SCHOLARSHI

PAPPLI
CATI
ONFORM

SI
NDHIFEDERATIONOFSOUTH
INDIATRUST
#813,
Shiv
alaya,
‘A’Bl
ock,217,
Et hir
ajSal
ai,
Egmore,Chennai-
600008.www. sfosi
.or
g
Mobi
leContact
:9884089544,9840042298,9341212861
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NO:
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_ Dat
e:_
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FOLI
ONO:
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1.NAMEOFSTUDENT:
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_ PHOTO

2.DOB:
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___ MALE/FEMALE_
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_

3.ADDRESS:
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MOB:
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__ Emai
l
:__
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_

4.OLDORNEW APPLI
CANT:
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AmountRecei
vedf
rom us.

YEAR_
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_AMOUNT_
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__ YEAR_
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___AMOUNT_
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YEAR_
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___AMOUNT_
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__ YEAR_
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___AMOUNT_
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__

5. Schol
arshi
pRequi
redf
ort
heCour
se:
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_Inst
it
ute:
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Amount
:__
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__whet
herf
eespai
d__
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___(
Att
achRecei
ptcopy
)

6.MARKS SCORED PREVI

OUS 3 EXAMS:
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(
Att
achmar
kscardcopi
es)

7.FI
NANCI
ALHELPRECEI
VEDFROM OTHERSOURCE_
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 PTO

8.FAMI
LYDETAI
LS:

FATHER:
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_WORKI
NG:
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__SALARY:
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MOTHER:
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___WORKI
NG:
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__SALARY:
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BROTHER&SI
STERS_
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9.TwoNameswi
thcont
actnumber
,youknowi
ntheAssoci
ati
onorPanchay
at:

Panchay
at:NAME:
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__CONTACTNO._
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NAME:
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__CONTACTNO._
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10.Inordert
ohel
potherst
udents,Iunder
taket
oret
urnt
hemoneyi
neasyi
nst
alment
saf
ter
studi
esareov
erandIst
artearning.

Si
gnat
ureofSt
udent
:__
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_Si
gnat
ureofPar
ent
:__
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(Apartfr
om thi
sfor
mt hest
udenthastofi
llt
heSTUDENTAGREEMENTFORM wi
th
signat
uresandphot
osofPar
entsorGuar
ant
ors)

11.
RECOMMENDATI
ONOFPANCHAYATORASSOCI
ATI
ON

Iconfir
mthatIknow theAppl
icantst
udent
/student’
sparentandcerti
fyt
hathedeser
vesthe
Scholar
shi
p. Ihav everi
fi
edhisMar kSheet
s/Certi
fi
cat
es. Ir ecommendthatSchol
arshi
p
amountofRs. _
___
____
_ _maybeawar dedtohim/her.Iundertaketohal
fyear
lymonit
orthe
academicprogr
essoftheAppl
i
cant.

Dat
e:
Pl
ace:

Si
gnatur
eofPresi
dent
/Secr
etar
y.
(Seal/
StampofAssoci
ati
on)

BANGALOREADDRESS:

AshokRChawla,
SurajMet
alI
ndust
ri
es, 3rdPhase,
No.99, 8thmai
n,Peeny
aIndust
ri
alAr
ea,
Bangal
ore560058.
PhoneNo:41172144Mob:+919341212861,
Emai
lId:ashokr
atanchand@gmai
l.
com