Application Form

APPLICATION FOR FINANCIAL ASSISTANCE

Note: If you don’t have email, please download the form and print it. Fill it in and whatsapp it to +91 87086 26933 | Download Form

Application form

NAME OF STUDENT

Full Name

STUDENT MOBILE NO.

Note: If you don’t have email, please download the form and print it. Fill it in and whatsapp it to +91 87086 26933

PERMANENT ADDRESS

CORRESPONDENCE ADDRESS

COURSE AND INSTITUTE / YEAR

ANNUAL FEE DETAILS

CONCESSION FROM INSTITUTE/ GOVT.

FATHER'S NAME

FATHER OCCUPATION

MOTHER'S NAME

MOTHER OCCUPATION

ANNUAL INCOME OF FAMILY

OWN HOUSE OR RENTED

STUDENTS AADHAR CARD NO.

12 digit Adhaar Number

PERCENTAGE IN PREVIOUS TWO YEARS

FAMILY DETAILS

(No. of Member in Family, Father (Yes/No), Mother (Yes/No), no of Brother, no of Sister,Father’s Qualification, Mother’s Qualification, Brother qualification/ sister qualification)

FACILITY AVAILABLE IN THE HOUSE

Four Wheeler

REF

AMOUNT REQUIRED

INSPECTION COMMITTEE MEMBERS

KABIL

YES

* CONTINUATION OF FINANCIAL ASSISTANCE WILL DEPEND ON PERFORMANCE OF STUDENT. || * FINAL DECISION IS ON DISCRETION OF TRUSTEES.

Yes, I have read the above terms and agree to them.

If you are human, leave this field blank.

To qualify to become an SSDJ KABil the student has

to have a dream to pursue and know what course needs to be done in its pursuit
has to belong to a low socio-economic population should be willing to contribute part of the financial fee of the desired course

Kindly note:

All payments will be paid directly to the institute (and not to the student nor the family)

Continued aid will be dependent on the student maintaining his/ her academic performance