SOCIETY OF ST. VINCENT DE PAUL,
National Council of India,
Educational Scholarship Scheme.
APPLICATION FOR AWARD OF SCHOLARSHIP FOR 2008-2009
1. Name of the student :
2. Address for correspondence :
3. Sex, Religion & Blood group : SEX RELIGION BLOOD GROUP ...
4. Age & Date of birth : AGE DOB ..
5. Details of the family members :
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Name |
Relation with the student |
Age (years) |
Occupation |
Annual Income (Rs.) |
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6. Total Annual income of the family : Rs.
7. Details of the Study :
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Name of the Course |
Name of the Institution |
Course Duration |
Date of |
Expenditure (Rupees) |
% of Marks in pre-qualificatn. |
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.years |
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(Please attach a copy of the mark list & a proof for the present study from the institution)
8. Details of the financial
help sought /
obtained from any other source :
9. Declaration of the student: I affirm that the details furnished by me are true and correct to the best of my knowledge and I shall refund the scholarship amount granted to me on the basis of any wrong informations furnished by me.
Date: Signature of the Student
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Recommendation of the Conference
Name of the Conference :
Name of the twinned Country :
Amount & year of
scholarship : Rs.: Year:
received by the student : Source:
Whether the student is adopted
for education in the Conference : YES / NO
Kind of scholarship recommended : TECHNICAL / VOCATIONAL / AAS / HES
Amount of minimum local contribution : Rs.300 / Rs.150 / Rs.300 / Rs.1,000
Whether the student will
participate in :
eligible Competitions, Blood donations
Recommendation of the President :
Date: Signature of the Conference President
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Remarks by the Area Council
Name of the Area Council :
Remarks by the A.C. President :
Date: Signature of the A.C. President
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Forward of the Central Council
Name of the Central Council :
Forward of the C.C. President : This Conference has submitted all Completion Reports due from them. They will be able to collect the local contribution of Rs needed for this student. Hence, this student is forwarded for award of scholarship under TTS / VTS / AAS / HES.
Date Signature of the C.C. President
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For the use of the National Educational Scheme officer.
Not SELECTED / SELECTED for TTS / VTS / AAS / HES.
M.Xavier James Raj,
Educational Scheme Officer