I$) * D> oI = ee Saks. TANZEEMUL MAKATIB APPLICATION FORM FOR SCHOLARSHIP (3) PLACE OF BIRTH .. Sq) NAME ig(4) FATHER’S NAME/GUARDIAN’S NAME (2)D.08 (DD/MM Bis AEs ERAS ELS MAL §g(5) CURRENT ADDRESS: H.No LOCALITY/VILLAGE/CITY STATE ... PINCODE .. (6) PERMANENT ADDRESS: H.No STATE .. PINCODE .. LOCALITY/VILLAGE/CITY .. 30) FATHER'S/GUARDIAN’S MONTHLY INCOME... (8) GUARDIAN’S RELATIONSHIP WITH APPLICANT ... U(©) NAME OF SCHOOL/COLLEGE/UNIVERSITY WHOSE FEES IS REQUIRE! (10) CLASS/YEAR OF COURSE “G(11) DURATION OF COURSE .. $4(12) DO YOU RECEIVE HELP FROM ANYOTHER INDIVIDUAL/ORGANIZATION. Yes no IF YES THEN HOW MUCH? -rnonennnnn > SERENE net IER SeSTENe sear {g(13) HAVE YOU APPLIED FOR HELP FROM ANYOTHER INDIVIDUAL/ORGANIZATION. YES [1] Nol (14) AMOUNT REQUIRED? (15) DETAILS OF EXAMS/CLASS/COURSE/COMPLETED. I S.No] — CLASS/COURSE SCHOOL/COLLEGE/ MAX | MARKS | PERCENTAGE | YEAR OF UNIVERSITY MARKS | OBTAINED] PASSING CNS PARES = SUG SGVebs SNe GLa GNA: alas okies atlas w (ii) (iii) (iv) (16) ARE YOU CURRENTLY ENROLLED IN ANY/MAKTAB/RELIGIOUS INSTITUTE. Yes Nom raiteS & (17) IF YES:- (i) NAME OF COURSE/CLASS SEMESTER (i) DURATION (18) HAVE YOU COMPLETED COURSE FROM MAKTAB/RELIGIOUS INSTITUTE. yes nol (19) IFYES:- (i) NAME OF COURSE (i) YEAR OF COMLETI : i NAME AGE CLASS/COURSE SCHOOL/COLLEGE/ UNIVERSITY. (22) QUARTERLY/SIX MONTHLY/ ANNUALLY .. i (21) MONTHLY FEES ... | (23) COST OF BOOKS (24) FARE-TO & FRO .. (25) COACHING/TUTION ... ' (26) DETAILS OF PERSON WHO CAN GIVE AUTHENTIC DETAILS OF YOUR CURRENT SITUATION. PERSON 1 PERSON 2 () NAME (ii) ADDRESS (ili) MOBILE No. ‘ (27) CONDITIONS:- t (i) APPLICANT MUST ADHERE TO RELIGIOUS OBLIGATIONS. (i) APPLICANT MUST HAVE STUDIED ATLEAST ATFAAL COURSE OF MAKTAB. : (il) APPLICANT MUST BE A STUDENT OF MAKTAB OR PASSOUT. a DOCUMENTS REQUIRED-PHOTOCOPY a ¢ () AADHAAR CARD § (i BIRTH CERTIFICATE (i) MARKSHEET OF LAST YEAR (iv) FATHER'S NAME/GUARDIAN’S (AADHAAR CARD, PAN CARD & RATION CARD) (v) VERIFICATION OF FATHER'S NAME/GUARDIAN’S ANNUAL SALARY [GOVT.dept OR A RELIABLE PERSON ] QO oo00 (29) TERMS & CONDITIONS : (i) INCOMPLETE APPLICATION WILL BE SUMMARILY REJECTED. (ii) DURATION OF SCHOLARSHIP WILL BE ONE YEAR. NEW APPLICATION MUST BE SUBMITTED, FOR RENEWAL. (it) MINIMUM 60% MARKS ARE REQUIRED FOR ACCEPTANCE OF APPLICATION. (30) DECLARATION BY PRINCIPAL/VICE-PRINCIPAL/OFFICIAL AUTHORITY THIS IS TO CERTIFY THAT Mr/Mrs ... . SON/DAUGHTER/WIFE OF ISTHE STUDENT OF (SCHOOL/COLLEGE/UNIVERSITY) .... CURRENTLY ENROLLED IN (CLASS/YEAR/SEMESTER) Mr/Mrs . Tanzeemul Makatib,Golaganj,Lucknow-226018,India ‘ Phone-0522-4080918,8090065982 4 E-mail-makatib.makatib@gmail.com,tanzeem@tanzeemulmakatib.org Website-tanzeemulmakatib.org,www.tmislamiceshop.com,www.tanzeemulmakatib.orgiislamic-shop