(Annex-A)FEDERAL EMPLOYEES BENEVOLENT ANDGROUP INSURANCE FUNDS ISLAMABAD

APPLICATION FOR GRANT OF EDUCATIONAL STIPENDPART-A

PARTICULARS OF EMPLOYEE:1 a) Name of Employee

(in block letters)b) Designation

2 CNIC No.3 Department with complete

correspondence addressand contact No.

4 a) Basic Pay Scaleb) Status of employee Gazetted √ Non-Gazettedc) Present basic pay

5 Particulars of the stipend, if any, received lastyear from the FEB & GIF

Amount -NIL-

I hereby solemnly affirm that the above information is correct to the best of myknowledge 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 …..……...(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 acopy of Pension Payment Order, Last page of Pension Book or attested copy of retirement order and LPC.

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PART-CPARTICULARS OF STUDENT

1 Full name of the Student (inblock letters)

2 Father’s name, Designationand office of employment

3 Date of Birth Day - Month -  Year

4 Whether married? Yes No√

5. Particulars of present studies:-Name and

address of theinstitution

where studying

Name of theBoard,

University orDepartment

recognizing theInstitution

Class inwhich

studying

Subjectsbeing studies

Date of commencement of 

theacademicsession

Duration of the course

.

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

addressof the

Institution(s)last attended

Examinationpassed

Date of passing theexamination

University/Board

*Marks obtained

. . Total Obtained %

*Marks obtained are essentially required alongwith Grade/GPA.

Signature of the studentPART-D

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

Certified that Mr/Miss…………………. ….S/o …………………… … is a bonafidestudent of this Institution, studying in Class…MBA….  and that the particularsfurnished by him/her from Serial Nos. 1 to 6 of Part “C” of this application form arecorrect.

2. Certified that Mr./ …………………………. S/o, …………………. …...hadobtained……….. GPA……marks out of total marks of… 4.0 GPA………in term of percentage……….…..in the last examination (either present institution orBoard/University). His/her date of admission to the present Programme is ….3. Certified that this institution is a Government Institution/Accredited PrivateInstitution recognized by the Government of Pakistan Intermediate & SecondaryBoard/University --------------------or Higher Education Commission, Islamabad.

Postal address of the Institution andSignature

Contact No.Seal of 

Head of theInstitution

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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.

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