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?