FAEA : Scholarship 2023-24 Application Form * Confirmation Code: 202442756 Personal Details Name (as it appears in * your SSLC/SSC certificate) * Mother's Name * Father's Name Email-ID * Gender MALE * Complete Permanent Address (with Home State/City), 597/3, Flat No 205, JBL Apartments South NEW DELHI DELHI-110030 RADHA RANI * Mobile No. 9717274727 Fax No, Social Details * Category NONE/GENERAL Do you belong to Below * Poverty Line (BPL) NO Category? Do you belong toa Religious Minority? None ABHINAV DHANDA. RAM NIWAS DHANDA abhinav.dhanda755@gmail.com * Date of Birth * address for Communication 597/3, Flat No 205, JBL Apartments South NEW DELHI DELHI-110030 17-Jan-2006 Alternate Mobile No./ 9999890164 Telephone No. ‘Aadhar No. 413456438287 If SC/ST/OBC, please specify Do you have BPL = Card? If yes, give the BPL Card No. Do you have a physical or sensory NO * disability? If yes, please specify » Who was the first person to complete Matriculation (upto class 10) in your immediate family? Grandparents * Father's Education Level Graduation * Father Occupation Private Job * Mother Occupation House wife «Mother's Education Level Post Graduation 264000 “Mother's Income 0 * Father's Income 4 Are you presently getting any State Government Scholarship/other scholarship/fee concession/financial help for pursuing Degree Course?(Yes/No)*: NO » What is your approximate total fee expenditure per year (including course fee and hostel fee)? Please write the minimum funds you require per year?: Rs.116000 Educational Background Class XIIth| * School/Diploma Institute Name? * Which type of school did Private you study in? SECTOR IV RK RAMJAS SCHOOL PURAM NEW DELHI Name of the * Board(Class CBSE XII/Diploma)? * Name of the City/ Town/ Village in NEW DELHIwhich your Class XII School/Diploma Institute was located? If other, please specify Class XII/Diploma - English * Was it a residential NO (boarding) schoo! 4 Class XII/Diploma Medium of instruction Academic Background * Year of passing Class X 2021 * Class X percentage 90.8 «Year of passing Class «Class XII/Diploma ¢.,, XII/Diploma Exam 2023 subject Science * Class XII/Diploma percentage: 90.4% Class for Basis of Percentage Marks Entered: 12th Note: Select 11th class onlyif result is awaited for class 12th (Students whose results of class 12th are still awaited may also apply on the basis of 11th Class marks.) Present Course Pursuing * Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? NO Proposed Course of ciencg if others, please Study specify Why do you want to join this course?(not more than 200 words): As I am from a science background, I am very much interested in Biology and Psychology. The course I am planning to take is BSc hons In Anthropology. I think this course is a good mix of the two fields and I would like to pursue my further studies in this field. Reference Details * Reference Name #1 Mrs AnitaGupta * Gender Female » Address for A 1/223, FF, Paschim Communication Vihar New Delhi - 110063 * City/District New Delhi, Delhi * Pin Code 110063 * State Delhi » Contact No. with STD Contact No./Mobile Code/Mobile No. (i) 9810991382 No. (ii) Fax No. Email-ID anita.gupta@ramjasrkp.com Reference Name #2 Mrs Poulita Nichas Gender Female Address for Mayur Vihar, New ‘Communication Delhi - 110091 City/District New Delhi, Delhi Pin Code 110091 State Delhi Contact No. with STD Contact No./Mobile Code/Mobile No. (i) 9844332268 No. (ii) Fax No. Email-ID poulita@ramjasrkp.com Declaration Thereby declare that I have verified the details indicated above and I confirm that all the information submitted above is correct to the best of my knowledge. I will provide documentary evidence in support of all the above information. If at anyPlace Date stage, if it is found that any of the above information is incorrect and/or is suppressed, the management of FAEA shall have the right to take penal action as deemed fit Application No. 202442756. Applicated submitted on 04 June 2023 12:01 Signature of Applicant (Please Print the form for Further Reference)