Habbah Trust

S. No.

Application for Membership of Habbah Club Please seek clarification before filling this form.

Append Recent Passport Size Photo Here

Application Date

APPLICANT DETAILS Name of Applicant

Applicant CNIC

-

University/Institute

-

Date of Birth

Programme

Student ID

Current Address

Permanent Address

Contact (Mobile)

Email

SECTION A - ACADEMIC DETAILS Current Educational Programme Mention the programme details.

Programme with specialization

Current GPA Programme Completed

CGPA Yes

No

Why have you applied for Qarz-e-Hasana from Habbah Educational Trust? Explain in detail.

Studying

Applied for Admission

Overview of all degrees and qualifications in chronological order, put earliest first. Board

Major Subjects

School / Institution

Grade or CGPA

O Level / Matriculation Details Mention your achievements in detail.

A Level / Intermediate Details Mention your achievements in detail.

Other Qualifications e.g. ACCA, CA, CIMA

Standardized Tests e.g. SAT, IELTS, GMAT, etc.

Mention your achievements in detail.

Mention your achievements in detail.

Year of Completion

SECTION B - FAMILY INFORMATION About Your Parents

Please provide accurate details.

Father

Mother

Name

CNIC

Profession

Educational Attainment Name of Employer

Designation

Address

Office Contact Number

Monthly Income

Pension (if retired) Personal Mobile Number

About Your Siblings Give educational attainment or profession details.

Name 1. 2. 3. 4. 5. 6.

Educational Attainment

Occupation / Institution

Income

SECTION C - MORE ABOUT APPLICANT Your Interests What are your major interests apart from academics.

Why are you seeking membership of the Habbah Club? State your reasons.

What are your academic plans for the future? What do you want to study and why? Share your plans and preferences.

What are your long-term personal aspirations? What are your dreams and expectations from your own self?

What are your aspirations for your career? How do you want to or think of making a difference?

Which other colleges / universities did you apply to? Where did you get accepted?

What are your expectations of Habbah Educational Trust? State your expectations, and queries, if any.

SECTION D – PART I – FINANCIAL APPRAISAL Who has paid for your school or college fee until now? How much has that been per annum? Please specify relation and state the accurate figure of school and/or college fee.

Have your general financial circumstances changed in the recent past? Or are there any reasons to believe that they may change in the foreseeable future?

When and how do you think you would be able to return the amount to Habbah Educational Trust, enabling it to provide similar facilities to other applicants?

What alternate arrangements have you made or are able to make in case your application is not accepted?

Please state the requirement of cost of educational programme and the contribution desired from Habbah Educational Trust. Semester Requirement

Yearly Requirement

Contribution from Own Sources Per Semester

Request for Qarz-e-Hasanah Loan Per Semester

Has your University/Institution approved any scholarship or fee waiver? Give accurate details and their conditions. Attach the letters, vouchers received by your University/Institution.

SECTION D – PART II – DETAILS OF INCOME Type

Income Sources Monthly Salary

Salary

Allowances Annual Bonus Leave Encashment Other (please specify) Gross Salary Income Tax

Deductions in Salary

Provident Fund Loan(s) Other (please specify) Total Deductions

Other

Net Salary Pension

Business Income / Agriculture Income

Annual Income Less Annual Expense Agriculture Income Total Business Income Bank Deposit

Other Income

From House Property From Business Property Shares / Securities Others (please specify) Total

Father

Mother

Sibling

Self

Guardian

Spouse

Total

SECTION D – PART III – DETAILS OF EXPENDITURES FAMILY’S EDUCATIONAL COST Name

Relation

Fee per month

Name of Institution

Private Tuition Fee

Transport / Other

Boarding & Lodging

DETAILS RENTALS

HOUSE DETAIL

Please mention details of your rental expenditure, if any

Monthly Rent

Deposit / Advance

Size of House

Yearly Expenditure

 Owned

 Rented

DETAILS OF UTILITY EXPENSES – LAST THREE (3) MONTHS Month

Telephone

Electricity

Gas

Water

Total

1. 2. 3.

DETAILS OF OTHER EXPENDITURES Legal Expenses

Loan Repayment

Payment of Insurance Premium (please mention thing insured)

TOTAL FAMILY EXPENDITURES Total Educational Expense

Total Rental Expense

Total Transportation Expense

Rations Expense

Medical Expense

Total Utilities

SECTION D – PART IV – DETAILS OF ASSETS AND PROPERTY HOME Description

Yes / No

Quantity

Registration Number

Air Condition

--

Car

Motorcycle

Television

--

Computer / Laptop

--

TOTAL VALUE OF PROPERTY OWNED Value of Asset

Father

Mother

Spouse

Self

Sibling

Total

Business Land & Building Vehicles Saving Accounts Deposits Shares / Securities Others

Total

DECLARATION I _____________________________________________________________ hereby declare that the details furnished above in Sections A, B, C and D are true and correct to the best of my knowledge and belief, and I undertake to inform you of any changes, immediately. I am also aware that I am and will be held responsible and accountable for any untrue, misleading or misrepresentation of facts in this application form, and otherwise. I hereby authorize sharing of the information provided in this form with Habbah Educational Trust for a fair appraisal of my need of Qarz-e-Hasanah for educational attainment only.

Habbah Educational Trust Application Form List of documents required S. No.

Documents required

1

Two (02) recent passport size photographs

2

Copy of CNIC 2.1 Candidate / B-Form (if CNIC not applicable) 2.2 Parents / Guardian 2.3 Spouse, if applicable 2.4 Siblings / B-Form (if CNIC not applicable)

3

Admission confirmation letter

4

Photocopies of educational certificates / degrees / diplomas

5

Updated resume (C.V.)

6

Income certificate / latest payslip / pension book slip 6.1 Candidate 6.2 Parents / Guardian 6.3 Spouse 6.4 Siblings

7

Copy of latest income tax return of family members

8

Bank statement of last six months of family members (where applicable)

9

Photocopies of last two (02) months paid utilities bills along with paid utility bills for the months of June and July 9.1 Electricity 9.2 Gas 9.3 Telephone 9.4 Water

10

Copy of rent / tenancy agreement (if applicable)

11

Mission statement (please write few lines outlining your vision in life)

12

Student ledger clearly showing fee payment history and outstanding fee balance (for exisiting students)

Provided?