DIYA PAKISTAN REGD.

Office: 134/474, Hassan Street, Defence Road, New Lalazar, Rawalpindi. Mob # 0300-5322592
Website: http://www.diyapak.org Email: apply@diyapak.org

HEAD OF THE INSTITUTE ATTESTATION (HOI)FORM 2018-2019

Student’s Name: ……………………………………………….…S/o,D/o: ……………………………………………..…… NIC #: ………………………………………………

Reg No.: ………………………………….………… Degree: ………………………………………………… Discipline/Subject: ………………………………….…….……
Commencement Date of Degree: …………………………………………….……… Completion Date of Degree: …………………………….…….……………
Semester / Year in which currently enrolled: …………………………….……………… Semester / Yearly Tuition Fee: ……………………………………
Institute Name: ………………………………………………………… University (Affiliated) Name: …………………………………………..……….…………………
Complete Postal Address of Institute: ……………………………………………………………………………………………………………………………………….….…

Mode of Admission : Open Merit / Reserved Seats / Self-Finance (Tick any option)

1. EXAMINATIONS RESULT:
i. Matric% …………..… ii. Intermediate% ……………… iii. Graduation% (if completed) ……………… iv. Master %(if completed) ……………..
2. Current Semester/Year Result(if declared) (Put marks in % or GPA):
st nd rd
i. 1 Sem/Year % …………………….………… ii. 2 Sem/Year % ………………………….… iii. 3 Sem/Year % …………….…………………
th th th
iv. 4 Sem/Year % ……………………..……… v. 5 Sem/Year % ………….………………… vi. 6 Semester % …….…………………………
th th th
vii. 7 Semester % …………………..…………viii. 8 Semester % …………………….………ix. 9 Semester % ……….………………………

3. Are you currently receiving any type of Concession from institute? Y/N …………… Amount (Rs.) …………………………….…
4. Are you getting Scholarship from any other sources/Organization Y/N ……………..
i. Name of Organization: ……………………. ii. Amount (Rs): …………….. iii. Frequency (yearly/monthly/one time): ……………..
RECOMMENDATION BY THE HEAD OF INSTITUTE
It is certified that above mentioned student is a bonafide student of this institute and particulars mentioned above are correct to
the best of my knowledge and belief. I recommend him/her for the grant of scholarship from Diya Pakistan Registered.

Attestation by Dean/Director/Chairman/Principal:

Student’s Family Address(Present):………………………………………… Signature: …………………………………………………………

………………………………………………………………………………………………… Contact #: …………………………………………………………

………………………………………………………………………………………………… Stamp / Seal:

Date: …………………………

Note:
Incomplete form will not be accepted. Fill all blank spaces, write N/A if not applicable. Write complete Postal Address of Institute, Name and phone of attestation
authority is compulsory. Students getting more than Rs. 25000 Scholarship annually from other organization are not eligible for Diya Scholarship.