Annexure A
NEHRU SIDHANT KENDER TRUST Photo
Feroze Gandhi Market, Ludhiana-141001
Tel.No.2402500, 4619431
APPLICATION FORM
Name of Scholarship : ______________________________________________________
1. Name of the School/College/Institute : _______________________________________________________________
2. Name of the student : _______________________________________________________________
(in capital letters)
3. Father’s/Guardian’s Name : _______________________________________________________________
4. Contact No. (Mobile & Email ID) : _______________________________________________________________
5. Class & Roll No. :________________________________________________________________
6. Marks obtained in previous class, 10+2 & : Previous Class [10+2] Graduation
Graduation level
(Marks sheet to be attached) : ________________/___________________/____________________________
7. Date of Birth: : ________________________________________________________________
8. Occupation of Parents’/Guardian : ________________________________________________________________
And Annual Income (Attach Salary
Certificate/Affidavit for : ________________________________________________________________
Self-employed). Applications
received without Income Certificates/ : ________________________________________________________________
Affidavit duly attested & countersigned
by the Principal will not be considered
9. Income of any other earning member : ________________________________________________________________
Of the family
10. Home Address : ________________________________________________________________
________________________________________________________________
11. (a) Number of sisters and brothers : Sisters _________________________ Brothers _________________________
with age.
________________________________________________________________
(b) If studying, mention the class & : ________________________________________________________________
the name of the school/college.
________________________________________________________________
12. Whether getting any other : ________________________________________________________________
Scholarship /grant/aid
13. Were you earlier a recipient of : Previous Class [10+2] [Graduation]
Scholarship in previous class,
10+2/Graduation level from : _________________/_____________________/_________________________
Nehru Sidhant Kender Trust
14. Annual fees to be paid : ________________________________________________________________
Signature of Applicant __________________________Recommendation & Signature of the Principal__________________________
Recommendations of the Scholarship Committee: __________________________________________________________________
Date………………………….
Note : Decision of the Trust will be final.
