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SCHOLARSHIP APPLICATION FORM

Last Date for receipt of Application: 15th August Each Year

1. Name of the Applicant * :

2. Date Of Birth * :

3. Address :

4. Phone No.* :

5. Email ID* :

6. Name of Father :

& Mother :

Contact No. of Father :

Contact No. of Mother :

7. Occupation of Father :

& Mother :

8. Annual Income of Father :

& Mother :

9. Examination & school last studied* :

Year

Board/University

Marks(%)

School/Institution

Course Name

10. A brief resume of the applicant including particulars of extra-curricular Activities. (No enclosures required) :

11.Subject of further study and course Duration :

12. Name and Address of the Institute where the applicant is currently studying :

Photograph of student* :

The following documents must be submitted to the address mentioned below:
1. A completed and signed copy of the application form.
2. Proof of admission (if admission has been taken) at a university or college in which the applicant shall pursue further studies.
3. Copy of Class XII or Graduation Mark sheet (as applicable).
4. An essay about the Ambition in life by the candidate
5. Annual Family Income Proof.

5a. Copy of Form 16 or Salary Certificate, in case the Father or Mother is in Employment with Government or Private Sector, or
5b. Copy of Income Tax Return or Certificate from Tahsildars, Councillors, etc, in any other case.

Address:
Sanganeria Foundation for Health & Education
64/1, Site IV, Industrial Area, Sahibabad, Ghaziabad U.P – 201 010
Tel:+91-120-4388500

Sanganeria Foundation Merit Cum Means Scholarship

SCHOLARSHIP APPLICATION FORM

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SANT SANGANERIA FOUNDATION FOR HEALTH & EDUCATION

64/1, Site IV, Industrial Area, Sahibabad, Ghaziabad, U.P – 201010