Download Swethambar Form - Jains India

Student IDJAINSINDIA TRUSTApplication No:Date:'Siyat House' #961,Poonamallee High Road, Chennai-600 084.Phone no:044-42933316/333 | Email:jainsindiatrust@gmail.comSCHOLARSHIP APPLICATION FORM FOR SHWETAMBAR JAIN RESIDING IN TAMILNADU ONLYACADEMIC YEAR 2014-2015Student Name:Date Of Birth:Gender:Community:Gothram:Sub Gothram:Name of the Father/Mother/Guardian:Photo of the StudentPresent Address:Permanent Address:Mob No: Res: Email:Photo of the ParentInstitution Name:Previous Standard : Present Standard :Profession:Monthly familyincome Rs:No.of dependents:Name & address of employer(OR)If self employed/business(funish details with tel. no.)DeclarationI solemnly declare that I belong to the SHWETAMBAR Sect of the Jain community and the above details are true to the best ofmy knowledge & belief. I or my ward will not apply for scholarship from any other institution, but in the event I receive financialassistance from other sources, I will declare the same to your trust. I hold myself solely responsible for suppressed or falseinformation. In case of false or incorrect information I agree to return the entire amount of scholarship to the institution. I alsoagree to abide by the rules of scholarship granted.SIGNATURE OF THE STUDENT(For Office Use Only)CATEGORY Total fees : Rs AMOUNT SANCTIONED : RsDateRECEIPT DETAILSDepositedReceipt No.AmountDeposited DateChequeNo.PAYMENT DETAILSChequeCheque DateAmountSIGNATURE OF THE PARENTRemarksNB: 1)2 copies of the Passport Photos2)E-mail/Mobile phone is mandatory3)Photo to be attested by head of the institution

Sir,VERIFICATION FROM THE SCHOOL__________________________ S/o or D/o __________________________is studying in this institution. He /She wasstudying _______ class of ___________________________________________________________________ (Institution) inand had been promoted to _________class for academic year 2014-2015.The details of fees payable by him/her for theacademic year 2014-2015 are enclosed. The conduct and academic performance of the strudent had been AVERAGE / GOOD /V.GOOD / OUTSTANDINGNB: 1)Please attach full details of Mark List for 2013-20142)Fee details3)Income CertificatePlace:Date:Signature of the Head of the InsitutionName & Designation along with theseal of the Institution