Application
For Scholarship
Please check one relevant category:
Competitive Merit Scholarship:
(100% & 75%)
Armed Forces
Merit-cum-Need Scholarship:
Police
Govt. Employee
Journalists
Fill all Sections from A to I. and
Attach evidence of monthly
Income.
A:
Campus:
Special Scholarship
Application Form No:
Fill Sections A, D, G and I only and
attach evidence of service
PERSONAL INFORMATION
Name of applicant:
Father’s / Husband’s Name:
Registration No:
Program: Class:
Class:
Address:
Tel:
Program sponsored by
B:
Program Applied For:
Parents
Guardian
Self Finance
FAMILY INFORMATION
Father’s Name:
OR Guardian’s Name:
Father’s/Guardian’s Occupation:
Relationship:
Organization:
Office Address:
Tel:
Residence Address:
Tel:
Monthly Income from all sources:
C:
Rs.
RESIDENCE
Own House
Rented House
Living Jointly with Parents
Living Jointly in Extended Family
In case of rented house please indicate monthly rent:
D:
Government accommodation
Rs.
APPLICANT’S EMPLOYEMENT STATUS
Unemployed
Employed
Designation:
Self Employed
Organization:
Nature of Business:
Address:
Tel:
Fax:
Monthly income
E:
Living Separately
E-mail:
Rs.
MONTHLY INCOME
Total Monthly income (Parents + Self + Wife + Other sources)
Rs.
F:
A.
FAMILY STATUS
Marital Status of Applicant:
If married
B.
Wife Unemployed
Joint Family System:
Unmarried
Wife Employed
No. of Dependent kids:
Other Dependents of Father / Guardian:
No. of Brothers / Sisters:
C.
Married
Other Dependents:
Total Dependents:
Living Separately:
No. of Dependents of Applicant (other than wife & kids):
G:
LATEST REQUIRED QUALIFICATION (Only one last Qualification to be included, as required for admission)
Last Qualification
Marks Obtained
Max Marks
Grade / Division
Board / University
FA / FSc / I.Com / Inter
O levels / A levels:
BA/BSc/BSc-Engg/B.Com/Etc.
Exams to be taken
H:
Exam’s result awaited & proof of exams
attached
Exam’s taken, result awaited & proof of exams no’
available
OTHER SCHOLORSHIPS
Are you getting scholarship from any other source?
Yes
No
If yes, please write the name of organization/institute:
Address:
I:
Tel:
DECLARATION
DECLARATION BY STUDENT
I, ____________________________________ hereby confirm that the information given above is true and correct to the best of my
knowledge and belief, if found incorrect or false at any stage, the University has the right to cancel my scholarship and may
take decision against my fake statement. I understand that if I am awarded any scholarship in any category by Preston
University, it shall be subject to my satisfactory academic performance by maintaining the minimum GPA requirement each
semester/quarter, I further understand that if I am involved in any act of indiscipline, my scholarship will be cancelled.
Date: ____________________________
Applicant’s Signature:
___________________________
DECLARATION BY PARENTSS/GUARDIAN
(Not Required by Executive Program Applicants)
I, __________________________________________________________ hereby confirm that the above mentioned information given by
____________________________________________________________ is true/correct and I, recommend him/her for the scholarship.
Date: ____________________________
Parent’s/Guardian’s Signature:
___________________________