Financial Aid Application 2014 -15

Instructions
Answer all questions. If a question does not apply in a numeric field, please do not leave it blank and enter the number 0. If a question does not apply in a text field, please enter NA. Please enter currency amounts in PKR. If you are entering figures after conversion from a foreign currency, use the official exchange rate at the time of application. Please refer to our calendar for Early Admission and Regular Admission financial aid application deadlines on our website.

This application covers the following sections: Section A: Student Information Section B: Family Members Information Section C: Education Information Section D: Household Income and Sources Section E: Assets Owned Information Section F: Household Expense Information Section G: Expected Contribution Section H: Additional Explanation Section I: Undertaking

All financial information and documents submitted to the Office of Financial Aid will be treated as confidential. Please note that submission of a Financial Aid Application does not guarantee an award of Financial Aid by Habib University. Habib University will grant awards according to demonstrated need, subject to verification and University policies. The University reserves right to carry out applicant information verification from a recognized source or a third party and/or request additional documents or explanation of information or circumstances. Failure to provide incomplete or incorrect information or concealment of information will result in withdrawal or denial of financial aid. The University reserves the right to take strict disciplinary action against such applicants or students.

Checklist of financial aid application documents

Salary Slips or certificates of all employed family members for the last three months, attested by the applicable company/organization Bank Statements of self and all employed family members for all active accounts, dating January 2013 through the application date Documentary evidence of all assets or property owned, saving certificates, bonds, shares, investments Copy of scholarship(s) or funding offers received of self and family members for 2013-14 and/or future scholarship or funding offer letters Attested copies of Tax Return Statement of all employed family members for year 2012-13 Attested copies of Wealth Statement of all employed family members for year 2012-13 Attested copy of rent agreement(s), for rent paid or received (if applicable) Attested copies of last tuition fee receipts of all family members attending educational institutes in year 2013-14 Copies of the last 6 months of household utility bills - Electricity, Gas, Telephone, Water Copies of the last 6 months of medical bills and expense receipts (if applicable) Copies of CNIC of parents, guardians, other employed family member(s) Copy of valid passport of self Any other document(s). Please specify:

Office of Financial Aid, Habib University Project Office, 147, Block 7 & 8, Bangalore Cooperative Housing Society, Off Tipu Sultan Road, Karachi, 75350

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Section A: Student Information

1. Full Name: 2. Application ID/Student ID: 3. Permanent Phone Number: 4. Citizenship Status (please select type and specify the name of the country) Single Dual Refugee 9. Do you live with your parents? 5. Are you interested in student employment? 10. Have you ever been implicated in criminal activity? (If yes, please provide details) Yes Yes No No (If no, please explain) Yes No 6. Are you currently employed? (If yes, please provide employment details in Section B) 7 (i). Marital Status: Single Married (ii) Marital Status Date: 8. Do you have dependents? Yes No Other Yes No

(If yes, please specify the number and relationship to you)

Section B: Family Members Information

1. Total number of family members in household: 2. Number of employed family members in household: 3. Number of family members in household not employed: 4. Number of family members going to school/college/university:

5. (i) Parents' current marital status: (Please select whichever applies) Married Other: (ii) Parent's Marital Status Date: Separated/Divorced Mother living/Father deceased Father living/Mother deceased

6. Father/Guardian's Full Name: 7. NIC/Passport number: 8. Email address: 9. Date of birth: 10. Country(ies) of Citizenship: 11. Education: 12. Occupation:

15. Mother/Guardian's Full Name: 16. NIC/Passport number: 17. Email address: 18. Date of birth: 19. Country(ies) of Citizenship: 20. Education: 21. Occupation:

Work-related information of Father/Guardian continued on next page (Q. No. 13)

Work-related information of Mother/Guardian continued on next page (Q. No. 22)

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13. Type of work: (select whichever apply, and provide details for each) (i) Employed Business Owner/Partner Retired (ii) Employer Name: Business Type: Sole proprieter Corporation Partnership (iii) Designation: (iv) Date of Joining: (v) Employer Address: Percentage of business owned: Number of employees: Address: Designation retired at: Retirement date: Last drawn Salary: Organization Name:

22. Type of work: (select whichever apply, and provide details for each) (i) Employed Business Owner/Partner Retired (ii) Employer Name: Business Type: Sole proprieter Corporation Partnership (iii) (iv) (v) Designation: Date of Joining: Employer Address: Percentage of business owned: Number of employees: Address: Designation retired at: Retirement date: Last drawn Salary: Organization Name:

(vi) Filed Income Tax Return 2012-13? (if no, please explain) (vii) NTN number:

Yes

No

(vi)

Filed Income Tax Return 2012-13? (if no, please explain)

Yes

No

(vii) NTN number:

In case additional family members are employed, including self, please provide details below and on a separate document if required.
23. Other Employed Family Member Full Name: 24. Relationship to you: 25. Date of birth: 26. Country(ies) of Citizenship: 27. NIC/Passport Number: 28. Education: 29. Occupation: 31. Other Employed Family Member Full Name: 32. Relationship to you: 33. Date of birth: 34. Country(ies) of Citizenship: 35. NIC/Passport Number: 36. Education: 37. Occupation:

30. Type of work: (select whichever apply, and provide details for each) (i) Employed Business Owner/Partner Business Type: Sole proprieter Corporation Partnership (iii) Designation: (iv) Date of Joining: (v) Employer Address: Percentage of business owned: Number of employees: Address: Designation retired at: Retirement date: Last drawn Salary: Retired Organization Name:

38. Type of work: (select whichever apply, and provide details for each) (i) (ii) Employed Employer Name: Business Owner/Partner Business Type: Sole proprieter Corporation Partnership (iii) (iv) (v) Designation: Date of Joining: Employer Address: Percentage of business owned: Number of employees: Address: Designation retired at: Retirement date: Last drawn Salary: Retired Organization Name:

(ii) Employer Name:

(vi) Filed Income Tax Return 2012-13? (if no, please explain) (vii) NTN number:

Yes

No

(vi)

Filed Income Tax Return 2012-13? (if no, please explain)

Yes

No

(vii) NTN number: Page 3 of 7

Section C: Education Information 2013-14

1. Family member name 2. Relationship to you 3. Date of birth 4. Name and address of university 5. Education /college/school/tutoring centre Year 6. Scholarship/ Funding received amount/year 7. PKR Tuition Cost/Year

8 (I) Please state an amount for your education cost for year 2013-14. If you are not currently enrolled at an education institute, then provide the cost of your last education year: (ii) Are any of your family members other than father/mother/guardian financing your current education cost? (please specify %) Parents Scholarships Other family member Other source

Total cost of family education:

Section D: Income and Source Information for Year 2013-14

1. Family member name 2. Annual Income (Gross salary + bonus + allowances) 3. Net annual income (deductions of Tax, 4. Annual net 5. Pension/ Provident fund, loan family business Annuity/ repayment, other) income Retirement 6. Annual Net Income from Investments (property/farm/rent/ shares/securities) 7. Other Income (explain) (e.g. loan, repayment, interest) 8. Total Annual Tax paid (excluding salary tax)

9. Savings/Emergency's Fund Amount: Current total cash amount (PKR):

; Intended Purpose: Total Family Income: Yes No

10. Will there be a significant increase or decrease in your family's income next year? (if yes, please explain) 11 (i) Number of family members with Health Insurance: (ii)Type of health insurance coverage:

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Section E: Asset Owned Information

Asset Type 1. Residential House* 2. Other House Plot 3. Business Land 4. Farm Land 5. Land or buildings (other than home, farm or business 6. Business Assets 7. Farm Assets 8. Saving Certificates 9. Stocks/shares 10. Prize Bonds 11. Jewelry/artwork/antiques 12. Other assets/investment *Enter information if type of current residence is owned by a family member. Covered Area (Square Feet) Total Area (Square Feet) Address Name of asset owner Current Market Value (PKR)

Vehicle Type 13. Car 14. Motorcycle 15. Rickshaw 16. Other:

Model

Number/Quantity

Name of asset owner

Current Market Value (PKR)

17 (i) Current residence type: (ii) Residence building type: (iii) Number of rooms:

Rented Apartment (iv) Total covered area:

Owned Townhouse

Provided by Employer Bungalow (v) Total plot area:

Total Asset Value:

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Section F: Household Expense Information

Expense Category 1. House Rent (if applicable) 2. Total household help salary** 3. Food* 4. Telephone* 5. Electricity* 6. Gas* 7. Water* 8. Travel/fuel* *enter an average PKR expense amount for the last six months **How many household help members does your family employ (cook, cleaner, gardener, driver, guard)? 17. (i) Have you or any member of your family travelled overseas in the last 2 years? (if yes, please provide details below) (ii) Name(s) of person who travelled: (iii) Number of days of travel: (v) Total amount spent on ticket and stay? (PKR) (vi) How were travel costs financed? Family resources: Sponsored by employer: Other: ; (ii) Purpose of travel: ; (iv) Travel destination(s): Yes No PKR/month Expense Category 9. Medical* 10. Education expenses (books, stationary, uniform, etc)* 11. Maintenance* 12. Insurance 13. Loan repayment 14. Club memberships 15. Amount reserved for saving 16. Other: PKR/month

Section G: Expected Contribution for year 2014-15

Contribution Sources: Students and parents must report applications to any scholarships and outside sources, received or promised funds for contributing to the student's university education cost. 1. Expected Parents/Guardian/other family member contribution 2. Expected Student Contribution 3. Scholarship/funding amount received 4. Scholarship/funding amount applied for 5. Other: Amount in PKR

Total Expected Contribution:

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Section H: Additional Explanations

Enter here any additional explanations or information about special circumstances that you would like to provide, relevant to this application, not covered in sections above. Please provide documentary evidence supporting entered information, if applicable.

Section I: Undertaking
Please tick all boxes and complete the signatures and dates below. If you do not tick or sign below, we will be unable to accept the form and will ask you for another form.

We declare that the information on this form is true, correct, and complete. We understand that providing false or incomplete information and/or documents will lead to withdrawal or denial of financial aid and strict disciplinary action, subject to University Code of Conduct, policies, and/or applicable country laws. We understand that submitting a financial aid application does not guarantee financial aid, nor does it absolve us of any financial responsibility towards Habib University education costs.

We understand that Habib University has our permission to verify financial aid application information by obtaining documentation as needed.

Signature of Father/Guardian:

Date:

Signature of Mother/Guardian:

Date:

Signature of Student:

Date:

Submit

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