SCHOLARSHIP APPLICATION FORM

Himalayan Project Nepal (HIPRON) and Himalayan Project Denmark

1) Appl.No: Date on Internet: HIPRON Responsible: Date of Application:
303 Namgyal 26-10-2011
2) Name of Applicant: Gender: Date of Birth (English): Person writing the Appl.:
Mingmar Chhiri Sherpa M 1994 Jangbu Sir
3) Address of Applicant (Living Place right NOW): E-mail & Telephone:
Bakanje-5, Solukhumbu
4) Contact-person Name: Address: Telephone: E-mail:
Pemba Kipa Sherpa Bakanje-5, Solukhumbu
6) Name of Father: Occupation (all year and temporary): Age: Address:
Pemba Kipa Sherpa Farming 57 Bakanje-5, Solukhumbu
7) Name of Mother: Occupation (all year and temporary): Age: Address:
Yangdi Sherpa Farming 56 Bakanje-5, Solukhumbu
8) Brothers and Sisters: Age: Gender: School: Class: Address:
Nuri Chhiri Sherpa 20 M Bakanje School 10 Bakanje-4, Solukhumbu
Dawa Sherpa 22 M - - Bakanje-4, Solukhumbu
Chhepal Sherpa 24 M - - Bakanje-4, Solukhumbu
Furba Jangbu Sherpa 27 M - - Bakanje-4, Solukhumbu
9) Family Income Sources (Where do MONEY and FOOD of Applicants WHOLE FAMILY come from):
Agriculture? No, Working for Others? Yes, as unskilled labor. In Tourism? No, Private Business? No, Private property?
Land Ropani? 5 House 1, Cattle 2, Goat No, Total Family Cash Income per Year? Rs.40,000/-Any Scholarships? No, Any
other Income Source? No,

10) Write about your Family situation in the PAST (write some interesting story about applicants life):
I am a boy from poor family. I have parents and three brothers. I am the youngest boy from our family. My parents
And brothers do not have good education. My parents are working in the field and what they grow from the field is
not enough for our family because we have less land for cultivation and in higher altitude. Sometimes my parents
worked as unskilled labor for others. It is also not good earnable work. So we are very poor.

11) School information:

School Name: Bakanje Sec. School School Address: Bakanje-4, solukhumbu
Class: 9 Last Exam Result in Percentage: 48%

12) Write about your PRESENT situation:

Presently I am studying in Chandra Jyoti School of Bakanje. It is around 20 minutes far from my house. Before two
years ago it was lower secondary school but now it is upgraded up to class 10. Every day I use to go to my school
and reading very well. In the free time after finished my homework I use to help my family and every Saturday and
holiday I support to my parents in field work.

13) Write about your FUTURE plan:

My future plan is to be a doctor and want to provide service to my villagers who are not getting good health
facilities.

14) Normal Scholarship per YEAR: Class 1-2: Nil – Class 3-5: 6,000 Rs – Class 6-10: 6-10,000 Rs – Class 11-12: 10-13,000 Rs
Applied amount: Rs.10,000/- I want to invest this amount for my study expenses such as stationeries,
fees etc.

16) Comment from School:

This student is really a needy boy and is very laborious and as good moral in school

Scholarship 960 kr
Foundation 10% 96 kr
Admin. 200 kr
TOTAL 1.256 kr