ASHA YALE SCHOLARSHP- Tsunami affected children
STUDENT’S PROFILE
Kancheepuram
#1StudentName: S.Thirupura Sundari
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram Dist.
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: Suriya; Selvaraj
7.Address :No.26 Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
8.Date of Birth:
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship: Low income family. Mother earning is the source of income. Her younger brother is doing VII.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: IX
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes- All subjects
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
Sports
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards): Yes
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: VIII; Agriculture Coolie work
21.Mothers Education level and occupation: Home maid work at Kalpakkam
22.Does the family own:
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#2StudentName: P.Vijaya
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: M.Pachiayappan (late); P.Nagalakshmi
7.Address :No.3/69, Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
8.Date of Birth: 4:11:1989
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father was expired. Mother works as home maid and earning Rs.1000 per month. One younger sister is studying VII.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: X
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes- All subjects
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards): Yes
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: VIII; Late
21.Mothers Education level and occupation: III; Home maid work at Kalpakkam
22.Does the family own: Black and White TV
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#3StudentName: R.Dharanya
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: V.Rajendran
7.Address :No.60, Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram Dist
8.Date of Birth: 3.4.1991
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father is an agricultural coolie labor earning Rs.1000 per month. Mother is a home maker. Only one younger brother is studying IX standard.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: XI
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards):
III. Students Family Background Information
19.Family Income per year: Rs.10000
20.Fathers Education level and occupation: VIII; Farmer
21.Mothers Education level and occupation: IV; Home maker
22.Does the family own:
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#4StudentName: N.Anitha
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: H.Nataraj
7.Address :No.54, Pattarai street, Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram Dist
8.Date of Birth: 14 years
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father was expired. Mother as domestic worker earning Rs.1000 per month
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: IX
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: No
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards):
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: II; Tree climbing
21.Mothers Education level and occupation: V; Home maker
22.Does the family own: Own land and TV
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#5StudentName: K.Udayakumar
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: K.Padmavathy; Kuppuswamy (late)
7.Address :No.1/45, Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram Dist
8.Date of Birth: 28:12:1989
9.Sex: Male
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father was expired. Mother is working as an agricultural labor earning Rs.1000 per month.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: X
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
Sports
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards): Yes
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: VIII; Expired
21.Mothers Education level and occupation: Coolie work
22.Does the family own: TV
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#6StudentName: G.Sangeetha
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: Rani
7.Address :No.30/32, Thenpattinam, Cheyyur Taluk,
Kancheepuram Dist
8.Date of Birth: 15:04:1990
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father was expired. Mother is working as agricultural labor earning Rs.1000 per month. She is the only daughter going to school among three elder sisters and one elder brother.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: XII
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: No
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards): Yes
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: Expired
21.Mothers Education level and occupation: Coolie work
22.Does the family own: TV and own hut
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#7StudentName: K.Geetha
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: Guna Sundari
7.Address :No.1/69, Mugaiyur Post, Cheyyur Taluk,
Kancheepuram Dist
8.Date of Birth: 08:02:1990
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father was expired. Mother is a tailor earning Rs.1000 per month
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: XII
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards):
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: Expired
21.Mothers Education level and occupation: Tailor
22.Does the family own:
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#8StudentName: R.Revathy
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: M.Ramakrishna; R.Shanthi
7.Address :No.63, Mugaiyur Post, Cheyyur Taluk,
Kancheepuram Dist
8.Date of Birth: 26.1.1991
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father is a farmer earning Rs.1000 per month. Mother is a home maker.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: X
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: Yes
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards):
III. Students Family Background Information
19.Family Income per year: Rs.12000
20.Fathers Education level and occupation: Farmer; VII
21.Mothers Education level and occupation: Home maker
22.Does the family own:
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______
#9StudentName: M.Lalitha
I. Nominator Information
1.Name :Maria Adaikkalam (ACDS, Kancheepuram)
2.Address : Mugiayur Thope, Village and Post, Cheyyur Taluk
Mugiayur, Kancheepuram
3.Phone :
4.E-mail :
II.Student Information
6.Parents/Guardians Name: R.Munnuswamy; M.Rani
7.Address :No.97, Mugaiyur Post, Cheyyur Taluk,
Kancheepuram Dist
8.Date of Birth: 3:3:1990
9.Sex: Female
10.Relationship with Nominator: Working area for ACDS
11.Reason for requesting Scholarship:Father is a dhobi earning Rs.1000 per month. Mother is a home maker. Among four siblings, she is the only one going to school.
12.Name and address of school:KoovathurHr.SecSchool, Koovathur
Phone No:
14.Class in which the student will be in Academic Year 2006-2007: XI
Photocopy of the previous year’s report card/Mark list/School result sheet to be attached.
15.Taking any additional Tuition outside of school? Please give details: No
16.Outstanding Achievements in academic and co-curricular activities- Please give details:
17.Participated in any Community Service activities - Please give details:
18. What kind of service activity would you like to participate in? (Please answer if you are in Class8 upwards):
III. Students Family Background Information
19.Family Income per year: Rs.24000
20.Fathers Education level and occupation: Dhobi; NIL
21.Mothers Education level and occupation: Home maker; NIL
22.Does the family own:
Land
T.V
Motor Vehicles
IV.Scholarship Information
23.Scholarship amount needed: Rs.1500
(Please provide the original detailed break up for the following)
School fees for the year:
Books and notebooks :
24.Period needed to return the Interest Free loan to Asha (applicable if child is above Std12 years old only. Younger Children get free support): ______