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INFORMATION
ABOUT THE APPLICANT:
(Please leave one box blank after each complete
word)
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01. |
| Full
Name (in Block Letters) |
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02. |
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03. |
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04. |
| Nationality: |
05. |
Date
and Place of Birth
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06. |
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07. |
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| (II) |
INFORMATION
ABOUT THE APPLICANT'S FATHER OR GUARDIAN:
| S.No. |
Name |
Age |
Relation |
Education |
Occupation |
Monthly
Income |
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| (III) |
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EDUCATIONAL
QUALIFICATIONS: |
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Name
& Address of the Institution
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Year |
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%
age |
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01. |
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02. |
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03. |
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| (IV) |
IF THE APPLICANT
ALREADY ADMITTED TO INSTITUTION GIVE DETAILS:
| Name and
address of Institution |
Class /
Session |
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not yet admitted, then specify expected date of Admission:
___________ Class/Branch: ___________ |
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| (V) |
Give
justification of your deservingness
___________________________________________________
Declaration: I,
________________________________ hereby declare that I am a member of
riot hit family of Gujarat, the informations given above is correct and
true to the best of my knowledge and I will abide by all the terms of
this Scholarship Programme of The
Students Islamic Trust and that I will accept their decision as
binding and final.
Date: _____________
Signature of Applicant:
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