DIYA PAKISTAN REGD.

Office:1304/474, Hasan Street, Defence Road, New Lalazar Rawalpindi. Mob# 0300-5322592
Website: http:// www.diyapak.org Email: apply@diyapak.org

HEAD OF THE INSTITUTE ATTESTATION (HOI) FORM 2016-17

Students Name: . S/o,D/o ....................................................................................

Reg No. ............................................... Degree ............................................... Discipline/Subject...................................................................
Commencement Date of Degree:..................................................... Completion Date of Degree : ...........................................

Semester / Year in which currently enrolled............................................................... Monthly Tuition Fee:..............................................

Institute Name: ..................................................................................... University Name:...............................................................................

Institute Complete postal Address .............................................................................................................................. ..............................

Mode of admission : Open Merit / Reserved Seats / Self-Finance . (Tick the option)

1. RESULT OF EXAMINATIONS:
i) Matric % ......................... ii) Intermediate % ........................... iii) Graduation % (if completed) ...............................
2. Current Semester/Year Results (if declared) (put marks in % or GPA):

I). 1st Year/Sem % ............................. II). 2nd Year/Sem % ................................... III). 3rd Year/Sem %....................................
IV). 4th Year/Sem %.............................. V). 5th Year/Sem %.................................... VI). 6th Sem %............................................
VII). 7th Semester %.............................. VIII). 8th Semester % ................................. IX). 9th Semester % ....................................

3. Is he/she receiving any type of scholarship/ remission presently from this Institute? (Y/N):....................

Remission amount in institution fee (whole /half /Rs.)................................................

Scholarship amount already getting: Rs. .............................. Yearly/Monthly/One Time. Name of Organization: ...................................

It is certified that above mentioned student is a bonafide student of this institute and particulars are correct to the best of my
knowledge and belief. I recommend him/her for the grant of scholarship from Diya Pakistan Registered.

Attestation by Dean / Chairman / Principal:

Name of Head:..................................................................... Signature:....................................................................................

Phone:..................................................................................

Email (if any):....................................................................... Stamp / Seal:

Date : ...............................................

Note:
Incomplete form will not be accepted. Fill all blank spaces, write N/A if not applicable. Write complete Postal Address of Institute. Name and Phone of
attestation authority is compulsory. Students getting more than Rs. 25000 scholarship annually from other organization are not eligible for Diya Scholarship.