HWF – UG/PG SCHOLARSHIP -2018-19

Application form for continuation of scholarship

1. Name of Candidate …………………………………………………………………………………………….
2. Correspondence Address ……………………………………………………………………………………
……………………………………………………………………………………………………………………………
3. Permanent Address ……………………………………………………………………………………………
4. Email Id ………………………………………………………………………………………………………………
5. Mobile No ………………………………………………………………………………………………………….
6. Name & Address of College………………………………………………………………………………….
.…………………………………………………………………………………………………………………………..
7. Course In Which Presently Studying ……………………………………………………………………
8. Percentage Score Previous Year / semester………………………………………………………….
9. Percentage Score Current Year/ semester ……………………………………………………………
10. Attendance of last year/semester…………………………………………………………………………
11. Extra curricular/social service activities………………………………………………………………..
……………………………………………………………………………………………………………………………..

Signature of Parent Signature of Candidate

Verification from Authority (Head of the Institute / HOD)

This Is to Certify That Mr. / Ms. …………………………..…………………S/O,D/O………...............................
is student of …………………………….……………….......... course 2 nd year / semester ………………………….
Institute ……………………………………………………………………. (Name of institute)
His character/conduct is ………………………………

Signature
Name of HOD/Principal

Seal of the Authority

Documents to be attached with:
a) Attested Copy Of Latest Mark Sheet
b) Attested Copy Of The Previous Mark Sheet
c) Copy Of Fees Slip
d) Pass Book Copy
e) Any other information (Mentioned In Separate Page)
Document received Verification Pending
Amount of scholarship approved for UG & PG Students 10,000/- (UG) 15000/- (PG)
For office use only