INSTRUCTIONS 1. Please type/write legibly in BLOCK letters, and complete all sections. Incomplete form will not be entertained.

The completed form must be submitted along with admission application form to the admission office of GIK Institute. If not submitted along with application form, this form must be received in the Admission Office of GIK Institute latest by June 20, 2011. Please note that the Institute may like to verify independently particulars of an applicant. The parents/guardian of the applicant may be called for interview. Please include documentary evidence to support your case (also see criteria below).

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5. The Institute reserves the right to reject the application without assigning any reason.

ELIGIBILITY CRITERIA
Applicant will be required to submit the following documents along with their application form: 1. 2. Domicile of a district in Punjab Province. In case the father/guardian of students is a salaried person, an employers certificate regarding the guardian/fathers annual take-home salary. Electricity bills of the principal residence of the father/guardian. If the annual take-home salary in case of salaried person or electricity bill in case of non-salaried person does not exceed Rs. 120,000/- per annum and Rs. 30,000/per annum respectively, the students will be declared eligible.

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5. Scholarship will be awarded to the most needy applicant amongst the eligible applicants.

DECLARATION
I _____________________________________S/O or D/O _____________________________

do hereby declare that the information provided in this application is true and correct to the best of my knowledge. I understand that with holding/misleading any information or any false statement on my behalf will disqualified me from scholarship and admission at any stage.
Signature of Applicant__________________________________ The information furnished in the application above is hereby verified and confirmed to be true and correct. Signature of the Applicants Father/ Guardian_______________________________________

SUBJECT TO FINAL APPROVAL OF GOVRNMENT OF PUNJAB

GOVERNMENT OF PUNJAB SCHOLARSHIP FORM

The government of Punjab scholarships are awarded purely on a merit-cum needs basis. The purpose of these scholarships is to assist meritorious students who are unable to meet their educational expenditure. Name of applicant __________________________________________________________________ Fathers Name ____________________________________________________________________ Guardians Name & Relationship_______________________________________________________ Postal Address ___________________________________________________________________

Phone No. ________________________________ Mobile No.______________________________ Place of Birth District Province ____________

Family Status
Father Status:- Alive Deceased Government Servant Government Servant Other__________ Other__________

Fathers/Guardians Occupation:- Business Mothers Occupation:- House Wife Designation of Father/Mother Business Address

Phone No. Total Family members ___________ No. Family members receiving education _________________ Name of School/College last attended by the applicant

Family Income
Annual Income (Salary /Pension) Annual Income from Business Annual Income from Investment & Property Annual Income from Agriculture Annual Income from all other sources Total Annual Income