S.No(for official use only):

Ambedkar Scholarships 302,CHANDRA GANGA ENCLAVE BRUNDAVAN COLONY,DR.A.S.RAO NAGAR,E.C.I.L.POST,HYDERABA (Application for SKA students) Use only Capital letters
Name					Surname
Date of Birth (DD/MM/YYYY)		/ /19			Sex (M/F)
Father’s Name					Occupation
Mother’s Name					Occupation
Family Income PER YEAR (Attach Certificate)			Rs.		Religion
Caste (Attach Certificate) SC–A/B/C/D or BC-C					Sub caste
Address for Communication
House No.				Tel. with STD
Street/Town/Village
Mandal/Taluk				District
State				Pincode
Education (completed)
Class Obtained				Marks Obtained/Total Marks		/
Name of the School
Street/Town/village
Mandal/Taluk				District
State				Pincode
HM/Principal Name				Tel. with STD
Education (present)
Subjects/Group opted
Name of the College
Street/Town/Village
Mandal/Taluk				District
State				Pincode
Principal Name				Tel. with STD
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. For further details please write to us at ambedkarscholarship@yahoo.com

Website: www.ambedkarscholarship.org or www.ambedkarscholarships.org