Professional Documents
Culture Documents
)
Ahmad Nagar, P.O. Box 94, Aligarh-202002
Affix
Passport
Size
st
Due Date : 31 August, Applications received after the due date will
not be entertained.
Photograph
Board
University
Year
Division
Percentage
Age
14.
Has the applicant received scholarship from the Anjuman in the past_______ when
____________Scholarship No.___________ Why discontinued?_________________________
15. The names & scholarship numbers of the family members receiving scholarship from the
Anjuman:
1._________________________________ 2._______________________________________
3._________________________________ 4._______________________________________
5._________________________________ 6._______________________________________
16. Family members who have received scholarship from the Anjuman:
Name
Wazifa No.
Present
Is he/she paying back His/Her Present
Occupation
Anjumans Money? If Address
not. Why?
17.
18.
19.
20.
21.
I hereby declare that all the information given above is true and correct. If any
information is found by Anjuman to be false or incorrect at any stage, Anjuman is authorized to
cancel or discontinue the Wazifa (loan).
I also declare that it is my legal, moral & social obligation that I will repay the total
amount of Wazifa (loan) immediately on getting any employment.
Signature of Father/Guardian
Full Name
______________________
Place
______________________
Phone/Mobile No.___________________
Signature of Applicant
Full Name_____________________
Date__________________________
_________________________________________________________________________________
INSTRUCTIONS
The following documents should be sent with the application. The forms along with the
documents should reach the office by due date. If any document is not attached for any valid
reason, it should be submitted at the earliest.
1. Authentic Birth Certificate.
2. Attested mark sheet of last examination passed.
3. Head of institutions bonafide certificate.
4. Two attested photo of the student.
5. Member (19) recommending the application, through a separate letter should
confidentially inform the office of the Anjuman regarding the applicants genuine need for
monetary help. He shall be personally responsible for the return of the scholarship
amount.