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APPLICATION FORM FOR FRONTIER EDUCATION FOUNDATION CHIEF MINISTER’S

SCHOLARSHIP FOR PR CHINA


Pay Order/DD No.__________________ Date:_________Amount:______________
Frontier Education Foundation
Frontier Education Foundation 32 B Chinar Road, University Town Peshawar
Chief Minister’s Scholarship for P. R. China
Application and Promissory Note Phone: (091)
Fax : (091)
Warning: Any person who knowingly make a false statement or Email : fef5555@hotmail.com
mis-presentation on this form is subject to penalties which may
include fine, imprisonment, or both, under prevailing rules and Web Address : fef.edu.pk
regulation and provisions in the Act.
Section A (Student’s Information)
1 Personal Details All entries should be in CAPITAL LETTERS, leave spaces
between separate WORDS
a. Name of Applicant
b. C.N.I.C No.
c. Passport No.
d. Fathers Name
e. Permanent Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
f. Phone/Fax/E-Mail (Res.) ____________________ (Mobile)
____________________
Fax ______________________ E. Mail
_____________________
g. Mailing Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
h. Date of Birth ________ /______ /__________ (DD/MM/YYYY)
2. Education Background
Certificate Institution/Board/University Year of Division/
/ Degree Passing Grade
a.
b.
c.
d.

3. Study Program for which Scholarship required:


Please tick one of the following
a. Chinese Language BSc MSc Phd
b. Name of Degree/Subject
c. Name of Institution/Faculty
c. Duration of Study Date of Admission / /
(Years) DD/MM/YY
d. Whether receiving any other scholarship (s) or stipend (s) during the
current study, If so, state the amount and source. Yes/ No.
Section B (Parent/Guardian Section)
1 a. Father’s/ Guardian’s Name
b. C.N.I.C No.
c. Permanent House No._____ Street No. ___________ Colony
Address ______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
d. Phone/Fax/E-Mail (Office)__________________ (Res.) ____________________
(Mobile) _________________ Fax _______________________
E. Mail _____________________
e. Mailing Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
f. Nationality

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g. Occupation
h. Income per month (Gross)
i. Employment status Employed Self Employed Retired
(Please tick (√) one)
j. Employer’s details Government Semi Government Private
k. Name of Employer
l. Head of Deptt:
m. Employers Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
o. Phone/Fax/E-Mail (Office)__________________ (Res.) ____________________
(Mobile) _________________ Fax _______________________
E. Mail _____________________
Section C (References) Note: must be government servant not below BS-17
Reference – 1
1 a. Name
b. C.N.I.C No.
c. Fathers Name
d. Permanent Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
e. Phone/Fax/E-Mail (Office)__________________ (Res.) ____________________
(Mobile) _________________ Fax _______________________
E. Mail _____________________
f. Mailing Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
g. Profession
h. Relationship to the Applicant
Signature and Seal

Section D (Guarantors)
Guarantors – 1
1 a. Name
b. C.N.I.C No.
c. Fathers Name
d. Permanent Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
e. Phone/Fax/E-Mail (Office)__________________ (Res.) ____________________
(Mobile) _________________ Fax _______________________
E. Mail _____________________
f. Mailing Address House No._____ Street No. ___________ Colony
______________ Village ____________ City ____________ Post
Office __________ Postal Code_________ Province __________
g. Profession
h. Relationship to the Applicant
Signature and Seal

Section E (Student’s Request, Certification, Authorization)


This is an Application and Promissory Note (hereafter, B. I authorize the lender (Frontier Education
“Pronote”) for Scholarship. I request a Frontier Education Foundation) or the guarantor, to investigate my
Foundation Chief Minister Scholarship under this Pronote record and report information concerning my
in an amount not to exceed the annual cost of attendance scholarship status to persons and organizations
for my education. For each Scholarship, the institution permitted by law to receive such information.
will notify me of the Scholarship amount that I am eligible C. I authorize the institution to pay to the lender any
to receive. refund that may be due up to the full amount of
Under penalty of perjury, I certify for any Scholarship I the Scholarship.
receive under this Pronote that: D. I authorize the institution to transfer Scholarship
A. The information I have provided on this Pronote and amount proceeds received on my behalf to my

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as updated by me from time to time is true, complete, account at the institution after adjusting the
and correct to the best of my knowledge and belief amount payable to institution as admission,
and is made in good faith. tuition fee etc.
B. I am: (i) the biological or adoptive son/daughter of a E. I authorize the release of information pertinent to
parent and my parent/guardian income and assets my Scholarship: (i) by the institution, the lender,
were reported. and the guarantor(s), to the references on the
C. Scholarship proceeds will be used for authorized applicable Scholarship and to members of my
educational costs incurred on my study program immediate family.
given in Section A above and that I will immediately F. So that the Scholarship requested can be
repay any Scholarship proceeds that cannot be approved, I authorize the District Coordination
attributed to educational costs. Officer concerned to send any information about
D. (i) I do not now owe any scholarship or loan/ me that is under its control, to the institution and
financial aid or assistance; (ii) I am not now in to the lender that administer this Scholarship. I
default on any loan received from any Bank or understand that information reported on this
Financial Institution or breached the terms and pronote may be shared with the Department, and
conditions of any scholarship received from that the Department has the authority to verify
Foundation or any other agency/institution. that information with other agencies.

I make the following authorizations:

A. I authorize the institution to certify my eligibility for


this Scholarship under this Pronote.
Promise to Pay/Security Bond by the Student
I do hereby solemnly affirm and declare as under:

1. That I am availing the scholarship of Frontier Education Foundation for the study program given in Section A
above under the diploma/degree program _______________________________ at
____________________________ P.R. China
2. I will not indulge or involve my self in any behaviour or act that may come under the definition of anti state
activities, politics and religious activities.
3. I will not hurt anyone physically or psychologically or cause and other harm.
4. I have fully understood that I found indulging or guilty of any aspects of illegal within or outside the university
campus, I may be punished as per provision of regulations as per law enforce and which I will solely
responsible and shall not claim any compensations whatsoever from the university or it’s office bearers.
5. I will complete my studies for which the scholarship granted and shall not leave it in the middle on any ground
whatever it may be. In case of leaving the study program in the middle of early stage, I will be bound to pay all
the expenses incurred by the Frontier Education Foundation, Government of Khyber Pakhtunkhwa on me and
will not challenge the bond in any court.

I further promise to pay to the order of the Frontier Education Foundation (here in after “lender”) all the Scholarship
amounts disbursed (here in after scholarship) under the term of this application and promissory note (here in after
“pronote”), other charges/expenses incurred on me and fees that may become due because of breach of terms and
conditions of the scholarship or incomplete education as provided in this pronote. I understand that Scholarship may
be made to me or the scholarship may be given in instalments with every qualifying semester/annual examination
under this pronote for my education (study program given in student information section above). I will not sign this
pronote before reading the entire application and pronote, even if I am told not to read it, or told that I am not
required to read it. I am entitled to an exact copy of this pronote. My signatures certifies that I have read,
understand, agree to the terms and conditions of this pronote, including applicants request, certifications, and
authorizations printed above.

Applicant/Student’s Signatures ____________________ Date (Month/Day/Year) ___/___/______


Recommendation by Head of Department

Signature & Seal

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