Zewail University

Financial Survey Form.

Student full name (as it appears on your birth certificate)

------------------------------------------------------------------------------------------------------------------Student ID -------------------- Semester -------------------- Academic year
-----------------/---------

Students status at Zewail University

Transfer
Re-admitted

New

Returning

Name of Secondary School

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Have you applied or received financial aid before from Zewail University? Yes
No

If yes, Please provide details below

------------------------------------------------------------------------------------------------------------------Students dependency status:
Students date of birth

./../
Day

Is student married?

Yes

Month

Year

No

Does student have children he/she supports? Yes

No

If yes, please provide details below:

Childs name

Date of birth

Are one or both of the students parents alive?

Yes

No

If yes, please provide the following information:

Father
Full name as in national ID or passport
Nationality

-----------------------------------------------------

----------------------------

Employer
------------------------------------------------------------

Job Title

Since

----------------------------

If not working
o

Retired

Date --------/-------

Unemployed since

Date ------/---------

Marital Status
o Married
o Divorced
o Separated
o Widowed

Telephone

Mobile

-----------------

E-mail

-----------------

------------------

Residential Address
---------------------------------------------------------------------------------------Mailing Address
----------------------------------------------------------------------------------------

Mother
Full name as in national ID or passport
Nationality

-----------------------------------------------------

----------------------------

Employer

Job Title
-------------------------------------------

----------If not working

o

Retired

Unemployed since

Date --------/------Date ------/---------

----------------------------

Since

Fulltime mother since Date --------/-------

Marital Status
o Married
o Divorced
o Separated
o Widowed

Telephone

Mobile

-----------------

-----------------

E-mail
------------------

Residential Address
---------------------------------------------------------------------------------------Mailing Address
----------------------------------------------------------------------------------------

Legal Guardian (in case the students parents are deceased or are not the students
guardian)
Full name as in national ID or passport
Nationality

-----------------------------------------------------

----------------------------

Employer

Job Title
------------------------------------------------

If not working
o

Retired

Unemployed since

Marital Status
o Married

Date --------/------Date ------/---------

----------------------------

o Divorced
o Separated
o Widowed

Telephone

Mobile

-----------------

-----------------

E-mail
------------------

Residential Address
---------------------------------------------------------------------------------------Mailing Address
----------------------------------------------------------------------------------------

Please provide the information below for all other family members and
dependents living in the same residence with the student (such as
siblings, grandparents, wife, etc.):
Name

Relationship

Age

Name of current school or

university (if any)

Please provide the information below on all cars owned by the parents
and other family members living with the student:

Car owned
EGP
Brand

Year

Owner

STUDENT AND
FAMILY ASSETS

Property

Value

Debt

Inherited
or
Purchased

Description

Business
Home
Other real estate
Land/Farm
Other

Inherited

o
o
o
o
o

Purchased

EGP

Year of
Purchase

Value

Debt

o
o
o
o
o

Student and family total

investments
Investment
Cash savings (Deposits).

Amount (EGP)

Annual Interest (EGP)

Securities
Other

Student and family annual income

Description

Amount (EGP)

Fathers net annual income earned from

work or pension (Most recent Year).
Mothers net annual income earned from
work or pension (Most recent Year).
Guardian net annual income earned from
work or pension (Most recent Year).
Students net annual income earned from
work in (Most recent Year).
Annual income from business or clinic
(over above-mentioned annual income)
Annual income from real estate
Annual income from savings and securities
interest
Additional assistance expected (over the
next full academic year) from other people
(give name, relation to student, and
amount)
Name

Relation

Other sources of annual income (please

specify):

Total Income

Student and family annual expenses

Description
Annual household expenses (rent, food,
clothing, transportation, etc.)
Annual non-refundable medical expenses
Annual taxes
Annual loans (Mortgage) or installments

Annual education tuition for dependents

Other annual expenses (please specify):

Total Expenses

Amount (EGP)

For the use of the office of Student Financial Affairs only

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Reasons for applying for financial aid

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