Organisation : KHIMJI Bhagwandas Charity Trust
Scholarship Name : Application Form For Educational Help
Website : http://www.khimjibhagwandascharitytrust.org/frmApplication.aspx
Educational Help :
Application Form For Educational Help
Related : Education For All Trust School Children Scholarship : www.scholarships.net.in/18055.html
Application Format :
All details marked below must be clearly state by the applicant end no column must be left blank.
Full Name (Surname First) :
Present Address For Correspondence :
Telephone No. :
Permanent Address :
Age :
Date of Birth :
Marital Status :
Details of school Carrier (Full details expected – lf necessary give details on separate sheet)
Details of University Career:
Any Special Distinction / Scholarship Obtained :
Post Graduate & Research Work (lf Any) :
Experience / Practical Training (lf Any) :
Employer’s Name (lf Any) :
Telephone No. :
Present Salary(In Rs.) :
Total Amount of Scholarship required from KHIMJI BHAGWANDAS CHARITY TRUST
lf You have applied for Assistance / Scholarship to any other Trust / lnstitute :
Details regarding person who will guarantee payment & repayment of the Scholarship
Name & Address of 3 reference under whom the applicant has studied or worked or is personally Known
Family lnformation (Please Fill All the Columns)
Employer’s Name & Address ln Full (of Father or any Earning Member) :
Occupation :
Salary Rs. :
Application Form For Medical Help :
All details marked below must be clearly state by the applicant end no column must be left blank.
Name of the patient :
Age :
Address of the patient :
Type of Illness :
Name and Address of the doctor for the first treatment :
Address of the patient residing near the hospital :
Approximate Medical expenses to be incurred :
Name and Address of the hospital where patient is admitted :
Mode of Payment for hospital expenses :
Receipt number of Hospital Bill :
Information on Financial and relatives of the Patient :
No of person in patients family :
Nature of Business of the patient :
Annual Income of the patient and his family :
Any help received from the other trust :
Name and Address of the person introduced to this trust:
About Trust :
Khimjibapa was born in the beginning of nineteenth century at Bhavnagar in the family of Bhagwandasbhai Khandhedia. Financial condition of the family being poor,he could not pursue higher studies.
He migrated to Mumbai to earn living where he entered into the business of selling blankets, under the guidance of friends and relatives. Luck favoured profusely and he earned well in those days. Godess Laxmi blessed him. He married with Manekbai from Mumbai.
In the year 1885, Khimjibapa donated Rs. One Lac for the benefit and betterment of the Ghoghari Lohana community.
KHIMJI Bhagwandas Charity Trust :
Lohana Bhuvan, Paliram Road,
Behind Municipal Office,
Andheri (West), Mumbai – 400 058.
Office Address :
Raghuvanshi Mansion, Block No. 20,
Raghuvanshi Mills Compound,
11/12, Senapati Bapat Marg,
Lower Parel (west), Mumbai – 400 018.