APPLICATION FORM

SHAHEEN FELLOWSHIP SCHEME Photograph

BACHELOR / MASTER LEVEL COURSES

1. Applicant’s Name:____________________________________________________

2. Date of Birth:________________Form B/CNIC_____________________________

3. Particulars of Father / Mother, Rank, Name & Pak No: _______________________
__________________________________________________________________

4. Date of Enrollment and Retirement_______________________________________

5. Service Status (Serving / Retired) ______________________________________
(Attach a certificate from Base/Unit Adjt / O i/c ‘P’ Sqn in case of serving
personnel as per the specimen and discharge certificate/pen-1 in case of
retired personnel)

6. Reason for retirement / discharge_______________________________________

7. Applicant’s Postal Address:
House No:_____________ Street:__________ Sector/ Mohalla:________________
City:_______________Tehsil:_________________District:____________________
P O Box No _____________

Tel/Cell No ______________ E-mail______________ Fax No _______________

8. Particulars of Parents, Brothers & Sisters
Depen
S Sex Relation Studying Married
Name Age F/M
Profession dent
No ship Class Yes/No
Yes/No
9. Name of Discipline and Institution where studying: __________________________
__________________________________________________________________

10. Marks Obtained

(Attach duly attested Detailed Marks Sheets)
Qualification Institution Present Year Total Marks % age
Discipline Marks Obtained
SSC
HSSC
BACHELOR
DEGREE

11. Date of Admission: ___________ Date of Commencement of Course: _________

12. Course Duration: ________ Years _____ Months. No of Semesters________

(Attach certificate of admission from the Head of the Institution as per the specimen)

13. I, _____________________________ S/O, D/O____________________________

am not employed any where. I am fully dependant on my parents and not drawing any
scholarship / stipend from any Institution of Defence Forces. I declare that the above
mentioned information are correct to best of my knowledge. I further undertake that if later
on any information is found incorrect. I will be held liable for the refund of scholarship
received alongwith and any penalty that might be imposed by Shaheen Foundation.

_____________________
Date: _______________ Applicant’s Signature

14. Countersigned by Father/Guardian:

Date: ________________ Signature _________________________

 CERTIFICATE BY BASE/UNIT ADJ/O I/C ‘P’ SQN
(ONLY FOR SERVING)

This is to certify that Mr / Miss __________________________________________

a candidate for the award of Shaheen Fellowship is the Son/Daughter of

Rank____________________ Name________________________________________

Pak No _____________________ Branch/Trade ______________________________

who is posted to Unit / PAF Base_________ ____________________________________

Date: ___________________ Signature, Name, Rank & Official Stamp

COUNTERSIGNED BY BASE EDUCATION OFFICER OR OC PAF I&SC

Date: ___________________ Signature:________________________

(Name, Rank & Official Stamp)

Note: In order to obtain countersignature from the Base Education Officer / OC PAF
I & SC, it is essential to produce original documents / certificates to him.
 CERTIFICATE OF ADMISSION
It is certified that Mr / Miss ____________________________________________

Son/Daughter of___________________________________________________________

has been granted admission in (Faculty)________________________________________

in (Name of Institution) _____________________________________________________

which is affiliated to (Name of University)_____________________________ in Pakistan.

(a) His date of admission is ________________________________________

(b) Registration No. ______________________________________________

(c) Course commenced on _________________________________________

(d) course duration is __________years (comprising of _______ semesters) and

likely date of completion is _________________.

FEE STRUCTURE DETAILS ARE AS FOLLOWS:-

(a) Admission fee Rs ________ (Per annum/semester)
(b) Registration fee Rs ________ (Per annum/semester)
(c) Lab / Library fee Rs ________ (Per annum/semester)
(d) Tuition fee Rs ________ (Per annum/semester)
(e) Examination fee Rs ________ (Per annum/semester)
(f) Computer fee Rs ________ (Per annum/semester)
(g) Medical fund Rs ________ (Per annum/semester)
(h) Sports fund Rs ________ (Per annum/semester)
(j) Hostel charges Rs ________ (Per annum/semester)
(k) Other / Misc charges Rs ________ (Per annum/semester)
Total charges Rs ________ (Per annum/semester)

Signature & Stamp of

Head of the Institution
Telephone Nos____________
Date: ________________ Fax Nos________________