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COMSATS INSTITUTE OF INFORMATION TECHNOLOCY ENDOWMENT FUND (CIITEF) SCHOLARSHIP APPLICATION FORM (for undergraduate students) Note: Please read the instructions given below carefully before filling out this form. CIIT is committed to ensuring that no one is denied the opportunity to pursue higher education due to his/her inability to pay. With this purpose in mind, CIIT launched its scholarship program (CIITEF) from its Endowment Fund.

The program seeks to identify the most deserving students who have achieved academic distinction yet lack the financial resources to pursue higher education. As the amount available for this purpose is very limited, it becomes absolutely necessary to ensure that each scholarship recipient is selected on the basis of a very stringent screening process that also gives donors the satisfaction that their contribution is well spent. Instructions for Applicants 1.

Read the application form carefully before filling it and attach additional sheets of paper, if required, for necessary information. 2. Fill in the form in BLACK or BLUE ink. 3. Write in CAPITAL LETTERS. 4. Furnish factual, comprehensive and authentic information in the application form. 5. Answer all questions. Those not applicable should be marked “NA”. 6. Submit duly completed form to: Office of Development CIIT, Park Road, Chak Shahzad, Islamabad Phone: 051-9242990 Email: Ijaz. [email protected] edu. pk 7.

Providing false information may jeopardize your admission at CIIT, recovery of payments received, penalty, disqualification for award of any future financial support or loan, rustication from the Institute and initiation of criminal proceedings. 8. The applicants must attach all documents, as per checklist, with the application form. 9. Please clearly write Application for CIITEF Scholarship 2012 on the envelope. 1. Personal Information of Applicant • Name of Applicant: Mr. /Ms. ______________________________________________________ • CNIC / B Form No Date of Birth | | | | | | | | | | | | | | | | | | | 1. Monthly Family Income (in rupees) Income source |Father/Guardian |Mother |Brother(s) |Sister(s) |Total | |Salary | | | | | | |Business income | | | | | | |Rental income | | | | | | |Agricultural income | | | | | | |Pension | | | | | | |Income from any other | | | | | | |sources(Please specify) | | | | | | |Total | | | | | | 2. Family Expenditure (in rupees) | |Education |Accommodation |Utilities |Food |Medical |Misc. Total | |Annual | | | | | | | | 2. Educational Information: 1. Academic Record |Sr. # |Name of Examination |Board/university |Marks obtained |Total marks |Percentage | |1 |SSC/O-Level | | | | | |2 |HSSC/A-Level | | | | | 2. Admission information CIIT Admission Form No. _____________ Campus ______________ Department _________________ Program: ______________ Duration of Program: ________________ (Note) Candidates are required to apply for admission at CIIT before submitting this form. 3. Financial Support /Scholarship Have you ever received/are receiving any scholarship from any source? [ ] Yes [ ] No If you answered ‘yes,’ to the above question, please provides the following details: |Sr. # |Funding source |Amount |Receiving since (specify dates) | | | | | | | | | | 4. Any Achievement / Recognition/ Award (Attach certificates) |Sr. # |Name of Activity |Type |Duration | | | | | | | | | | | (Attach an additional sheet, if needed) 5. References (Please provide names of two persons you know well) Reference 1 | Reference 2 | |Name | |Name | | |Address | |Address | | | | | | | |Telephone/cell | |Telephone/cell# | | |E-mail | |E-mail | | Undertaking by Applicant 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 cancellation of this application. If any information given in this application is found to be incorrect or false after grant of the Scholarship, the CIIT Endowment Fund will have the right to stop further support and I shall refund all payments received and/ or penalty equal to total scholarship amount, as decided by the Fund. 2. CIIT Endowment Fund reserves the right to use information given in this form for verification and other purposes.

Father’s/Guardian’s signature: _____________________ Applicant’s signature: ________________________ Name: _____________________________________________ Name: _______________________________________ Date: ______________________________________________ Date: ________________________________________ IMPORTANT Checklist of documents to be enclosed with application (Attested Copies) 1. Copy of CNIC /B Form of applicant. 2. Copy of CNIC of father/guardian. 3. Income certificates of earning members of family (pay slip, certificate) 4. Copies of Matric and Intermediate result cards. 5. Hope certificate if the result of HSSC part 2 is awaited 6. Copy of Electricity bill. 7. Copy of Gas bill. 8. Copy of Telephone bill. 9. Copy of rent agreement (if applicable). 10.

Copies of medical bills/ expenditure related documents (if applicable). 11. Certificates to substantiate the claim of achievement/ recognition/award. CIIT may request additional information, or conduct a physical audit, in order to properly evaluate the genuineness of your financial need. Please respond promptly to avoid processing delays. All data and documents submitted with the application form will be treated in strict confidence. Caution: Please note that incomplete applications or those with missing documents will not be processed. After filling out the form and attaching all relevant documents send your application to the relevant campus (addresses given on next page)

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