1. Certified true copy of birth certificate

3. Declaration by the Applicant (Form 2)

4. Certified true copy of certificate of admission / registration to

a College or University with fee receipt.

5. Income Certificate of parents or guardian

6. Certificate of good character from the college or university

in which the student is studying.

7. One passport-size photograph (4cm X 6 cm)

8. Certificate of good health from a doctor or a hospital.

9. Certificates of extracurricular activities and performance if the

applicant so likes to attach

10. Any other information/certificate justifying case of the applicant

Page: 2

        1.1 Name:.....................................................................................  1.2 Home State: ..............................

        1.2 Date of Birth: ...............................................                              1.3 Marital Status: ...........................

            2.1 Mailing Address: ..........................................................................................................

                ....................................................................................................................................

                ..................................................................................... PIN .......................................

            2.2 Telephone: .......................... 2.3 Email ID: ..........................................................

            3.1 Father or Guardian’s Name: Mr .................................................................................................

            3.2 Relation with Guardian (if needed): ............................ 3.3 Occupation: ...............................

          3.4 Family’s Annual Income: Rs ..................................... 3.5 No. of Family Members: ............

           3.6 Mother’s Name: Mrs .......................................................

1.              High School

2.              Senior Secondary

3.             Graduation:

4.             Post Graduation:

5.             M Phil

6.             Any Other Course

        5.1 Discipline : ..................................... Degree............................. Year .......................................

        5.2 Institution/College: ......................................................................................................................

        5.3 University: .................................................................................................................................

        5.4 Date of Admission/Registration in the present course: ..................................................................

        5.5 If the applicant is already in the Second Year of the Course then the Result thereof:

                Academic Year: .............. % of Marks obtained: ............

Page: 3

Form - 2

I, ............................................................................................................................. (full name), the undersigned

applicant for a scholarship from the FOUNDATION FOR SOCIAL CARE, having read the information, guidelines and regulations pertaining to the Programme, promise to fully comply by them.

I do hereby declare that :

1. My parents/guardian are not in a financial position to support my higher education.

2. That my father / guardian had attained highest educational qualification as .................................... and his / her present occupation is ................................................... and his/ her monthly income is Rs. ................../- from this occupation.

3. That my family’s total annual income is Rs. ............................/-.

4. I am not in receipt of any other scholarship from any other body/organisation nor will I take any other scholarship while getting benefited from the FSC Scholarship Programme. It is also declared that none of the applicant’s brother or sister had received or receiving any scholarship from the FSC.

5. As long as under the FSC Scholarship Programme , I will devote full time to my education and will not take any work, remunerated or not, that may effect my study.

6. During my study, a regular report will be submitted to the FSC about my academic performance and activities. I will also send to the FSC my examination results, transcripts and financial receipts.

7. On completion of my study, I will refund the scholarship loan to the FSC and will assist in the development of my community and country.

8. I also promise to attend all programmes and activities organised by the FSC relating to my educational and moral orientation.

9. I hereby declare that I fully understand the objectives and the spirit of the FSC Scholarship Programme and certify that all the information given in this application form and its attachments and documents is complete and correct to the best of my knowledge.

Place: ..................................                                                                         Applicant’s Signature

We, the undersigned, on behalf of the Muslim community, do hereby certify that the student, .....................................................................(name), applying for a Scholarship from the FSC, have good conduct and high moral character so long as we know, and has signed before me/us, the Declaration by the Applicant (Form2), as above, willingly and without any undue pressure from any person or party and promises to uphold high values in life and apply them in his/her daily life.

Name of the organisation with Address : ...............................................................................................................

....................................................................................................................................Pin Code: .......................

Tel.: ................................

Name of Signing Person....................................................................................... Position: ......................................

Name of Signing Person.................................................................................... Position: ......................................

Date: ................................                          .................................................                .................................................