Scholarship Form InstructionsUse CAPITAL letters and leave space between words.Write details exactly as they appear in your academic records, (do not use abbreviation)Incomplete, illegal, late submission or improperly filled form will not be processed.Applicant must fulfill both Academic & Financial Eligibility Criteria to be potentially eligible for the Registration/Scholarship. AttachmentsAttested photo copies of all academic certificates, degrees.Two recent passport size photographs.Copy of CNIC/Form B.Proof of income, salary slips etc of parents / guardian.Utility bills of Electricity & Telephone (Consecutive last 3 months).ITC semester Marksheets. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Personal Information - Step 1 of 8Applicant’s Name *CNIC # / Form B *Father / Guardian’s Name *Father / Guardian’s CNIC *Father / Guardian’s StatusAliveDeceasedFather / Guardian’s Professional StatusEmployedRetiredBusinessmanOtherName of Employer / CompanyFather / Guardian’s Telephone NoFather / Guardian’s Mobile No *Father / Guardian’s Occupation Type Date of BirthDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleDomicileProvincePresent AddressPermanent AddressTelephone NoMobile No *NextDegree / CertificateSSCIntermediateBachelorsMastersAny otherSSC Details Subject / Degree TitleYear of PassingInstitutionGPA / Grade / DivisionMarks ObtainedIntermediate Details Subject / Degree TitleYear of PassingInstitutionGPA / Grade / DivisionMarks ObtainedBachelors Details Subject / Degree TitleYear of PassingInstitutionGPA / Grade / DivisionMarks ObtainedMasters Details Subject / Degree TitleYear of PassingInstitutionGPA / Grade / DivisionMarks ObtainedOther Details Subject / Degree TitleYear of PassingInstitutionGPA / Grade / DivisionMarks ObtainedHave you ever received any Scholarship?YesNoName of InstitutionTotal Scholarship AmountClass/Level at which scholarship obtainedIf you have additional scholarships?YesNoName of InstitutionTotal Scholarship AmountClass/Level at which scholarship obtainedIf you have additional scholarships?YesNoName of InstitutionTotal Scholarship AmountClass/Level at which scholarship obtainedPreviousNextPlease provide requisite information below. Source of Family IncomeSalariedNon-SalariedBothTotal Family MemberDetails of family income source: Name of Family MemberOccupationMonthly Gross Pay / EarningRelationship with ApplicantMonthly Income From Assets (if any)Monthly NetAny other Family Income SourceYesNoName of Family MemberOccupationMonthly Gross Pay / EarningRelationship with ApplicantMonthly Income From Assets (if any)Monthly NetAny other Family Income SourceYesNoName of Family MemberOccupationMonthly Gross Pay / EarningRelationship with ApplicantMonthly Income From Assets (if any)Monthly NetTotal Monthly Income in Pak RupeesTotal Annual Income in Pak RupeesPreviousNextAccommodation Expenditure TypeBungalowApartment/FlatTown HouseVillage HouseStatusRentedSelf or Family OwnedEmployer/Govt OwnedRent PaymentEmployer/GovtSelfOtherHouse Plot Size in Sq. ft.Covered Area in Sq. ft.Accommodation Details Accommodation Location/AddressNumber of Bed Rooms1-22-44-6Above 6Number of Air Conditioners1-22-44-6Above 6Accommodation Monthly RentAccommodation Annual RentTotal Accommodation Rental ExpenditureAny other house/Flat owned by the parents/guardian (if yes please specify with location any size)Brothers/Sisters/Family members studyingYesNoNameName & Address of InstituteRelationship with ApplicantFee per monthAny other Brothers/Sisters/Family members studyingYesNoNameName & Address of InstituteRelationship with Applicant Fee per monthAny other Brothers/Sisters/Family members studyingYesNoNameName & Address of InstituteRelationship with ApplicantFee per monthTotal fees & Tuition ChargesPreviousNextConsolidated Expenses Monthly Household ExpensesAccommodation ExpensesFamily Member Studying ExpensesOther ExpensesTotal Expenses (Sum of all)PreviousNextI, certify that the information I have written on the application form and the documents I have submitted to be true and accurate. I understand and agree that any false or misleading information will justify a denial of admission into the university, revocation of the scholarship, and/or dismissal from the university. AgreeIf selected, I intend to return to my sponsoring agency upon completion of the bachelor’s degree, to utilize the knowledge and skills acquired through the scholarship program, against a salary given to fresh graduates by IMAGE as per their policy. The contract will be applicable for a minimum of two years. Applicant signature (PDF/JPG) Click or drag a file to this area to upload. Allowed File: PDF, JPG Max File Upload Size 10MBFather/Guardian Signature (PDF/JPG) Click or drag a file to this area to upload. Allowed File: PDF, JPG Max File Upload Size 10MBDatedDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PreviousNextAttested photo copies of all academic certificates, degrees Click or drag files to this area to upload. You can upload up to 10 files. Allowed File: PDF, JPG, PNG Max File Upload Size 10MBCopy of CNIC/Form B Click or drag files to this area to upload. You can upload up to 2 files. Allowed File: PDF, JPG, PNG Max File Upload Size 10MBUtility bills of Electricity & Telephone (Consecutive last 3 months) Click or drag files to this area to upload. You can upload up to 10 files. Allowed File: PDF, JPG, PNG Max File Upload Size 10MBTwo recent passport size photographs Click or drag files to this area to upload. You can upload up to 2 files. Allowed File: JPG, PNG Max File Upload Size 10MBProof of income, salary slips etc of parents / guardian Click or drag files to this area to upload. You can upload up to 10 files. Allowed File: JPG, PNG, PDF Max File Upload Size 10MBITC semester Mark sheets Click or drag files to this area to upload. You can upload up to 10 files. Allowed File: JPG, PNG, PDF Max File Upload Size 10MBPreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit