Agricultural            Employer/ Govt Scheme
  Any other house/flat/Shops owned by the Parents/Guardian (if yes please specify with location and Size)
  _____________________________________________________________________

                                     PAID AMOUNT OF LAST MONTH
  Telephone/Mobile            Electricity                   Gas                        Total



  Total Income & Expenditure

  Total Monthly Income         Total Monthly Expenditure        Total Annual Income     Total Annual Expenditure




   Financial Arrangements for Current Year (for Applicant’s Education (per annum)

      S# Income Source               Father        Mother          Spouse       Self        Other          Total

      1     Salary / Earnings
      2     Family / Friend
            Advances or Loan
            Total

  (Specify relationship with the relative / friend for Loan)
  ______________________________________________________________________________
  Any source of financing other than this scholarship (Please specify)
  ______________________________________________________________________________
  ______________________________________________________________________________
    How were the admission /first semester charges paid?



[



    Applicant’s Educational Record
      S # Degrees                               Name of Institute            Div/Grade       Year of Passed out
      1     Matric /O Level
      2     Intermediate/A Level
      3     Graduation
      4     Others


                                                        UNDERTAKING
          The given information in this application is true to the best of my knowledge If any false information is
          found after the grant of fee concession, the UOG will discontinue the process and the student will have
          to refund all payment received. The UOG reserve the right to verification the information given in this
          form.


                                                                                        Signature of Student

          Approval by the Chairperson/Head/In Charge Department
          The student is personally known to me and he/she deserve the concession.
          Name & Signature of the Teacher: ____________________________ Date:___________
          Reason for recommending.____________________________________________________
          ___________________________________________________________________________
          __________________________________________________________________________


                                                                                  Signature & Stamp
                                                                             Chairman/Head of department

                  FINANCIAL AID/ SCHOLARSHIP COMMITTEE DECISION


    Recommendations:-
    Full Tuition Fee concession              Half Fee Concession                 Not Recommended
    Committee’s Members                         Name                    Signatures
     Chairperson
      Member-1
      Member-2
      Member-3
      Member-4

				
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posted:4/22/2012
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