Thanks for filling out this form: SDM Educational Trust Scholarship Application 2026

2 messages

Forms response receipts <forms-receipts-noreply@google.com> Thu, Nov 6, 2025 at 10:06 PM

To: waseemkhan220555@gmail.com

Thanks for filling out this form: SDM Educational Trust Scholarship
Application 2026
Here's what was received.

SDM Educational Trust Scholarship

Application 2026
This Application is applicable only for 1st-year Post Graduation students(PG or Professional
Course). Please read the Instructions carefully before filling out the Application Form:

1. Name & Date of Birth: Fill your name & date of birth as printed in your Class X certificate

2. Email ID: The applicant has to enter his/her own valid & functional email address which will
be used for the application process and subsequent communications upon registration.

3. Eligibility Criteria: This Application is applicable for 1st-year Post Graduation/Professional

Course students only.
The candidate should have scored at least 80% in the 10th and 12th examinations or(at least 8
CGPA).

4. Parent's Occupation: All the candidates are advised to give full details of the parent’s
occupation. Incomplete details about the parent's occupation will not be preferred for the
Scholarship. Annual Income should not exceed 1.5 Lakh

5. After successful submission, the candidate will receive a response email along with a copy
of the application form. Please print the application form, and send all hard copies of supporting
documents, to below-mentioned address.

To:
THE SECRETARY,
S.D.M. EDUCATIONAL TRUST(R),
UJIRE -574240.
BELTHANGADY- TQ.,D.K.
For any future corrections in mandatory details, please give a call to the contact number
mentioned in point (7).

6. All the Attachments should be in PDF or Image format, and size should be less than 5MB.
Please keep all the required documents ready beforehand.

7. For any queries/clarifications, you may call at 08256-236526 during working hours from 10
AM to 5 PM Monday to Saturday.

8. If you do not have a personal account in Canara/Bank of Baroda you can leave section empty.
Upon selection, a separate email communication will be sent, where you will have to create an
account in any of the two specified banks and send us the details.

Only 1st year(PG or professional course) students can apply for this. Kindly submit the
applications by the end of December.

Your email (waseemkhan220555@gmail.com) was recorded when you submitted this form.

Basic Details

FULL NAME (as per Class X certificate ) *

First and last name

WASEEM KHAN

Mobile Number *

9449250637

Upload passport size photograph (max. size 1MB) *

Submitted files

IMG_20251106_214402 - Waseem Khan.jpg

Communication Address *
Current Residential Address (Hostel/Rental apartment)

Hospet, vijayanagar, Karnataka

Gender *

Male

Upload Government ID Proof (Max Size 1MB) *

Adhaar Card

Submitted files

19 - Waseem Khan.jpg

Choose your type of State Government Ration card *

APL (Above Poverty Line)

BPL (Below Poverty Line)

Other

Upload copy of State Government Ration card

(Max size 1MB) *

Submitted files

25 - Waseem Khan.jpg

Date of Birth *

MM DD YYYY

07 / 05 / 2007

Academic Details

Name of the Course Studying in *

 Engineering ( BE/B.TECH/Lateral )

Have you applied for Educational Loan *

No

Upload Education Loan Proof (Max size 1MB)

No files submitted

Annual Fees (Per Annum) *

25000

Name of the Institute & Place Currently Pursuing in

*

SDM college of engineering dharward

Upload Study certificate/Fees Receipt for the current year *

Submitted files

Cheque - Waseem Khan.jpeg

PUC/12th/Degree Aggregate or CGPA *

89.3

SSLC/10th Aggregate or CGPA *

 86.88

Upload 10th/SSLC and 12th/PUC Academic Marks Card

*

Submitted files

26 - Waseem Khan.jpg

3 - Waseem Khan.jpg

Previous Year Course Details

Applicable only if you have done any other course after 12th (ex: B.Com,B.Sc,Diploma or any equivalent)

Latest CGPA or Avg marks (%)

Applicable only if you have done any other course after 12th (i.e: B.Com,B.Sc,Diploma or any equivalent)

Marks Card Copy

No files submitted

Parent or Guardian

If Any of the fields are not applicable, Kindly mention as NA

Guardian's Contact Number *

9449250637

Father's Name *
MUNNAVAR KHAN

Father's Occupation *

MECHANIC

Mother's Name *

AMEENA BI

Mother's Occupation *

HOUSE WIFE

If self-employed, specify the type of business in brief

Total Family Annual Income *

25000

Permanent Address *

M.J nagar, Hospet, vijayanagar,Karnataka

If one or both parents deceased, Kindly upload Death Certificate/s

No files submitted

Upload Caste & Income certificate (file size limit - 5MB) *

Submitted files
 17 - Waseem Khan.jpg

Mention your Religion & Caste *

MUSLIM

Bank Account Details

Please share your account details only if you have a personal CANARA/BANK OF BARODA Account

Upload copy of Bank passbook's first page

Submitted files

22 - Waseem Khan.jpg

Account Holder Name

WASEEM KHAN

Bank Name

Canara Bank

IFSC Code

CNRB0000537

Account Number
 0537108030560

Branch of the Bank

CANARA BANK

Declaration *

I declare that the information furnished by me in this application are true and complete. In
support, I will submit the below mentioned documents whenever required. In the event of any
✓ information being found false or incorrect, my candidature/application for scholarship may be
cancelled/ terminated without any notice. I have understood and agree that if I am selected for
the Scholarship, the scholarship amount will be credited to my mentioned personal Account.

Create your own Google Form

Does this form look suspicious? Report

Waseem Khan <waseemkhan220555@gmail.com> Sun, Nov 9, 2025 at 6:46 PM

To: waseemkhan220522@gmail.com

[Quoted text hidden]