AIOU Financial Support form for fee concession 2021

 

ALLAMA IQBAL OPEN UNIVERSITY

AIOU STUDENT SUPPORT FUND

 

The Regional Director _____________________________ Region

 

SUBJECT:            APPLICATION FOR GRANT OF FINANCIAL SUPPORT – SCHEME – SSF101

Program (with specialization if any) : _____________________________________

Semester: Spring/Autum-20___

 

PART-1

(PARTICULARS OF APPLICANT)

1.       Name: ___________________________________________ 3.      Roll No. __________________________________________ 5.      Date of Birth: ___________________________________ 7.       Marital Status: Married             Unmarried    	2.  Son/Daughter of: _____________________________________ 4.  Reg. No.________________________________________________   6.  NIC No. ________________________________________________ 8.  Phone No. _____________________________________________
9.       Email:  ________________________________________________________________________________________________________________ 10.    Postal Address: ______________________________________________________________________________________________________           ________________________________________________________________________________________________________________________ 11.    Have you already availed the FINANCIAL SUPPORT from AIOU:   Yes                       No            If Yes please specify/indicate Semester_______________________________. 12.    Course codes for which FINANCIAL SUPPORT is required:           i.________________ ii. ________________iii._______________iv.________________v._________________vi.________________ 13.    Total Fee Due: _____________________________________________________________________________________________________
PART-2 (INCOME STATEMENT)
A.            FOR INDEPENDENT APPLICANT 1.             Profession/Job Title:____________________________________________________________________________________________ 2.             Number of persons dependent upon applicant:______________________________________________________________ 3.             Monthly income of applicant from all sources (attach documentary proof):  ______________________________ B.            FOR APPLICANT DEPENDENT ON PARENTS/GUARDIAN 1.             Depend upon:                       Parents                Guardian      2.             Is Father:                               Alive                   Dead                    3.             Is Mother:                             Alive                   Dead        4.             Father/Guardian’s Name: _______________________________________________________________________________________ 5.             Profession: _______________________________________________________________________________________________________ 6.             National Identity Card No.______________________________________________________________________________________ 7.             Number of persons dependent upon the parent/guardian: _________________________________________________ 8.             Monthly income of parents/guardian from all sources (attach documentary proof): _____________________ 9.             Please Specify if  already availed fee concession in previous Semester: Yes                     No                                                                                                                                                       If yes please mention semester

INSTRUCTIONS:

 

1.       Please enclose original admission form along with application.

2.       The application form must be completed in all respect.

3.       Please attach attested copies of the following documents with the application:

i)                    National Identity Card and “B” form (Self & of parent /guardian).

ii)                  Income certificates of self and parent/guardian attested by a Gazetted officer or the local councilor.

4.       After fee concession, deposit the remaining amount if asked by the respective Regional Director/Representative through Bank Challan in the ALLIED BANK LTD. of your city.(Bank draft shall not be accepted.) Attach original Bank Challan, original admission form/continuing form and above mentioned documents along with this application form and submit to your concerned REGIONAL OFFICE before the due date.

 

Declaration (by the applicant):

I solemnly declare that:

a)       I have read the instructions carefully and the information given by me in the application is true to the best of my knowledge and belief and nothing has been concealed.

b)      In case of misstatement, incomplete application or deviation from the laid procedure my admission to the program will be liable to cancellation.

 

Signature of the applicant: __________________

Name: _________________________________________

Date:___________________________________________

FOR OFFICIAL USE BY THE REGIONAL COMMITTEE                 The fee due to student for the semester ____________________________ program _________________________________ is Rs. ___________________ and we recommend financial support of Rs. _________________.  The remaining amount is Rs._________________, which the student has to deposit through bank challan.   Signatures of Members of Regional Committee:   1. Member:________________________________                                2. Member:________________________________     3. Member:________________________________                                4. Chairperson:_____________________________     1.       5. Secretary :______________________________ 2.

VERIFICATION BY THE DEALING OFFICIAL OF REGION                 It is verified from the record of Regional Office that the student has been granted/not granted financial support. (If financial support granted please mention semester and amount._____________________________________) The remaining amount of Rs. _______________________ has been deposited through Bank Challan No.____________________ dated: _____________________________ in the Allied Bank Ltd, _________________________________________________ branch.      Signature of authorized Dealing Official/Officer: ___________________________

FOR OFFICIAL USE BY THE Directorate Student Advisory & Counseling Comments: