††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† 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)

 

Fatherís ††Name

 

Occupation

 

Motherís Name

 

Occupation

 

Family Income PER YEAR (Attach Certificate)

Rs.

Religion

 

Caste (Attach Certificate) SCĖA/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