ANJUMAN WAZIFA-E-SADAT-O-MOMNEEN PAKISTAN (REGD)

(Established 1912)
Head Office: 3/34 Kausar Road Islampura , Lahore. Ph.No.042-37153117
Regional office: Room No-1 Fist Floor, Imambargah Rizvia Society, Nazimabad
Shah-e-KarblaTrust,Karachi.Ph.No.021-36686981

web site: www.wazifasadaat.org

E.Mail:wazifasadaat@yahoo.com

EDUCATIONAL LOAN APPLICATION FORM FOR THE YEAR 20

(New - Returnable)
Instructions: This form has to be filled by the student complete in all respect and send to the office
concerned through Regional / Local Secretary 15 of September Sharp.
(Students having semester system of Examination can apply for the scholarship accordingly)
(District)

Scholarship Number

Name of Student..
Fathers/ Guardians Name...
Full Permanent Address with Province (House Owned or Rented )..
Full Present Address (House Owned or Rented )...
..
Contact No (Student) ..Fathers / Guardians .....PTCL No..
(Note: Please attach copy of Electricity Bill as a proof of address)
Class in which Studying.YearSemester
Previous Grade/Percentage of marks .out of...
Latest Result .
Total Period of Studyyears. To be Completed..Years and left.years.
(Note: Please enclose Copy of Previous Marks sheet / Latest Result card)

DECLARATION FORM OF THE STUDENT AND PARENTS/GUARDIAN ETC.

I do solemnly declare that the particulars given above are correct and I am fully Responsible for the authenticity of
given documents.
Signature of Student

..

Signatures of Father / Guardian

.........................

Copy of CNIC of Applicant if Above 18 years age along with Father / Guardian CNIC copy.
Copy of B Form (Nadra) Applicant if under 18 year age along with Father / Guardian CNIC copy.

VERIFICATION AS A FOLLOWER OF FIQA JAFRIA BY LOCAL SHIA AALAM-E-DIN

PHOTO

(i)
(ii)

Signature
Name

Stamp

DECLARATION OF THE ANJUMANS MEMBER

(i)

I have paid the subscription up to the last six months, if not paid will not be accepted by the AWSM.

(ii)

Recommended for the grant of scholarship as an Educational Loan, if it is not return by

the student or its parents, etc. I shall be responsible, morally / Legally for the return of loan.
Name..

Membership No

CNIC No

Contact Mobile / PTCL No

Signatures.

Dated

VERIFICATION FROM THE HEAD OF THE ACADEMIC INSTITUTION

Name of InstitutionAddress

..
Certified that Mr/Miss

Fathers Name

Student of Class. ..

Year.

Roll No

is a bonafied student of this institution.

He/ She Possesses good moral character and is regular in the studies.
Signatures Head of Institution.

Dated.. Stamp

VERIFICATION FROM THE REGIONAL / LOCAL SECRETARY

The applicant who is granted scholarship is bound to return this Educational Loan as soon as he starts his earnings.

The applicant is eligible for grant of scholarship on merit.

Signatures

Dated

Name of Regional/Local Secretary..

Stamp

(To be Filled in office)

Check by
(Assistant)

Verified by
(Office Secretary)

This scholarship Amount is

Any objection

Approved By
Member Managing Committee
Dated
Note. If the applicant ever in the past have received the scholarship from AWSM must provide his
previous scholarship number , otherwise his scholarship will not be considered.
(For not providing correct information) (ii) StudentORParentsORGuardian who are applying for scholarship
must become Anjumans Member.