S.No(for official use only):
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Ambedkar Scholarships 302,CHANDRA
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Name |
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Surname |
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Date of Birth (DD/MM/YYYY) |
/ /19 |
Sex (M/F) |
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Father’s Name |
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Occupation |
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Mother’s Name |
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Occupation |
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Family Income PER YEAR (Attach Certificate) |
Rs. |
Religion |
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Caste (Attach Certificate) SC/ST/OBC |
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Sub caste |
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Address for Communication |
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House No. |
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Tel. with STD |
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Mandal/Taluk |
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District |
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State |
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Pincode |
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Educational
Qualifications- starting from SSC (Attach
certificates) |
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Qualification |
Subjects |
% of Marks |
Year |
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SSC |
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Intermediate/+2 |
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Family member’s qualifications (List qualifications/professions of all your brothers and sisters) |
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Name |
Qualification |
Relationship |
Profession |
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Essays: Write 3 essays in your own words on the following topics on a
separate paper in Telugu/English(it is a must to receive scholarship): Please
write your name and address at the top of
each sheet of paper
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(Paste Photo Here) |
Signature |
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Place |
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Date |
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Important Notes: 1. Attach
Xerox copies of certificates wherever mentioned.
2.
Please send applications by ordinary POST only
3.
Selected candidates will be informed by post. No other communication is
entertained.
www.ambedkarscholarship.org