SCHOLARSHIP REQUEST FORM
Since 2004, Aaghaz has helped over 2,500 poor Muslim children at the grassroots, including many orphans, giving away Rs 3 million in financial assistance and scholarship programmes.
PERSONAL INFORMATION
Title
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Master
Ms
Name
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First Name
Middle Name
Last Name
Date of Birth
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State
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City
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Contact Phone
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Country Code
City Code
Tel No.
Address for Correspondence
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Email
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ACADEMIC INFORMATION
Are you currently enrolled in any school/college/university
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Yes
No
Current Academic Status
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Name of the School/college/university
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School Contact No.
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Country Code
City Code
Tel No.
School Principal Name
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First Name
Middle Name
Last Name
Academic Report Card
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Year
School/College/University
Class
Percentage
ADDITIONAL INFORMATION
Father's Name
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First Name
Middle Name
Last Name
Mother's Name
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First Name
Middle Name
Last Name
How many Brother's and Sisters
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No. of Family Members
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Yearly Income of Family(INR)
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Please specify if you have any kind of disability
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Write in 100 words on why you need a scholarship
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Approximate value of scholarship required in Indian Rupees
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Two reference names along with complete Address/Tel No.
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Attach Photograph
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Attach any other documents
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FACTS ABOUT INDIAN MUSLIMS
INDIA WISDOM FOUNDATION
BIHAR ANJUMAN