Scholarship Form

Please make sure to fill in all the required details accurately.

Personal Information

Full Name *

Date of Birth in B.S *

Date of Birth in A.D *

Gender *

Marital Status *

Birthplace *

Home Address *

Mobile Number *

Telephone Number *

Ethnicity *

Email Address *

Educational Background

Name of High School *

Address of High School *

Major Subjects

Co/extra -curricular/ actively participated

High School (+2) Completed Year *

High School (Grade 12) GPA *

High School (Grade 11) GPA *

High School (SEE 10) GPA *

Name of the currently Studying College (if any)

Currently Studying Program (if any)

Currently Studying Class Year/Semester (if any)

Family Background

Father's Name *

Father's Occupation *

Contact Number *

Mother's Name *

Mother's Occupation *

Contact Number *

Source of Family Income *

Family's Annual Income *

Number of Siblings *

Interest Subject (Faculty)

Preferred Education Stream/Faculty

Reason for choosing the preferred education stream/faculty

Location and Preference for the College

Preferred College (Name): *

Preferred City: *

Reason for choosing this college and location: *

Financial Contribution

Are you willing to cover the portion of the tuition fee and hostel cost if needed? (Yes/No) If yes, specify the amount or percentage you can contribute:

Essay

Please write a brief essay (within 600 words) addressing the following points. *a. Why do you deserve to receive this college level education scholarship? b. How will this scholarship help you achieve your educational and career goals? c. Explain and financial constrains that may hinder your ability to pursue college education without a scholarship. d. Describe your long term aspiration and how the chosen faculty/ department aligns with them.

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References

(Please provide the contact information of two references who can speak to your academic abilities, your background, and potential, include their names, occupation, email address and phone number )

1. Full Name *

Occupation *

Institute and address *

Your Relation *

Contact Number *

Email ID *

2. Full Name *

Occupation *

Institute and address *

Your Relation *

Contact Number *

Email ID *

Declaration

I hearby declare that all the information provided in this application is true to the best of my knowledge, I understand that any false information may result in the rejection of my application.

Add your Digital Signature Here *You can do your signature in A4 paper and then upload the image of signature here.

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Date *

Place *

Requirements

Please attach the following documents:

1) High School (+2) certificate/transcript or report card.

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2) Letter of recommendation from your ward office (municipality).

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3) Any additional supporting documents (academic certificates, participation certificates, e.t.c) that demonstrate your achievements or qualifications.

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4) Copy of Citizenship

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5) Your recent PP sized photo and one with family

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6. Declaration of your parents (a formal statement by the parents stating that they allow and support your education)

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7. Picture of your house

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Recheck *Please re-check your details before submission.I acknowledge that all the information and documents I have entered in the form are correct and legit.I have re-checked every details in the form before submition and I will be responsible for any kind of error found in form data .

Scholarship Form