Professional Documents
Culture Documents
APPLICATION FORM
Please fill out the form clearly using CAPITAL letters only PASTE A RECENT
Is this in continuation of Award? Y/N ____ If yes? Indicate Year______ Amount_______/year PHOTOGRAPH
Nature of employment: Service* Self Employed Nature of employment: Service* Self Employed
* Attach employer's certificate confirming salary with telephone no.
Applicants monthly income (Other Scholarship/s, Part Time Job etc) Rs.___________ pm.
Correspondence Address:
House Number/Name) (Society/Mohalla)
(Street/Locality) (Town/City)
Academic Record : (Provide details of all education completed till 2010. Attach attested copies of mark sheets)
I interviewed the applicant/visited home/ met the Verified the Applicant’s academic record and income:
parents and found the family circumstances:
(a) Full Time student Y N
a) Same as claimed Y N
(b) Getting Financial Assistance (Rs 300/month or more from
other sources Y N
b) Better Y N
(c) Financial claim is supported by Y N
c) Worse Y N his/her lifestyle in school
Name ……………………………………………
Note: AEEF prefers that applications are submitted through a facilitator. Please
contact us by email (AEEFund@gmail.com ) to find the name of the facilitator in
your area.