MORA-1

MORA
SCHOLARSHIP
FORM
PARTI__________________
___________________
___________________
________________(TO

BE FILLED IN BY
THE APPLICANT)
1) Name: ___________
___________________
______2) Father /Guard
ian
s Name:
___________________
_________________3)
a) Age/Date of Birth: __
___________________

_______________b) NI
C No. (If above 18 ____
___________________
_____________Years
of
age)4) Educational Instit
ution/Deeni _________
___________________
________Madarassah (
where enrolled): ______
___________________

___________5) Class: _
___________________
________________6) B
oarder/day Scholar: ___
___________________
______________7) Per
manent Address: _____
___________________
___________________
___________________
__________8) Tempora

ry Address: __________
___________________
___________________
___________________
_____9) Parent
s Occupation:
___________________
_________________10)
Parent

s Monthly Income: ___

___________________
_____________
11) No. of Dependent F
amily Members: ______
___________________
___________12) Positio
n attained in the last ___
___________________
______________Exami
nation:

Signature of Applicant
Class:
_______________
PART-II
MORA Scholarship
form (MORA) duly
completed and signed
by the Chairman
LocalZakat Committee
will be returned to the

applicant or sender by
Hand or by Dak as
thecase may be within
thirty (30) days of its
receipt. One copy to be
retained for officerecord.
To be filled in by the
Local Zakat
CommitteeOf the Area
of which the applicant

is a permanent
resident
Certified that Mr. /Ms
___________________
___________________
________S/D/o_______
________________ Res
ident of _____________
___________________
___________________
_________ is eligible

for MORA
Scholarship.He /she has
been registered at Serial
___________________
____________ of
theCommittee
s record.
Signature with Stamp
PART-IIITo be filled
in by the MORA
Scholarship

Committee of The
Educational
Institution/ Deeni
Madarassah
The Committee in its
meeting held on
___________________
___________________
__Considered the
application and found
Mr. /Ms.

___________________
_________S/D/O_____
___________________
________________eligi
ble for MORA
Scholarship for theYear
___________________
____________
Member MemberChai
rman