IRF UNITED ISLAMIC AID

Managed By

ISLAMIC RESEARCH FOUNDATION

Regd. Public Trust No. B-1409 (Bom)

Zohra Manzil, 195/213, SVP Road, Dongri, Mumbai 400 009 23736875 (8 lines) Fax 91-22-23730689 contact@irf.net www.irf.net

IRF EDUCATIONAL SCHOLARSHIP (2012-13) APPLICATION FORM

Sr. No.: Date:

To. Islamic Research Foundation Zohra Manzil, 195/213, SVP Road, Dongri, Mumbai 400 009, India.
PHOTOGRAPH
(less than 3 months old)

PARTICULARS
1. Name of the Applicant: 2. Sex: 7. Present Address: Mobile: 8. Permanent Address: Tel: 9. Parent/Guardians Name: 10. Parent/Guardians Office Address: Mobile: 11. Occupation (tick whichever applicable): Student 12. Monthly income of applicant (if any): 13. Total monthly family income (from all sources): 14. Approximate total monthly Family Expenditure: 15. Duration of stay at Present Address: 17. Details of Family Members: Name Age Relationship Education Occupation Monthly Income 16. Total No. of Family Members: Tel: Unemployed Employed Self-employed Tel: Email: 3. Age: 4. Date of Birth: Single 5. Religion: Divorced Widowed 6. Marital Status (tick one applicable): Married

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ACADEMIC AND RELATED INFORMATION

1. Name of School / College / Institution: 2. Address of School / College / Institution:

3. Study Course (Full Name): 4. Degree Diploma Other 8. Division: (ii) (v) 5. Duration of Course: 9. Roll No.: 6. Branch: 10. Medium of Instruction: (iii) (vi)

7. Year / Standard: 11. Subjects: (i) (iv) 12. Annual Fees: Rs. 13. Rank in Last Annual Exam:

out of

14. Total Marks:

out of

%)

15. Prizes / Certificates received in School / College / Institution:

16. Prizes / Certificates received in other Academic Competitions / Sports:

17. Extracurricular Interests / Hobbies: 18. Students Aspirations after completing the course: 19. Any other information strongly supporting the request for Scholarship:

20. Academic Performance Exam School / College Year of Passing Percentage

21. Details of Scholarship requested from I.R.F.: 22. Details of Scholarship received / Awaited / Requested from other sources for current year:

23. Details of any Scholarship received earlier from I.R.F. / other sources: 24. Reference for Verifying the information given: (Name, Address & Contact Nos. of confirmable reliable sources):

Mobile:
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Tel:

RELIGIOUS DETAILS:1. Religion :

Hanafi

2. Which Islamic School of thought do you belong to:

Shafi Salafi Ithna Ashri (Shia) Bohri Ismaili Khoja Other

3. Religious Interest : High 4. Salaah: Regular

Moderate

Low

Sometime

Irregular

5. Which Jamat / Organisation do you belong to / consider to be the best: Deobandi Barelvi Ahle Hadith Jamat-e-Islami Tablighi Other

6. Islamic Education: 7. Association with Islamic Organisation: If Yes, Name : Activities involved in: Yes No Association / Position: Since how many years:

8. Besides the five pillars of Islam which other Islamic activities are you involved in:

I Certify that all the information provided in this form is true and correct. There is no omission of fact or information of significance in context of this application. N.B.: Attach a separate sheet if more information is to be provided for any of the Questions.

Dated:

Signature of Applicant:

CONDITIONS APPLY
1. Scholarship will be awarded only to good practicing Muslim students. 2. Selected students will get 100% finance for the post-matric courses fees. 3. Students will have to undergo & pass written / oral exam, in Deeniyat (about Islam & its teaching), every year. 4. At present the scholarship is available only to the Muslim Students of Maharashtra. 5. The trust has the right to accept or reject the application without giving reason for it.

Note: 1) Students short-listed will be intimated by phone to come for a further interview. 2) Issuing of this preliminary application form does NOT guarantee the award of a scholarship.

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