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    Application For College Scholarship - Fresh

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    venu harry
    This document is an application for a college scholarship from the North South Foundation. It contains personal details of the applicant such as name, gender, date of birth, family income and contact information. It also includes education history, details of the engineering course and college the applicant is enrolled in, family details including occupation and income of parents. The applicant describes their family's financial situation making them eligible for the scholarship. They pledge to complete their course and help their family, society after graduating. Supporting documents like admission proof, marks certificates, fee receipts and income certificate are also required to be submitted.

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    Application For College Scholarship - Fresh

    Uploaded by

    venu harry
    88 views3 pages
    This document is an application for a college scholarship from the North South Foundation. It contains personal details of the applicant such as name, gender, date of birth, family income and contact information. It also includes education history, details of the engineering course and college the applicant is enrolled in, family details including occupation and income of parents. The applicant describes their family's financial situation making them eligible for the scholarship. They pledge to complete their course and help their family, society after graduating. Supporting documents like admission proof, marks certificates, fee receipts and income certificate are also required to be submitted.

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    This document is an application for a college scholarship from the North South Foundation. It contains personal details of the applicant such as name, gender, date of birth, family income and contact information. It also includes education history, details of the engineering course and college the applicant is enrolled in, family details including occupation and income of parents. The applicant describes their family's financial situation making them eligible for the scholarship. They pledge to complete their course and help their family, society after graduating. Supporting documents like admission proof, marks certificates, fee receipts and income certificate are also required to be submitted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    88 views3 pages

    Application For College Scholarship - Fresh

    Uploaded by

    venu harry
    This document is an application for a college scholarship from the North South Foundation. It contains personal details of the applicant such as name, gender, date of birth, family income and contact information. It also includes education history, details of the engineering course and college the applicant is enrolled in, family details including occupation and income of parents. The applicant describes their family's financial situation making them eligible for the scholarship. They pledge to complete their course and help their family, society after graduating. Supporting documents like admission proof, marks certificates, fee receipts and income certificate are also required to be submitted.

    Copyright:

    © All Rights Reserved
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    of 3

    2019-20

    NORTH SOUTH FOUNDATION


    (APPLICATION FOR COLLEGE SCHOLARSHIP -
    FRESH)

    Registration ID : 1407010048991
    CHAPTER/STATE Visakhapatnam, AP
    First Name(Or Given name) KATTIRI AKHIL
    Last Name(Or Surname Or Family name)
    Gender (M/F) M Date Of Birth 10/06/2001
    Email [email protected]
    State Of Birth Andhra Pradesh District Of Birth Srikakulam
    Other Village/Town/City Of
    Village/Town/City Of Birth Srikakulam
    Birth
    Reservation Type OBC BPL Card WAP010404500337
    Mobile Number 7995846087 Landline Number
    Family Annual Income 48000.0000 Frequency of Email Use At least once a week
    Whether Physically Whether First Graduate In
    N N
    Challenged (Y/N) Your Family (Y/N)
    Where did you hear about
    Internet Additional Details
    NSF?

    ADDRESS

    8-22 MAIN
    Address Line 1 NIT MANIPUR
    STREET,D.R.N.VALASA,SRIKAKULAM
    Address Line 2 0 BOYSHOSTEL 2
    Village/Town/City Srikakulam Imphal
    Other Village/Town/City
    District Srikakulam Imphal West
    State Andhra Pradesh Manipur
    Pin Code 532127 795004
    PAST EDUCATION DETAILS
    Name of the Year of Percentage
    Class Category Tuition Fees JNV
    School Passing (%)
    AJC HIGH
    09 Private 2014-15 40000 98 N
    SCHOOL
    AJC HIGH
    10 Private 2015-16 40000 95 N
    SCHOOL
    NARAYANA
    11 JUNIOR Private 2016-17 100000 96 N
    COLLEGE
    NARAYANA
    12 JUNIOR Private 2017-18 100000 93 N
    COLLEGE
    CURRENT EDUCATION DETAILS
    Name of the Degree in
    Branch/Department electrical engineering
    Degree Applied Engineering (B.E./
    B.Tech, 4-Year
    Degree in
    Engineering)
    Name of the
    JEE Main
    Entrance Test
    Marks Core (%) 95 Overall (%) 71 State Rank 52681
    College Name national institute of technology manipur
    College Postal
    Address
    College Phone No Email
    College Web
    Address
    Course Duration 4 Year of Joining 2019-20 Year of Completion 2023-24
    Where would you
    Hostel Other option if Scholarship not Awarded Others
    reside?
    Tuition Fees 0 Boarding Fees 53100
    Expense Per Year
    Books 2000 Others 21000
    (In Rs)
    Total 124100

    FAMILY DETAILS
    Income (Per
    Relation Name Age Occupation Education
    Annum)
    KATTIRI
    Father 45 FARMER 8TH CLASS 48000
    APPALANAIDU
    KATTIRI DHANA
    Mother 35 HOUSE WIFE PRIMARY(6TH) 0
    LAXMI
    PARTICULARS OF FINANCIAL SUPPORT RECEIVED(Rs per Year)
    Merit 0 Government 0
    Family 0 Loan 0
    Others 0 Total 0

    Describe your family's circumstance in detail that makes you apply for this scholarship:
    AS I UPLOADED MY INCOME CETIFICATE YOU CAN SEE THAT MY FAMILY ANNUAL INCOME IS LESS THAN
    50000.IN INDIA BELOW 50000 MEANS FAMILY STATUS WILL LIE IN POVERTY REGION .SO I NEED THIS
    SCHOLARSHIP BECAUSE IM PURSUING B TECH IN NIT MANIPUR SO IT WILL TAKE 75000 PER YEAR.SO I NEED
    SCHOLARSHIP TO PAY MY FEES

    State what you would do after completing the course for yourself, your family and the society in general:
    Self:
    Family:
    Society:

    DECLARATION BY THE APPLICANT


    I hereby declare that all the information given above is true to the best of my knowledge. In case, any discrepancy
    is noted, NSF has all rights to terminate my scholarship and collect all funds paid to me with interest. I declare that
    my character and behavior will be exemplary and shall maintain high scholastic standards and values, thereby
    setting an example to others. I will inform NSF about all changes in my address and contact information during the
    course and after. After entering into a career; I will help out another poor student.
    Place: Student's Signature:
    Date: Student's Name:
    DECLARATION BY THE PARENT/GUARDIAN
    I hereby declare that all the information furnished above by my ward is true and there is no factual error. I take full
    responsibility for the accuracy of the information furnished in the application. In case of any discrepancy, I agree
    to refund the money received as scholarship along with the interest to the NSF.
    Place: Parent's Signature:
    Date: Parent's Name:
    IMPORTANT POINTS TO NOTE WHILE FILLING APPLICATION & SUBMISSION OF SUPPORTING DOCUMENTS
    All applicants should take due care to fill in details as per the space provided in the application form. All columns
    must be filled and no columns should be left blank.All columns must be filled in with candidate’s own handwriting.
    The following supporting document should be submitted along with the application.
    Please do not send any originals. Tick if the corresponding documents attached.
    College Admission Card (attested)
    Rank Card from the entrance examination (attested)
    Certificates showing marks secured from class 10th to 12th (OR) Diploma attested by the Head of the
    Institution
    Proof of the tuition fee paid/payable per annum duly certified by the college authorities
    Receipts or proof of tuition fee paid in X Class and XII Class (Plus 2 or Intermediate) (OR) Diploma
    Income Certificate from District Revenue Officer
    Ration Card indicating if the family is receiving rice, sugar, fuel, etc. from govt. at nominal prices
    A Certificate from the college stating you are a bona fide student of that college
    Declaration by the Principal
    Two Passport size Photographs of applicant with name written on the back of it
    All NSF Scholarship Recipients will be required to spend 80 hours a year in serving the poor in a registered
    NGO. As part of the application, the student needs to pledge that he/she will do it. Next, during renewal time,
    the student needs to send two documents:
    1) A certified letter from the NGO that the student performed 80 hours of service to the poor. It should give
    sufficient details on what the student did during the 80 hours.
    2) The student should submit a detailed report on the experience gained during the Seva Programme of 80
    hours.
    A Certificate from the College in the following format:
    To whom it may concern This is to certify that ________________________________________,
    S/D/o_____________________, at/Post: __________________________________ is a bona fide Student
    of this College. He / She is studying in __________Class/Year of this College.
    He / she is eligible for or in receipt of financial assistance under:
    Economically backward class (EBC), OBC, BC, SC/ST. Annual Amount: ______________
    Other sources. Please specify: ___________________. Annual Amount: ______________
    None

    Signature:

    Principal/Head:

    College Seal:

    Please send your college contact details (College Name, College Address, Phone Number, Website &
    Email addresses) as an email to "[email protected]".
    Please send completed applications to the NSF India Chapter Coordinator nearest to you in your state.
    If your state does not have an NSF Chapter, then please send it to NSF Chapter in Hyderabad, AP.For
    a list of chapter addresses check https://www.northsouth.org/public/IndiaScholarships/Contact .If you
    have any questions send an email to [email protected]

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