INTERNATIONAL ALUMNI ASSOCIATION
OF SHRI MAHAVIR VIDYALAYA TRUST
14/10 Virvijay Society, Near Sanghavi High School, Naranpura, Ahmedabad-380013
Phone: 2-741-7788 Website:
LOAN SCHOLARSHIP APPLICATION FORM
I Personal Information:
Full Name: ______
Address:______
______
______Pin Code ______Phone ______
Date of Birth______Religion ______
Father's Name: ______
Address:______
______
______Pin Code ______
IIEducational Information:
High School
/ % Of MarksObtained / Class /
Rank / Class
Size* / College
Year / % Of Marks
Obtained / Class /
Rank / Class
Size*
IX / First
X / Second
XI / Third
XII / Fourth
* Total number of students in the class
Note: Please submit a detailed mark sheet for each of the last two examinations.
Proposed Degree Course: ______
Name & Address of college: ______
Name of University: ______
Address during study ______
IIIFinancial Information:
Parents' Annual Income: ______(To be certified by a gazzetted officer, Municipal Corporation, Panchayat Pramukh, or Special Executive Magistrate or institute/Firm
Certificate)
List of family Members: ______
State your financial needs in view of your parents' income:
Tuition/year: ______Books: ______Lodging & Boarding: ______Total ______
Less -Total financial aid expected to be received from other than these sources: ______
Amount of loan requested for this year ______
IVGeneral Information
Extra Curricular Activities (Games/Cultural/Social etc.):
______
______
Define your objectives and goals after your study is over:
______
______
The information furnished above is true to the best of my knowledge and belief and hereby agree to abide by the terms and conditions of the scholarship. I understand that if I am awarded this scholarship, I will repay it within five years from the date of my graduation or completion of study, whichever comes first and I may be charged interest at the then prevailing rate on the outstanding loan balance if I fail to do so.
______
(Applicant's Signature)
VReferences
Please provide two references of the people who know you well.
Signature, Name and Address: ______
______
______
Signature, Name and Address: ______
______
______
(Attach extra sheet, if required, for the information not covered above)
INTERNATIONAL ALUMNI ASSOCIATION
OF SHRI MAHAVIR VIDYALAYA TRUST
14/10 Virvijay Society, Near Sanghavi High School, Naranpura, Ahmedabad-380013
Phone: 2-741-7788 Website:
RULES AND REGULATIONS
- This program entails awarding an interest free loan scholarship to a bright and needy Jain student pursuing education in Technical Institute, Medical College, Pharmacy College MBA or MCA fields.
The student’s parent income, academic records are some of factors to determine eligibility
Scholarships are available for entire course of studies but awarded yearly.
Student with satisfactory academic performance needs to apply each year during the course of studies
This is an interest free loan scholarship and released on the student’s signing an agreement on a stamp paper of Rs. 50 to return the loan amount within 5 years after completion of studies or after quitting the studies without completing the requirements.
- The application dead line and award notification dates are as under:
Application Dead Line: August 31
Award Notification: October/November
Application form can be down loaded from web site (Click on Scholarship Forms than click on “ Undergraduate Education Loan Scholarships in India “ and print)
Application Form can also be obtained or mailed to Dr. SunilShah at above address. The application form must include self addressed stamped envelope with Rs. 5 stamp.
Last date to send application form is August 20.
- Application shall be accompanied with following documents:
(a)Copies of detailed mark sheet for each of last two examinations.
(b)Copy of the current year’s tuition fee receipt (New applicants)
(c)Copies of previous year’s tuition fee, lodging, boarding and books receipts. (Students already in college)
(d)Parent’s yearly income certificates.
(e)Certificate/proof for Jain.
Revised June 4. 2017