scholarship continuation form

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Date: _____________ Ref No.___________ SCHOLARSHIP CONTINUATION FORM If you are our scholar and have taken admission in next class, please fill in the following form and get it signed by the Institution Head or Scholarship Officer and mail the same at our above address as soon as possible, so that your scholarship is continued for your next classes/degree: Name: ____________________________________Father’s name: _______________________ Class: ______________________________________Department:________________ ________ Institution Name: _______________________________________________________________ Student Registration No._________________________________________________________ Course/Degree Start Date ____________________Course/Degree End Date_______________ Student E-Mail Address: _____________________Contact No.__________________________ Account No._______________________________ Account Title ________________________ Bank Name _______________________________ Branch Name _______________________ Alfalah Scholarship Scheme Al-Muqeet Center, G.T Road Kharian (Pakistan) WEB: www.alfalahss.org E-MAIL: [email protected]

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Page 1: Scholarship Continuation Form

Date: _____________ Ref No.___________

SCHOLARSHIP CONTINUATION FORMIf you are our scholar and have taken admission in next class, please fill in the following form and get it signed by the Institution Head or Scholarship Officer and mail the same at our above address as soon as possible, so that your scholarship is continued for your next classes/degree:

Name: ____________________________________Father’s name: _______________________

Class: ______________________________________Department:________________________

Institution Name: _______________________________________________________________

Student Registration No._________________________________________________________

Course/Degree Start Date ____________________Course/Degree End Date_______________

Student E-Mail Address: _____________________Contact No.__________________________

Account No._______________________________ Account Title ________________________

Bank Name _______________________________ Branch Name _______________________

Countersigned/Verified

I the undersigned verify that the above student is studying in our institution and is not getting scholarship from any other organization. If the student is getting scholarship please mention the organization name: ________________________Amount________________ Contact No.____________________.

Signature: _________________________________________

Name: ____________________________________________

Designation: Institution Head/ Scholarship Officer

Institution Stamp: ___________________________________

Alfalah Scholarship SchemeAl-Muqeet Center, G.T Road Kharian (Pakistan)

WEB: www.alfalahss.org E-MAIL: [email protected] Contac# 0092-537-531630 / 0092-537-531631

Page 2: Scholarship Continuation Form

Date: ______________________________________________