[ESP Merit and Needs based Scholarship Program ]

INSTRUCTIONS FOR FILLING OUT THE SCHOLARSHIP APPLICATION FORM:

1. Fill in the form using black ball point pen and write in 7. Check your application for spellings, grammatical errors
capital letters and leave space between words and factual oversight
2. Read the application form carefully 8. Keep a photocopy of the filled-in original application
3. Before filling the original form make photocopy and fill it form for your record
first 9. Ensure that you have attached all the required
4. Submit duly completed application form to the Financial documents by putting a tick mark in checklist
Aid Office along with supporting documents 10. Answer all questions. Those not applicable should be
5. Furnish factual, comprehensive and authentic marked “N/A”
information in the form 11. Affidavit Needs to be submitted after final selection of
6. Whenever in doubt or lost, seek help from the Financial the candidate. For family financial reporting
Aid Office parents/guardian may be consulted for guidance

Scholarship is based on assessment of need and merit as well as availability of funds. Selection will be decided on the
basis of information provided in this form and investigations for the authentication of provided information. Candidate
may be required to appear for interview(s).

Definitions

Family: Father, mother(s), brother(s), sisters(s), Self, Grandparents etc.

Pucca House: A pucca house is one, which has walls and roof made of the following material.

Wall material: Burnt bricks, stones (packed with lime or cement), cement concrete, timber, ekra etc

Roof Material: Tiles, GCI (Galvanised Corrugated Iron) sheets, asbestos cement sheet, RBC,(Reinforced Brick
Concrete), RCC ( Reinforced Cement Concrete) and timber etc.

Kutcha House:

The walls and/or roof of which are made of material other than those mentioned above, such as un-burnt bricks, ,
mud, grass, reeds, thatch, loosely packed stones, etc. are treated as kutcha house.
Semi -Pucca house:
A family member is dependent if, he/she dependent s upon applicant father/guardian to meet his/her basic needs
(food, clothing and shelter etc)

Dependent Family Member:

A house that has fixed walls made up of pucca material but roof is made up of the material other than those used for
pucca house.

Do Don’t

1. Send your application by post or submit by hand to the 1. Provide False/vague/ incomplete information.
admission office or focal person. 2. Don’t overwrite/ scratch on the form.
2. Arrange supporting documents as per Checklist 3. Don’t send scholarship application directly to HEC or
sequence .Put all amounts in Pak Rs. ESP
3. Do consult with parent(s)/guardian(s) for financial data
accuracy & reliability
4. For the information not present/relevant write in capital
letters ‘N/A’
Ehsaas Scholarship Program

Reference Number: HEC/HRD/ESP/2019/224059

1. General Information
Balochistan University of
University Name: Engineering & Technology, Degree: Undergraduate
Khuzdar

Discipline: Engineering & Technology

Sub Discipline: Computer System Engineering University Reg. No: BUETK/15CS-23

Program Duration: 4 years Current Semester: 8

2. Applicant information

Name: Mr. Attaullah Baloch Gender: Male

Father Name: Dad Jan Guardian Name: Sanaullah

CNIC/Form B No: 5230124274927 Marital Status: Single

Date of Birth: 04-Feb-1995 Age: 24

Nationality: Pakistan Domicile: Balochistan

Tehsil: Panjgur Mobile No: 3312363789

Telephone:
Email: attaullahbaloch883@gmail.com
(Area Code-Number)
3. Address

4. Previous Education of the Applicant

LEVEL INSTITUTE PASSING PER MONTH TOTAL OBTAINED REMARKS
YEAR FEE MARKS CGPA MARKS CGPA
Secondary School Muslim Abad 2010 100 1050.00 560.00 pass
Certificate / school Quetta
Matriculation / O –
level
Intermediate/Shahad Govt degree 2013 500 1100.00 687.00 pass
atnama/O-A Levels college panjgur
(12 year Education)

5. Family information

Deceased
Father Status: Earning Status:
2017-10-19

If not Earning:

Father CNIC: 5230178983341 Profession: Laborer

Father/Guardian’s
Sanuallah Address of Employer: nill
Employer Name:

Father/Guardian Financial Support other

laborer Brother
Designation: than father Income :

Father/Guardian NTN
0.00 Mother Status: Alive
Number and Tax paid:

Mother Profession: Professional Status: House Wife

Parent’s Marriage
Combined Mobile Number: 03178478552
Relationship :

Telephone Number: 03120004586

6. Family Members

Dependent Family
Total Family Members: 10 4
Members:

Total Earning Family Member(s)

1 4
Member(s): Studying:

No of Brother(s): 6 No of Sister(s): 3

7. Family Income
Financially
Name of earning Relationship with Gross
Profession supporting Net Income
person Applicant Income
the family

Sanaullah laborer Yes Brother 15,000.00 13,000.00

Total Monthly Income 15,000.00 13,000.00

Please include all income e.g Salary, Pension, Income from Land, mortgage, lease, dividends, shares etc in Gross
income. Please attached the Latest Salary Slip\income certificate with application Form. The profession includes
Public /Government Job ,Private Sector Job , Business, Farmer , Laborer, self-employed, Other

8. Current Monthly Educational Expenditure

Relationship Type of Per Month
Name Institution Name Class
with Applicant Instituition Education
8TH
Sanaullah Brother BUETK Public Sector 7,000.00
SEMESTER

Total (Per Month) 7,000.00

Name Per Month Education

Self( Please include expenditure including tuition fee and lodging charges) 5,000.00
9. Monthly Family Expenditure
Detail Per Month Amount
Average Telephone bill of last Six months 0.00

Average Electricity bill of last Six months 3,000.00

Average Gas bill of last Six months 0.00

Average Water bill of last Six months 0.00

Average Monthly Mobile Bill 0.00

Average Family Educational Expenditure other than applicant 7,000.00

Applicant Educational Expenditure 5,000.00
Average Family Expenditure on Kitchen/Food 10,000.00

Average Family Medical Expenditure 1,500.00

Accommodation Expenditure , in case of rent 0.00

Average Family Misc. Expenditure 0.00

Total Monthly Expenditure 26,500.00

Detail Per Month Amount

Net Reusable Income(Total Monthly Income – Total Monthly Expenditure) -11,500.00

10. If the monthly Income is negative kindly explain the reasons for the gap, and the arrangements
through which the differential gap is met by the family
THE GAP IS FULLFILLED BY TAKING LOAN OR SOMETIME HELPED BY OTHER FAMILY MEMEBERS.

11. Accommodation

Type: Village House Structure of House: Kutcha House

Status: Family Owned No of Rooms: 2-4

Covered Area[in Sq
Size of Home[in Sq Ft]
3500 Ft] (Sq.Ft = length x 2800
(Sq.Ft = length x width):
width):

No of Air Conditioners: 0 Number of Servants: 0

Monthly Rent Paid: 0

Address: Hassani kalat khudabadan panjgur

Any other house/flat owned by the Parents/Guardian (if yes please specify with location and size)

NO
12. Assets

Does the family own any Transport? Yes

Type of Transport Engine Capacity CC Quantity Current Market
Value

Bike 70 1 25000

Total Value of Transport 25000

Does the family own any cattle? Yes

Type of cattle Quantity Current Market

Value
GOAT 3 15000.00

Total Value of cattle 15000.00

Other Assets
Other Assets Quantity Current Market
Value
Other House 0.00 0.00

Business 0.00 0.00

Agriculture Land 0.00 0.00

Bank Balance 0.00 0.00

Stocks/Prize Bond 0.00 0.00

Plot(s) 0.00 0.00

Any Other Asset 0.00 0.00

Total 0.00

Detail of Assets on Lease (Please specify)

How were the admission /first semester charges paid?

BY HELP OF FATHER BUT HE HAS DIED NOW.

Have you ever been awarded any other scholarship before? if yes please share the No

Statement of Purpose (attach separate sheet if required)

I am undergraduate student of computer system Engineering and i am very sincere with my studies.but its very
troubling for me that my father has died 2 year before.and my education is being disturbed due to this incident,there
is no one to support me except my brother.it is my humble request to the higher authorities of EHSAS Scholarship to
grant me with this scholarship.

How did you know about ESP Merit and Needs-Based Scholarships Program?
University
Document Check List
Supporting Documents to be submitted to FAO along with ESAAS Undergraduate Scholarship Project
Application Form
S.NO Supporting Documents Status

1 Copy of Applicant CNIC/B.Form

2 Copy of CNIC (Father, Mother/ Guardian)

3 Salary Slip / Income Certificate (Father/Guardian, Mother)

4 Copies of last Six Month Utility Bills (Electricity, Gas, Telephone, Water) – (If applicable)

5 Copy of Rent agreement in case of Rented House

6 Copies of Last Fee Receipts of Applicant and Siblings (If applicable)

7 Copies of Medical bills/ expenditure related documents (if applicable)

8 01 Passport size Photograph of Applicant

Undertaking

1. 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. If any information given in this
application is found incorrect or false after grant of financial assistance, the institute will stop further
assistance and the student will have to refund all payment received and or penalty equal to total scholarship
amount.
2. HEC and University reserves the right to use information given in this form for verification and other purposes

Date Date

Father/Guardian Applicant
Signature Signature

For Official Use

Application Form Complete with
Yes No Application Case Review Dates
supporting documents

The notices furnished to the

applicant for furnishing of required
documentation

Signature of The Focal person

Date