APPLICATION FORM FOR

SHAHEEN FELLOWSHIP Photo

FOR BACHELOR LEVEL COURSES

1. Applicant’s Name: __________________________________________________

2. Father’s Rank, Name & Pak No: _______________________________________

3. Date of Birth: ________________ Form B / NIC No ________________________

(Attach duly attested photo copy)

4. Serving / Retired / Deceased __________________________________________

(Attach a certificate from Base / Unit Adjt / O i/c ‘P’ Sqn in case of serving personnel as per
the specimen, discharge certificate / pen-1 in case of retired personnel and BBSS
From in case of deceased).

5. Address: __________________________________________________________

___________________________________ Telephone No __________________

6. Marks Obtained in SSC & HSSC

(Attach duly attested Detailed Marks Sheets)

Total Marks
Exam Institution Year % age
Marks Obtained
SSC

HSSC
Grand
Total

7. Name of Institution where admission obtained: __________________________

_______________________________________________________________

8. Professional Discipline (tick whichever is applicable)

BE BCS BBA BIT MBBS/BDS Any other Discipline

9. Date of Admisssion: __________ Date of Commencement of Course: __________

10. Course Duration: ___________ Years _______ Months. No of Semesters ______

(Attach certificate of admission from the Head of the Institution as per the specimen)
11. 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 source. I declare that the above mentioned informations
are correct to best of my knowledge.

Date: ____________ ___________________

Applicant’s Signature

12. Countersigned by Parents:

Date: _____________ Signature __________________

13. Countersigned by Base Education Officer or OC PAF I&SC

Date: _____________ Signature __________________

(Name, Rank & Official Stamp)

Note: To obtain countersignature, produce to the PAF Base Education Officer /OC PAF
I&SC the original documents / certificates, copies of which are required to be
attached with the application. Base Education Officer / OC PAF I&SC are
requested to ensrue:-

(a) Eligibility of applicant as per policy / advertisement.

(b) Applications complete in all respect alongwith requisite documents be
forwarded only when asked by Shaheen Foundation.

Postal Address: Shaheen Foundation, PAF

PO Box No. 2225, Islamabad
 CERTIFICATE BY BASE / UNIT ADJT / O I/C ‘P’ SQN

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 PAF Base / Unit, _________________________________.

Date:________________ Signature, Name, Rank & Official Stamp

 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. His

date of admission is _______________ Registration No. __________________________

Course commences on _____ Course duration is ______ (comprising of ____ semesters)

and likely date of completion is ___________________.

FEE STRUCTURE DETAILS

(a) Admission fee Rs ___________ (*Per annum or per semester)

(b) Tuition fee Rs ___________ (*Per annum or per semester)
(c) Examination fee Rs ___________ (*Per annum or per semester)
(d) Hostel Charges Rs ___________ (*Per annum or per semester)
(e) Other / misc charges Rs ___________ (*Per annum or per semester)
Total Charges Rs ___________ (*Per annum or per semester)
(*Please tick whichever is applicable)

Signature & Stamp of

Head of the Institution

Telephone Nos ____________

Date: _______________ Fax Nos __________________

Note: Kindly furnish abovementioned fee structure details in every head.