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Directorate of Financial Assistance (DFA)

Syed Tabish Alwari Building, Baghdad ul Jadeed Campus
Phone: 0092-62-9255066; Email: dlh(jtiub.edLr.pk Website: u'rvrv.itlb.edtr.pk

No,
""*'/DFA
Date: lll1112024

Subject: PAIflSTAN EDUCATION ENDOWMENT FUND (PEEH & NIIST)

SCHOLARSFIP FOR NUR$ING, ARTS & CULT C.,ING,

INTELLIGENCE (A.I)1 ALLIED HE'AITH SCIENCES AND LIVESTOCK

ASSISTANT DIPLON,IA STUDENTS ENROLLED IN (BS) PROGRAM FOR TH4
SESSION (FALL 2024)

1. Applications for the Pakistan Education End,rwment Fund (PEEF) Scholarship are invited
fiom the students of (BSN & MSN) Nursing, Arts & Culture, Aftificial Intelligence (AI), Allied l{ealth
sciences (BS in Pharmacy not included), Livestock Assistant Diploma (BS) Level Program in the
Islamia University of Bahawalpur.
2. Application may please be submitted up to tr'riday 22 November, 2024 to the concerned
academic department.
3. Irollowing are the requirements along with the application form: -
(i) Academic documents copies
(ii) Applicant's CNIC CopylB Form
(iii) Father's / Guardian's CNIC
(i") Domicile (If not available then attach Father's Domicile and slip of applied fbr the
domicile)
(v) Photographs (Two passporl size)
(vi) Undertaking for Income Declaration t'To be given on Rs.20-50 non-judicial stamp
paper)
(vii) Salary Slip / Income Cerlificate of SelflFather/Guardian
(viii) Death Certificate (if applicable).
(ix) Rent agreement of house of applicant/fumily
(x) utility bills.
(xi) Courl documents or affidavit in case of a single parent.
(xii) Medical reporl of parents/guardians su:fering from illness.
(xiii) Application Form filled and signed by applicant
(xiv) Certificate from institute that applicant is not availing any other scholarship lbr
cument academic session signed and stamped by institutional / department
head/principal/Registrar on Letter Head.
4. Copy of Application forrn, Advertisement and Evaluation Performa are being forwarded for
intbrmation
5. It is requested to kindly place the Advertissment on the notice board for those who are
seeking for subject scholarship.
6. Iiufther, you are requested to send the Application forms along with soft & hard copies of
Evaluation Performa to the Directorate of Financial Assistance up to Fridav.29 November, 2024.

t)
lUt)
^!';ffi#H.r"L\
for Director
Directorate of Financial Assisl.ance
Copy to: -

1. Concerned Academic Department.

2. Director Students Affairs.
Manager Internal Communication --- for dissemination of information
a

4. Director, (DI'-A)

Page 1 of 1
 Government of Pakistan
Ministry of Federal Education and Professional Training
Pakistan Education Endowment Fund (PEEF)
(A Company incorporated in Pakistan under section 42 of Companies Ordinance 1984)

APPLICATION FORM – NURSING SCHOLARSHIP PROGRAM – FY 2025

Eligibility Criteria for this Program:

• The applicant must be a Pakistani National

• Students must secure admission in the approved discipline at the participating institution as per
admission policy of the institution and be enrolled in Undergraduate (4Years or 5Years) program PICTURE
or for Diploma program.
• The eligibility of a candidate is linked to neediness of the candidate as determined by the
financial background of his/her family.
• Not availing any other educational scholarship during the current academic year

Please give True or False status of the following criteria True/False

Pakistani/AJK National
Applicant NOT availing any other educational scholarship during the current academic year
INSTITUTE INFORMATION IN WHICH YOU HAVE TAKEN ADMISSION:
1. Name of Institute
admission taken:
2. Address of the Institute

3. Discipline / Subject

PERSONAL INFORMATION:
4. Applicant’s Name:

5. Applicant CNIC - - Expiry Date D D M M Y Y Y Y

6. Gender  Female  Male
7. Applicant Marital Status  Single  Married  Divorced
8. Applicant Date of Birth D D M M Y Y Y Y
9. Domicile Province (Tick)  Punjab,  Sindh (Rural),  Sindh (Urban),  KP,  Balochistan,  AJK,  FATA,  Gilgit-Baltistan,  ICT
10. Domicile District

11. Father’s/Guardian Name

12. Father/Guardian CNIC - - Expiry Date D D M M Y Y Y Y

13. Father Alive / Deceased
14. Father Profession (Tick)  Employed  Unemployed  Business Owner
15. Phone

16. Mobile No

17. Are you working (Tick)

 YES  NO if YES then what is your Monthly Income? (Rupees) ______________
18. Email Address

CONTACT INFORMATION:
19. *Present Address

20. Permanent Address

______________________ _____________________
Institute Focal Person Signature Applicant Signature
 Government of Pakistan
Ministry of Federal Education and Professional Training
Pakistan Education Endowment Fund (PEEF)
(A Company incorporated in Pakistan under section 42 of Companies Ordinance 1984)

FAMILY INFORMATION
21. Total Family Members
currently living with you
22. Details of Family Members
Earning

S Family Family Member Monthly

# Member Name Occupation Gross
Relationship (Specify) Pay/Earning
1

TOTAL INCOME

23. Brothers/Sisters studying* Relation

S# Name With Name & Address of Institute Fee per month
Applicant
1

Total Fees & Tuition

Charges
24. Any Other Supporting Person
(Mother/ Guardian/ Brother/ 1. Name: ___________________________
Sister/Family
Relative/Guardian) 2. Relationship: _________________________
(If Applicable)
3. Occupation and Designation _________________________________________
4. Monthly Financial Support Available to Applicant in Pak Rs. ___________________
25. What type of Transport your  tractor,  rickshaw,  bi-cycle,  motorcycle rickshaw,  carriage pick, 
family own? (Tick) truck,  car  Motor Cycle
26. Applicants educational record* Per
Level of Name and Location of Month To - From Total Marks
Study Institute Fee Year Marks Obtained

Matric

FA /FSc

______________________ _____________________
Institute Focal Person Signature Applicant Signature
 Government of Pakistan
Ministry of Federal Education and Professional Training
Pakistan Education Endowment Fund (PEEF)
(A Company incorporated in Pakistan under section 42 of Companies Ordinance 1984)

27. Per month fee/ tuition charges

of the institution last
attended*
28. How were the admission / Fee Scholarship, Own Resources, Loan, Relative Support
charges paid*?
29. Have you ever got any other
Scholarships previously*(Enter
Type: Need base, Academic
base, Both Type of Scholarship,
No Scholarship):
30. Are you currently availing any
other scholarship? (Enter
Name of Scholarship)*:
31. Statement of Purpose* (Explain
your suitability for this
scholarship) -
32. Hostel Facility Availing ?  YES  NO

if YES then what is the Hostel Name _____________________________________________

and Hostel Address __________________________________________________________

___________________________Hostel Warden Phone _______________________

UNDERTAKING BY THE APPLICANT:

1. The information given in this application are 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. Institute reserves the right to use information given in this form for verification and other purposes.
3. Institute reserve the right to reject or cancel any application(s) which it deems to be unsuitable for the
scholarship programs. The rejection or selection decision cannot be challenged in any court of Law / Authority

Applicants Signature

--------------------------------- TO BE SIGNED BY THE FOCAL PERSON OR HEAD OF DEPARTMENT---------------------------------

This is to be verified that the student has secured admission and eligible to apply for the scholarship.

__________________________

Focal Person Signature

__________________________

Head of Department Signature

 Check List of Required Documents
Dear Applicant,
You are required to furnish the following documents on or
before (Deadline) to award the scholarship. In case of failing to
submit any of the required document in given time may result
in cancelation of the scholarship.
TICK THE
SN DESCRIPTION
RELEVANT
1 Attested Copies of 
1.1 Academic documents copies 
1.2 Applicant’s CNIC Copy/ B Form 
1.3 Father’s / Guardian’s CNIC 
1.4 Domicile 
1.5 Death Certificate (in case father is deceased). 
2 Photographs (Two passport size) 
Undertaking for Income Declaration (To be given on Rs.20-50 non-judicial
3
stamp paper) (See Page 2)

4 Salary Slip / Income Certificate of Father/Guardian 
5 Admission letter of institute along with admission fee slip 
6 Registration Form (sent via mail) filled and signed by applicant 
Declaration that you are not availing any other scholarship for this
academic year signed and stamped by institutional / department
7
head/principal/Registrar (To be given on Rs.20-50 non-judicial stamp paper)

(See Page 2)
8 Copies of last month utility bills 
8.1 Electricity 
8.2 Gas 
9 Attested copy of rent agreement (if applicable) 
10 Copies of last & latest fee receipts of self and siblings (if applicable) 
11 Copies of previous scholarship(s) attained (if applicable) 

For more information, please visit the official web site of PEEF (www.peef.org.pk).
 NOTE: PLEASE PRINT AND FILL ON TWO SEPARATE STAMP PAPER(S) FOR INCOME AND SCHOLARSHIP DECLARATION.

SPECIMEN (1 page)
(To be executed on Rs.20-50 non-judicial stamp paper) SPECIMEN (1 page)
(To be executed on Rs. 20-50 non-judicial stamp paper, This Stamp paper need to be signed by Union
DECLARATION
Consular/ Union Nazim/ Gazetted Officer)
I, Mr./Miss/MS_____________________ son/daughter of __________________ r/o
_______________________________________________________________ having CNIC UNDERTAKING
______________________ do hereby solemnly declare and affirm:
FOR INCOME DECLARATION
1. That, I am studying in --------------------------------------------------------------------institution under-
------------------------------------------------- program.
2. That, I intend to avail the ( ) scholarship from Pakistan Education Endowment Fund This Undertaking is made, on the... day of . 2025
(PEEF) for my {Graduation} studies.
3. That, I am not availing any other scholarship(s) from any other
I, Mr./ Ms. ………………………………………… Union Consular/ Union Nazim/
institution/company/authority beside this scholarship awarded by PEEF.

Deponent Gazette Officer ……………………. Certify that family income of

Mr./ Ms. ………………..……… CNIC /B. Form.………………………….

________________

Signed by Student/Applicant Son / daughter / wife of Mr. / Ms. ……………………………… CNIC ………………………,

Verification:
is less than or equal to Rs. ……………………. per month and I personally known him
That the contents of above Affidavit are correct and true, the best of my knowledge and belief and
nothing material is concealed thereof.

Deponent Signature…………………………………
(Stamp and Signature)
(Union Consular/ Union Nazim/ Gazetted Officer)
________________

Signed by Student/Applicant
Name…………………………………………...
C.N.I. Card No………………………………………
Verified by: Present Address……………………………….
……………………………………………………
Permanent Address………………………………
______________________________
………………………………………………………
Singed by Collage/University Principal/head

Note: Student cannot avail any other scholarship for the current academic year along with this
scholarship of PEEF. Exceptional case as a position holder student can avail that position holder
scholarship amount. Legal action can be taken against the student in case of found dual scholarship
holder.
 DECLARATION – HOSTILE

I, Mr./Miss/MS_____________________ son/daughter of __________________ r/o

_______________________________________________________________ having CNIC
______________________ do hereby solemnly declare and affirm:

1. That, I am living in Hostel and Hostel Address is

-------------------------------------------------------------------- ---------------------------------------------------
-------------------------------------------------------------------
Phone: --------------------------------------------------------

Deponent

________________

Signed by Student/Applicant

Verification:

That the contents of above Affidavit are correct and true, the best of my knowledge and belief and
nothing material is concealed thereof.

Deponent

________________

Signed by Student/Applicant

Verified by:

______________________________

Singed by Hostel Owner or Focal Person of Institute