Stipend Form for children of Employees of FEB&GIF

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(Annex-A)
FEDERAL EMPLOYEES BENEVOLENT AND
GROUP INSURANCE FUNDS ISLAMABAD

APPLICATION FOR GRANT OF EDUCATIONAL STIPEND
PART-A
PARTICULARS OF EMPLOYEE:

1

a)

Name of Employee (in block letters)

b)

Designation

2

CNIC No.

-

-

3

Department with complete correspondence address and contact No.

4

a)

Basic Pay Scale

b)

Status of employee

Gazetted

Non-Gazetted

c)

Present basic pay

5

Particulars of the stipend, if any, received last year from the FEB & GIF

Amount

Class

I hereby solemnly affirm that the above information is correct to the best of my knowledge and belief.
                  
                  
Dated:____________                                  (Signature of the employee)

PART-B
 (To be filled in by the Head of Department of the employee)
No._____________________.                                      Dated:-____­____________.
Certified that Mr./Mrs./Miss………………………….………………..holds the post of ………………… in this office and that his/her basic pay scale at present is BS-……... (Gazetted/Non-Gazetted).

Signature and seal of
Head of the Department

In case of retired employees certificate at part-B is not required. They may attach a copy of Pension Payment Order, Last page of Pension Book or attested copy of retirement order and LPC.

PART-C
PARTICULARS OF STUDENT

1	Full name of the Student (in block letters)
2	Father’s name, Designation and office of employment
3	Date of Birth	Day		-	Month		-	Year
4	Whether married?	Yes	No

5. Particulars of present studies:-

Name and address of the institution where studying	Name of the Board, University or Department recognizing the Institution	Class in which studying	Subjects being studied	Date of commencement of the academic session	Duration of the course

6.       Previous academic record (starting from the examination passed recently).

Name and address       of the Institution(s) last attended	Examination passed	Date of passing the examination	University/ Board	*Marks obtained
				Total	Obtained	%

*Marks obtained are essentially required alongwith Grade/GPA.

Signature of the student
                                                                        Address and Contact No.

PART-D

(To be filled in by the Head of the Educational Institution where the student is on roll).

Certified that Mr/Miss……………………………………………….S/o  D/o……………………………………………… is a bonafide student of this Institution, studying in Class………………. and that the particulars furnished by him/her from Serial Nos 1 to 6 of Part “C” of this application form are correct.

2.       Certified that Mr./Miss……………………………………………. .. ……. S/o, D/o ………………………………………….…………………………….had obtained……………………marks out of total marks of………………in term of percentage………………..in the last examination (either present institution or Board/University). His/her date of admission to the present programme is …………………..

3.       Certified that this institution is a Government Institution/Accredited Private Institution recognized by the Government of ………………………/ Intermediate & Secondary Board/University …………………………………..or Higher Education Commission, Islamabad.

Postal address of the Institution and                                                  Signature
Contact No.
_______________________________                       
_______________________________
_______________________________
_______________________________                             Seal of Head of the
    Institution

Following documents are to be submitted alongwith the application.

-  Attested copies of the certificates/degrees.
-  An attested copy of detail marks sheet of the last examination passed.
-  An attested copy of CNIC or Form ‘B’ of the student.
-  An attested copy of L.P.C. of the employee.