Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Application Form

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 6

www.TeluguPeople.

org

Application for Scholarship


IMPORATNT: PLEASE FOLLOW INSTRUCTIONS OR APPLICATION WILL BE REJECTED.
1. Candidate for Bachelor’s or Master’s degree MUST complete the application by themselves.
Candidates applying for a diploma course may take assistance for clarification.
2. Read instructions carefully and complete the form as per instructions. Failure to provide complete
information could lead to delay or denial of scholarship
3. Please provide information as accurately as you can. We verify all the information provided. ANY
incorrect (or even suspicious) information provided will lead to outright rejection.
Student Info:
Student Student with Assistance from others
Application completed by
Others, Write name
Name of the Student in full Click here to enter text.
DOB / Age (Month, Date and Year in full) Click here to enter text.
Native place along with Mandal Click here to enter text.
Current Status (Studying / Working / At
Click here to enter text.
home)
How did you know about TPF scholarship Web search Facebook Personal referral Media
program? Other, Please specify
If someone referred it to you, please
Click here to enter text.
mention name of the person.
How do you know person referring? Click here to enter text.
Telephone number of the person referring Click here to enter text.

Permanent Address:

Address for Correspondence


Click here to enter text.
(Provide in full)

Email ID (Student) Click here to enter text.

Version # 2 Date: Mar 31, 2019 Page 1 of 6


Phone number (Student) Click here to enter text.
Is it a Smart phone? Yes No
Phone number (Father) Click here to enter text.
Phone number (Mother) Click here to enter text.
Phone number (Brothers / Sisters) Click here to enter text.
Education:
Year of
Course Institution % of Marks
Passing
Click here to enter Click here to Click here to enter
Click here to enter text.
text. enter text. text.
Click here to enter Click here to Click here to enter
Click here to enter text.
text. enter text. text.
Click here to enter Click here to Click here to enter
Click here to enter text.
text. enter text. text.
Course Details:
Entrance Exam appeared Click here to enter text.
Year Click here to enter text.
Rank obtained Click here to enter text.
College In which seat is obtained (Include
Click here to enter text.
city)
Course in which seat is obtained (Include
Click here to enter text.
specialty wherever applicable)
Tuition / College fees (₹) Click here to enter text.
Estimated Hostel expenses (₹)
Hostel expenses are not usually Click here to enter text.
covered in scholarship program
Estimated travel expenses (₹)
Travel expenses are not usually Click here to enter text.
covered in scholarship program
Estimated expenses for books and other
Click here to enter text.
Course material (₹)
Any Scholarship (Government / Private)
obtained (₹) Tuition Fee Reimbursement, Please specify amount
(Specify if eligible for tuition fee Click here to enter text.
reimbursement program or any other
social welfare scholarship and amount Other, Please specify
eligible for)
Any Financial Support received (₹) Click here to enter text.
Amount Requested (₹) Click here to enter text.
Family Background:
Father’s Name Click here to enter text.
Father’s Native place (village and Mandal) Click here to enter text.

Version # 2 Date: Mar 31, 2019 Page 2 of 6


Father’s Occupation Click here to enter text.
If employed, name of the employer Click here to enter text.
Mother’s Name Click here to enter text.
Mother’s Native place(village and Mandal) Click here to enter text.
Mother’s Occupation Click here to enter text.
If employed, name of the employer Click here to enter text.
Income per annum (₹)
Provide as accurate as you can. Will be
enquired through independent sources. Click here to enter text.
Application will be rejected if found
inaccurate or suspicious
Any siblings? (Brothers / sisters) Click here to enter text.
What are they doing? (Mention about all) Click here to enter text.

Describe briefly about you (Achievements, Interests, hobbies etc.):

Describe briefly about family:

Family Assets and liabilities:


Own Govt. Sanctioned Rental
House?
Other, Please specify

Version # 2 Date: Mar 31, 2019 Page 3 of 6


Hut Asbestos sheet Tiled roof Concrete roof
Type?
Other, Please specify
Where? (Name of Village / Town / City) Click here to enter text.
If Rental, Rent per Month? Click here to enter text.
Housing Plots? Yes No
If yes, how many Sq. Yds Click here to enter text.
Where? (Name of Village / Town / City) Click here to enter text.
Farm Land? Yes No
If yes, how many acres? Click here to enter text.
Where? (Name of Village / Town / City) Click here to enter text.
Ration card type? White Card Other, Please specify
TV? Yes No
Fridge? Yes No
Air-conditioner? Yes No
Gas stove? Yes No
Motor Vehicles? Yes No
Any loans from banks or private lenders? Yes No
If yes, how much is the total loans (₹)
Having higher loans does not
necessarily increase chances of Click here to enter text.
awarding scholarship. This is for data
collection ONLY

Please read and tick the following boxes (tick only one in each row):
TeluguPeople Foundation will use non-identifying information pertaining to candidates, such as
candidate’s general profile, house picture etc., at public events, on their website, newsletters and other
social media to communicate organization’s impact and promote charitable causes. Student Mentors and
members are authorized to discuss specific identifying information, such as name, photo of the
candidate, college etc., with donors at private events and public events, when mentors/members are in
full control of such information. The following authorization specifically pertains to disclosing specific
identifying information on website, newsletters and social media
IMPORTANT: House photo is critical in our public messages, and will always be used in website,
newsletter and other social media. If student does not wish us to publish his / her or family
members photo, please provide house photo without student or family members in them
I DO NOT authorize TeluguPeople
I authorize TeluguPeople Foundation to use
Foundation to use specific identifying
1 specific identifying information pertaining to
information pertaining to me on their website,
1 me in on their website, newsletters and other
newsletters and other social media. I
social media. I understand that providing such
understand that this denial will not
authorization is not necessary to qualify for
automatically disqualify me from receiving
scholarship.
scholarship.
I certify that the above information is correct. I understand that providing false data will
2
automatically disqualify me from scholarship program and I will become liable for reimbursement
of scholarship immediately

Version # 2 Date: Mar 31, 2019 Page 4 of 6


3 I will notify TeluguPeople Foundation of any changes in above information. I understand that
failure to report changes may lead to disqualification from scholarship program

Form completed by (Sign / Date) Click here to enter text.

Full Name Click here to enter text.

Have another person (other than family) vouch for the accuracy of above information
Person vouching (Full Name) Click here to enter text.

How do you know the applicant? Click here to enter text.

I certify that the above information is correct. I understand that providing false data will automatically
disqualify the candidate from scholarship program
Sign / Date Click here to enter text.

Address Click here to enter text.

Phone number Click here to enter text.

IMPORATANT: Enclose CLEARLY LEGIBLE copies of ALL following documents and Tick the box.
If documents are photographed by smart phone, they are not legible on desktop or when printed.
If documents are photographed, please ensure that phone has the resolution capability to provide
good quality pictures for producing a legible document on when printed. You can confirm
legibility by zooming in the document on the phone
Failure to provide incomplete or illegible information could lead to delay or denial of scholarship.
Provide reason if a document is not attached.

Note: TPF will not share or make these documents (Except house photo) public without express
permission from student and his / her parents/guardian. Due controls will be exercised to preserve dignity
and privacy of students sponsored

Document (Include copies) Attach and Click the box


All marks certificates
Rank card
Proof of admission / allocation letter
Estimated fee statement (Include hostel and travel expenses)
Passport size photograph
Photograph of house (Make sure photo captures entire house)
Photograph of Door # from the house (written by Panchayat or

Version # 2 Date: Mar 31, 2019 Page 5 of 6


Municipality)
Ration card (Copy should include address from the card)
Student’s Aadhar card (Should include address from card)
Father’s Aadhar card (Should include address from card)
Mother’s Aadhar card (Should include address from card)
Last month’s Electricity bill
Last month’s Gas Cylinder bill
First page of Bank passbook of student. If student doesn’t have
account, provide father’s / mother’s bank passbook
Last month’s pay slips of father, if employed Attached Not employed
Last month’s pay slips of mother, if employed Attached Not employed
Last 12 months Bank passbook or statement of student Attached No Account
Last 12 months Bank passbook or statement of father Attached No Account
Last 12 months Bank passbook or statement of mother Attached No Account
Other documents attached (Specify) Click here to enter text.
Please explain the reason if any of the documents are not attached:

Click here to enter text.

Version # 2 Date: Mar 31, 2019 Page 6 of 6

You might also like