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Sample Form: درخواست بورسیه

معدل، وضعیت مالی، فعالیت‌ها، انگیزه‌نامه و مدارک؛ برای دانشگاه یا خیریه.

11 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“درخواست بورسیه” has 11 questions on 2 pages; 6 are required and 5 optional. Question types: Short text (3), Mobile number (1), National ID (1), Decimal (1), Dropdown (1), Amount (1), Multiple choice (1), Long text (1), File upload (1). Its sections, in order: «مشخصات», «وضعیت و انگیزه». 8 ready-made options across 2 choice questions, all editable in the online version.

In the online version of this template

  • National IDs are checked instantly with the check-digit algorithm.
  • Mobile numbers are validated against the Iranian number format.
  • Attached files are stored with the response.

مشخصات

  1. 1.

    نام و نام خانوادگی *

    (Short text)
  2. 2.

    شماره موبایل *

    (Mobile number)
  3. 3.

    کد ملی *

    (National ID)
  4. 4.

    دانشگاه / مدرسه *

    (Short text)
  5. 5.

    رشته

    (Short text)
  6. 6.

    معدل *

    (Decimal)

وضعیت و انگیزه

  1. 7.

    تعداد افراد خانوار

    (Dropdown)
    • ۱ تا ۲
    • ۳ تا ۴
    • ۵ و بیشتر
  2. 8.

    درآمد ماهانه‌ی خانوار (تومان)

    (Amount)
  3. 9.

    فعالیت‌ها

    (Multiple choice)
    • پژوهشی
    • ورزشی
    • هنری
    • داوطلبانه
    • کارآفرینی
  4. 10.

    انگیزه‌نامه *

    (Long text)

    حداکثر ۳۰۰ کلمه

  5. 11.

    مدارک (کارنامه، توصیه‌نامه)

    (File upload)

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “درخواست بورسیه”.
  3. Change the questions as you like, publish the form and send the link.
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