fee concession form 2012-2013 - News - University of Gujrat

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[ Applicant’s Bio data Applicant’s Name: ______________________________________________________________ Permanent Address______________________________________________________________ ______________________________________________________________________________ Religion: __________________________ Domicile/District Name: _______________________ Contact (PTCL):__________________Cell (Personal):_____________Email: _______________ University Roll No(write complete)_______________________ 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 o o o o Name of Company/Employer/Business/Laborer: _________________________________ Tel (Off): ______________________________ Total Net Monthly Income from all sources (Salary/ Pension/ Others) ________________ Total Annual Income from all sources: ___________________________ 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 (Tota)l: _________ Number of Brothers/Sisters married (Tota)l: _________ 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 Semester/yearly 1 2 3 4 Total Fees & Tuition Charges Hostel Charges
Statement of Purpose (Explain your suitability for Fee Concession) attach separate sheet if required _____________________________________________________________________________ _____________________________________________________________________________ Family Assets Details: Residence Status: Rented Self Employer / Govt Owned Rent Payment in Rs_______________ Does the family own any vehicle? Yes No vehicle Type (Car/ Motor cycle/ Others*) Make /Model Engine Capacity (CC) Ownership Period Number of Cattle(s) (with kind) _________ ___________ _______________ ___________ Area and location of Land(s)/Plot(s)/ owned ________________________________________ Residential Commercial Agricultural Employer/ Govt Scheme 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 (how you have arranged fee for 1 st semester) 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 or other source of scholarship) ______________________________________________________________________________ How were the admission /first semester charges paid? [
Page 1: UNIVERSITY OF GUJRAT FEE CONCESSION

fee concession form 2012-2013 - News - University of Gujrat

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