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INSTRUCTIONS FOR APPLICANTS SEEKING EDUCATIONAL HELP for FREE SCHOLARSHIP/ LOAN SCHOLARSHIP

(a) Forms not completely / correctly filled in, may not be considered.
(b) Please submit salary / income certificates of the Parents.
(c) Applicants for Education Loan Scholarship will be preferred over Applicants for Freeshin. Our Loan Scholarship is repayable only when you are able and, that toe, without interest.
(d) Please submit xerox copies of marksheet and Fee Receipt. Also, Disability Certificate where applicable.
(e) Reimbursement will only be made against proof of payment of education expenses.
(f) Original Receipts required for verification.
(g) Only the Applicant or close relative to submit the Form, along with all necessary documents.

PLEASE UPLOAD YOUR PHOTO

ADD CURRENT DATE

NAME OF THE STUDENT

NAME OF THE APPLICANT

ADDRESS OF THE STUDENT

INSTRUCTIONS FOR APPLICANTS SEEKING EDUCATIONAL HELP for FREE SCHOLARSHIP/ LOAN SCHOLARSHIP

TELEPHONE NO.

AADHAR CARD NO. OR PAN CARD NO.

AADHAR CARD OR PAN CARD (Attach signed copy)

NAME OF COLLEGE

STUDYING IN CLASS

NAME OF THE COURSE

RESULT OF THE LAST EXAMINATION (Attach copy of marksheet)

TOTAL AMOUNT OF FEES PAID Rs.

HOW HAVE YOU FINANCED THE FEES?

PERSONAL SAVINGS LOAN BORROWED

TOTAL FAMILY INCOME P.A. Rs

ATTACH SALARY CERTIFICATES

WHAT IS FAMILY CONTRIBUTION TOWARDS TOTAL EDUCATION EXPENSES?

NUMBER OF MEMBERS IN THE FAMILY (Please fill details below)

NAME

AGE

RELATIONSHIP

INCOME

NAME

AGE

RELATIONSHIP

INCOME

NAME

AGE

RELATIONSHIP

INCOME

STATE PARTICULARS OF HELP IF RECEIVED / EXPECTED FROM OTHER SOURCES

SOURCE 1

SOURCE 2

SOURCE 3

Total

I AGREE THAT THE INFORMATION GIVEN ABOVE IS CORRECT TO THE BEST OF MY KNOWLEDGE

RECOMMENDATION: THIS APPLICANT IS WELL KNOWN TO ME

NAME OF RECOMMENDER

TEL. NO.

ADDRESS OF OFFICE / RESIDENCE

GUARANTEE TO SECURE LOAN SCHOLARSHIP
To, The Trustee, Y.C.Z.A Educational & Charitable Fund, Mumbai.

If at our request you give a loan scholarship to

Mr. / Miss

NAME

Rs.

Rupees in word

We jointly hereby guarantee repayment of the same without interest.

Parent / Guardin Name

Parent / Guardin Tel No.

Parent / Guardin Address

Co-Guarantor Name

Co-Guarantor Tel No.

Co-Guarantor Address