Al-Falah University Merit Cum Means Scholarship 2016-17 : alfalahuniversity.edu.in
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Organization : Al-Falah University
Scholarship Name : Merit Cum Means Scholarship 2016-17
Website : https://alfalahuniversity.edu.in/
Application Form : https://www.scholarships.net.in/uploads/12832-Form.pdf
Scholarship:
Merit Cum Means Scholarship Application Form for session 2016-17
Related : CUH Scholarship & Fellowship Haryana : www.scholarships.net.in/12812.html
Application Format:
Merit cum Means Scholarship Application Form
1. Branch :………………………………………………………………….……
2. Roll No. :……………………………………………………………………..
3. Regn. No.:…………………………………………………………………….
4. Name :…………………………………………………………………..
5. Father’s Name :………………………………………………………………
6. Mother’s Name :………………………………………………………….
7. Address for Correspondence:
Address :……………………………………………………………..………………….……
Post :………………………..District :…………………………State :……………..……
Pin Code :………………Tel. No. / Mobile :……………………………..……………….
E-mail ID :…………………………………………………………..…………….………
8. Address for Permanent:
Address :……………………………………………………………………………….……
Post :………………………..District :…………………………State :……………..……
Pin Code :………………Tel. No. / Mobile :……………………………..……………….
9. Whether Male or Female
10. Whether Hostler Yes/ No
11. Nationality: ………………………………Religion:………………………………….
12. Details of educational qualifications from matriculation/SSLC/SSC onwards (Please enclose copies of certificates attested by a Gazette Officer), alongwith copies of Mark sheets issued by AFSET.
13. Whether minimum attendance of 75% & above secured………………………………
14. Details of Bank Account of Students:
I. Name of the payees (as in the bank accounts) :……………………………………
II. Name of the Bank :…………………………………………………………………
III. Bank Branch (full Address) :……………………………………………………… ……………………………………………………………………………………… State : …………………….. District: ……………………… Pin: ………………
IV. Branch Code No. :…………………………………………………………………
V. Bank Account No. :………………………………………………………………… (in words) :…………………………………………………………………………
15. Annual Income of parents/guardian of the student:
Rs.:…………………………….. (Declaration of annual income is to be given in the prescribed format given below and is to be signed by the parents/guardian of the student whose family income is below 2.5 lacks per annum and enclosed along with the application, in case parents/guardian are employed, income certificate from the employer be enclosed).
16. Declaration:
I. I hereby declare that the information given above is correct.
II. I shall abide by the terms and conditions for sanction of the Post-metric Scholarship.
III. I undertake that if, at any stage, that the information given by me is false if I violate the terms and conditions of the scholarship, the scholarship sanctioned to me , may be cancelled and the entire amount of scholarship will be refunded by me or recovered from me apart from such penal action as warranted by the AFSET Administration.
Date :
Place:
Recommendation of the Concerned HOD (Keeping in view of his past records)
………………………………………………………………………………………………………………………………………………………………………………………………………………
Recommendation of the Scholarship Committee
………………………………………………………………………………………………………………………………………………………………………………………………………………
Declaration of Family Income: (on rupees 10/- non-judicial paper)
I ………………………………………………….. (Father’s / Mother’s / Guardian) of …………………………………….…… (Name of the student who is studying) in ………………………………..………………….. hereby declare that my annual income from all sources is Rs. …………………………………….. in word ………………………………………………………………..
If at an stage, it is found that the information given by me is false/not true, all benefits given to the student under the scheme of Merit cum means based scholarship “may be withdrawn and legal action as deemed fit, may be taken against me or my ward.
Signature:
Dated :
Residential Address :-
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To be countersigned by Gazetted Officer / Second Class Magistrate.
About Al-Falah University:
Al-Falah University is an endeavour of Al-Falah Charitable Trust, which was running three colleges in the Campus namely Al Falah School of Engineering and Technology (since 1997, Graded A by NAAC), Brown Hill College of Engineering and Technology(since 2008), and Al Falah School of Education and Training(since 2006, Graded A by NAAC).