Application Form 2023-24
Application Form 2023-24
Application Form 2023-24
APPLICATION FORM
Passport size photo
PART-1
15. Studying whether on: please tick mark() (a). Merit Basis (b). Self-Financing Basis
18. Last Examination Passed: Year Total Marks Mark s Obtained %age
(An Original Mark sheet must be attached)
19. Bank Account No. with area code and name of Bank Branch
(With city name) (only students account detail acceptable)
Certifiedthat information provided by me is true& correct ifanything proved to be false at any stage, then my
application shall be liable to be rejected.
1
PART-II
CERTIFICATE FROM THE HEAD OF INSTITUTION / DEPARTMENT (Mandatory Requirement)
Very Important: The Enrollment of the student & documents are verified by the Head of Department / institute
MOST IMPORTANT
This form & criteria can be downloaded from Facebook page of “Khairpur Poverty Cum Merit Scholarship
Board (https://www.facebook.com/kncmsb)
All the students (Male / Female) are strictly directed to please submit application forms through their
respective / concerned institutions / Degree College / Universities where they are pursuing their study and
after having been scrutinized, the heads of the institutions / Degree College / Universitiesare requested to
please forward the eligible cases onlyas per criteria with covering letter to the Scholarship Branchestablished
AT OFFICE OF THE DEPUTY COMMISSIONER OFFICE / CHAIRMAN DISTRICT SCHOLARSHIP BOARD
KHAIRPURfor further process.
For Office Use Only
Application of the Student accepted Scholarship Amount Sanctioned Rs: