For Office Use: Outward No: Date: Inward No.: Scholarship Rs.

: Sanctioned/Reject ed: Signatu re

Affix Passport size photo

JITO ADMINISTRATIVE TRAINING FOUNDATION

Scholarship for Empowering Education & Development (SEED)
901, Corporate Avenue, Sonawala Road, Near Udyog Bhawan, Goregaon (East), Mumbai 400 063

APPLICATION FORM

1. 2.

Name of the Applicant Permanent Address Tel. No.:

: : Pin Code: Mobile No.: Email ID: (Attach Proof)

3. 4. 5. 6.

Date Of Birth: Name of father/Mother/Parent:

Annual Income of family members: Rs. If I. Tax returns filed: YES / No. If yes, attach copies

Source of Income

Education details: Give full details. Attach mark sheet copies etc. Sr. Last Exam Year Marks Percentag Name of school/ College/ passed institution No. obtaine e d 1 SSC 2 3 4 5 6 HSC Graduation. Post Graduation Other

(Attach certificate from principal of the college where you are presently studying)

7. 8.

Study in India/ foreign Give name of Place and Country Loan Scholarship required for the study of of College/institution (with proof where you are

9. Full Name & Address getting the admission):

10. 11. 12.

Total expected expenditure: Rs. Scholarship amount required: Rs.

Amount arranged from other source: Rs._ _/- per month/per year

Have you applied/ got scholarship from other Trust/Institution: Yes /No. If yes Give full details such as Name, Amount, Period from/till you are getting scholarship _ If Application is rejected? : Yes / No If yes reason Details of family members Sr.No Name Age Relation with applica nt Business/ Profession / Employme Name of the firm/Company Annual Income/ Salary

13. 14.

Declaration by the student:

1.

I have read the terms and conditions of your Institution/Trust - JATF and the same are acceptable to me and in future any changes in the Terms & Conditions of the Trust, same will be acceptable and binding on me. 2. Information given above is true and correct. 3. If there is any change in College/Institution or my address, same will be informed immediately, without fail. 4. I will send acceptance letter and consent agreement duly signed by me immediately. 5. I hereby declare that amount of scholarship will be utilized for education purpose only. I will return the loan scholarship amount after completion of study in installments after the moratorium period i.e. within one year of completion of education or getting a job, whichever is earlier. 6. It is my moral and social responsibility to remember and help the JATF for its growth in future to serve better. Now, I humbly request you to kindly sanction loan scholarship and oblige. Yours Sincerely

Signature of father/mother/Parent (if applicant is minor) student)

(Signature of the

CONSENT OF FATHER/MOTHER/PARENT
I Father/Mother/Parent of Mr./Miss. , who is applying for loan scholarship, give consent for the same. The Information submitted with the application is true and correct. I hereby request you to kindly help him/her and give loan scholarship for his/her study and oblige. (Signature of Father/Mother/Parent)

We the below signatories hereby confirm and state that we know the applicant and his family since _years and to the best of our knowledge and belief, the information given in the application is true and correct. We hereby recommend this application for loan scholarship from your Trust.

RECOMMENDA TION

1) (Signature of recommender) recommender) Full Name: Address:

2) (Signature of Full Name: Address:

Ph. No./Mob. No. Ph. No./ Mob. No. (Phone No. with code is to be given) (Attach two original recommendation letters from the local persons) ---------------------------------------------------------------------------------------------------------------------------------------Documents to be attached 1. Birth Certificate / Proof of Age 2. Ration card/Address Proof 3. School Leaving Certificate 4. Marks sheet of SSC/HSC/Graduation 5. Certificated True Copy of admission confirmation/approval 6. Income proof family members (Salary certificate/I.T. returns filed); Certificate from Talati/Tehsildar 7. Recommendation letters, in original, on their letter head 8. Copy of VISA clearance (if opting for foreign study) 9. Latest passport size photos 2 Important Notes: 1. JATF provides Loan scholarship on returnable basis.

2. 3.

Student should send back a consent letter on receipt of sanction of scholarship letter. Consent agreement will be taken from the student on sanction of scholarship. On completion of the formalities, the scholarship amount will be sent. 4. If application form is not filled fully and correctly with proper supporting, it will be disqualified and will not be kept for consideration in the meeting. 5. Acceptance/rejection of application form is solely at the discretion of the JATF Committee.