Application for Student Support

Please fill below with very clear handwriting

1. Name _______________________________________________
2. Fathers Name ________________________________________

3. Mothers Name ________________________________________

4. Present Address________________________________________
_________________________________________________
_________________________________________________

5. Permanent Address______________________________________
6. Monthly Earning of Household______________________________
7. Last Completed Education Level_____________________________
8. Grades/ Percentage Obtained in last Completed
level___________________________________________________
____________________________________________________
_____________________________________________________
_____________________________________________________
9. If Presently studying, Kindly Mention the Institute, Level and Field of Study
_____________________________________________________
_______________________________________________________
10. Give below details of admission applying for:
___________________________________________________________
Name of Institute/University/College
___________________________________________________________

Level of Study
__________________________________________________________

11. If presently enrolled, specify the major and level

__________________________________________________________

12. Give details of the fee structure in detail

__________________________________________________________
__________________________________________________________
__________________________________________________________
13. Signature of candidate
________________________________
Date
________________________________

Note: Attach the following documents with the Form.

1. Two Passport Size Photographs.

2.
3.
4.
5.
6.

Copy of ID card, if applicable.

Death Certificate of father/Guardian, if applicable.
Any Last Utility Bill of Residence.
Attested Copies of all Education Certificates.
Acceptance of Admission from Institute/ College/ University.
7. Proof of Enrollment, if between a Degree / Course.
8. Statement of proof of residency. If living in self owned house, proof of ownership and
if on rent, rent agreement.

Fee Schedule
Name of the Student _____________________________________
Period

Amount

Due Date

Status

Details of Source of Support (if receiving

any)_______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_____
Undertaking
I ________________________________ , s/d of
Mr________________________________holding Id Card No. _____________________,
confirm that all the information given above is true to my knowledge and am receiving
financial support by Aietemad as stated in the table above.
Signature_______________________________________

Parent/Guardians Signature_____________________________________________

Schools Official Signature (With

Stamp)________________________________________________________

Date_______________________________

Name :

For Official Use Only

Period

Amount

Due Date

Status

Progress Inquiry Form

1) Name Of Institute:
2) Teacher to be referred:

3) Teachers Contact

Info:_________________________________________________________________
_____________________________________________________________________
____________________________________________________________

Exam Dates and Result Dates

Exam Type and Date
Result Date

Status

Note:
1) Student is supposed to send copy of results within five days of declaration of the
same. If he/she fails to do so, he would be penalized by reduction in scholarship.
2) The next scholarship amount of a term , would be dependent on performance in
preceding term..