††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† S.No(for official use only):

Ambedkar Scholarships

302,CHANDRA GANGA ENCLAVE BRUNDAVAN COLONY,DR.A.S.RAO NAGAR,E.C.I.L.POST,HYDERABAD-500 062

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††††(Application for free coaching SC/ST/OBC)†† ††††††††††††††††††††††††††Use only Capital letters

Name

 

 

Surname

 

Date of Birth (DD/MM/YYYY)

†††††††† /††††††††††† /19

Sex (M/F)

 

Fatherís ††Name

 

Occupation

 

Motherís Name

 

Occupation

 

Family Income PER YEAR (Attach Certificate)

Rs.

Religion

 

Caste (Attach Certificate) SC/ST/OBC

 

Sub caste

 

Address for Communication

House No.

 

Tel. with STD

 

Street/Town/Village

 

Mandal/Taluk

 

District

 

State

 

Pincode

 

Educational Qualifications- starting from SSC (Attach certificates)††† ††††††††††††††††††††††††††††††††

Qualification

Subjects

% of Marks

Year

SSC

 

 

 

Intermediate/+2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family memberís qualifications (List qualifications/professions of all your brothers and sisters)

Name

Qualification

Relationship

Profession

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

  • What do you know about Babasaheb Ambedkar, his life and mission?
  • What do you plan to achieve in life? How and Why?
  • How do you plan to help others in your adult life?

 

 

††

†††††† (Paste Photo Here)

 

 

Signature

 

 

 

Place

 

 

Date

 

 

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. ††

4. For further details please write to us at mba.coaching@gmail.com

5. Address to send application:

 

www.ambedkarscholarship.org