Escolar Documentos
Profissional Documentos
Cultura Documentos
Application No.
(to be filled by the Foundation)
Affix Passport
Size Photograph
attested by the
Principal with
Seal
2)
4)
5)
Mobile
Email-id
Are you physically handicapped or Widow / Ward of
Ex-Serviceman or belong to BPL family (State Clearly)
a) Occupation of Parent / Guardian
b) Annual income of entire family from all sources
(if found wrong, no scholarship but action will be taken)
a) Particulars of last examination passed
b) Marks Obtained / Gross Total Marks
c) Percentage of marks
:
:
:
:
:
a)
b)
c)
:
:
:
a)
b)... Years
c)
Regular/ Part Time/Correspondence
(Tick () whichever is applicable)
d) Month
Year
a)
b)
c) E-mail id
d) Phone No. with STD Code:
:
:
State:
c)
d)
11)
Rs.
12)
Yes/ No
13)
6)
7)
8)
9)
3)
Nationality :
:
Rs.
14)
per year
p.a.
Ref/ File No. ..
Yes/No
Rs.
15)
Rs per month
16)
:
:
:
:
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