MAIDH TRUST (Regd.

# 1, D.K Lane, Chickpet Cross, Bangalore-560053. Phone: 080-22269791.

Rules & Conditions.

1. Eligibility for application is minimum 60% marks obtained in the previous examination and these
scholarships are for economically weaker section.
2. Total Nine (09) numbers of scholarships are given amounting to Rs. 45,000/- each. Four (04)
Scholarships will be given to Boys and Five (05) scholarships will be given to Girls).
3. It is essential that the candidate should fill in CORRECTLY all the information desired. No
column should be left blank. Each applicant must furnish,
a. A certificate from College principal giving details about admission to the college,
fees, examination fees and other expenses.
b. Attested copies of all marks sheets from SSC or its equivalent till the last
examination.
c. Parents / Guardian’s income certificate / salary certificate.
4. The student must inform the Trust, if expects or actually getting some help from other sources /
whether in form of concessions in fees, scholarships from other institutions or help given by any
person.
5. The student will keep the Trust informed of progress in studies from time to time.
6. If the student discontinues studies during the session for which he/she getting scholarship, he/she
must immediately inform the Trust of the same and return the entire amount so received.
7. The Trust will take into consideration a number of other factors, besides the academic record,
while making the final selection of scholars. Trust decision on the award of scholarship is final, no
correspondence is this regard will be entertained. No communication will be sent to those not
selected.
8. The student’s scholarship may be stopped or reduced at the sole discretion of the Trust, if it is
found that he / she has made false statements in the application or has failed to produce complete
information.
9. The failure of a student to comply with any of the conditions will disqualify him / her from
receiving any further or part of the scholarship so awarded.
10. Application should reach the office of the Trust latest by 31st July 2018.

Sanjay Varma
Secretary

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 MAIDH TRUST (R.)
No. 1, D.K Lane, Chickpet Cross, Bangalore – 560053. Phone: 080-22269791.

SCHOLARSHIP APPLICATION FORM.

YEAR – 2018-19.

SI Particulars Details. Photograph.

No.
01. Applicant’s Name in full
(Block Letters)

02. Present Address

03. Permanent Address

04. Telephone No / Mobile No

Email ID:
05. Date of Birth Age Marital Status

06. Address of the Institution

(College / University)

Name of the Month Name of University Principal & Percenta Prizes

Examination and year & College Subsidiary subjects ge of Scholarships
of Marks or & Medals
passing Grades
HSC or
Equivalent
exams

I Year

II Year

III Year

IV Year

V Year

Note
 If the above information is not furnished correctly, this form will not be considered.
 If any examination was not passed at the first attempt the fact should be clearly stated

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06. College / University Details

Name of the Institution last

attended.
07. Class or Year (Present)………… of the full course of ……. Years

08. Subjects taken

09. Concession in Fees

10. How did you finance the education

till now

11. College Activities, Athletics and

other relevant information if any

12. Life Goal or Purpose

13. Details of documents enclosed

I hereby declare that the information provided above are true and correct to the best
knowledge and belief, should it be found otherwise, the Trust would be justified in taking due
action against me. If I’ am selected, I agree to abide by the rules and conditions of the
MAIDH TRUST Scholarships for the Higher Education.

Date:

Signature

SI Particulars Details.
No.
01. Father’s or Guardian’s full name and
address

02. Telephone No / Mobile No.

03. Occupation and Yearly Income

04. Family Member Details.

05. Permanent Residential Address

05. Parents / Guardian Signature

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 CERTIFICATE BY THE HEAD OF THE INSTITUTION.

I agree that the applicant Mr. / Ms. Appeared at

Examination held on The results of the examination is as follows:

SI No. Subjects Total Pass Marks Grade or Remarks.

Marks Marks Obtained Percenta
ge marks
secured
01.

02.

03.

04.

05.

06.

07.

08.

09.

TOTAL

The student’s conduct has been …………………………………………….

The statements made by the applicant are correct to the best of my knowledge.

Head of the Institution

Date Seal of the Institution.

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NOTE:
1. The candidate is required to give reference of two reputed persons other then his / her
relatives.

2. The Trust may refer to these persons regarding the candidate’s career, character and
eligibility for the award.

REFERENCES FROM TWO RESPONSIBLE PERSONS.

(A)

1. Name in full

2. Occupation

3. Full Address

4. Telephone / Mobile Nos.

Signature

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(B)

1. Name in full

2. Occupation

3. Full Address

4. Telephone / Mobile Nos.

Signature