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Online Application - FAEA 2020-21

The document is a scholarship application form that contains personal details, social details, educational background, academic background, and reference details for an applicant named Mallareddy Vamsi. The applicant is currently pursuing a Bachelor of Technology in Mechanical Engineering at the National Institute of Technology Srinagar and is applying for the scholarship to help fund his engineering education to become an automobile engineer.

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Amilineni Sudheer Chandra
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61 views3 pages

Online Application - FAEA 2020-21

The document is a scholarship application form that contains personal details, social details, educational background, academic background, and reference details for an applicant named Mallareddy Vamsi. The applicant is currently pursuing a Bachelor of Technology in Mechanical Engineering at the National Institute of Technology Srinagar and is applying for the scholarship to help fund his engineering education to become an automobile engineer.

Uploaded by

Amilineni Sudheer Chandra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FAEA : Scholarship 2020-21

Application Form

* Confirmation Code: 202019903


Personal Details
Name (as it appears in
* your SSLC/SSC  MALLAREDDY VAMSI
certificate)
* Mother's Name MALLAREDDY TEJAVATI
MALLAREDDY PRASADA
* Father's Name
RAO
Complete Permanent
* Address Mallareddy vamsi
(with Home State/City)
    Jalumuru,Challavani peta
   
    Srikakulam
* Home City/District SRIKAKULAM * Pin Code 532432
* Home State ANDHRA PRADESH      
Address for
* Mallareddy vamsi
Communication
    Jalumuru,Challavani peta
   
    Srikakulam
* City/District SRIKAKULAM * Pin Code 532432
* State ANDHRA PRADESH      
Mobile No.2 /
* Mobile No. 9052286324   Telephone No. with STD
Code
Fax No. Email-ID [email protected]
* Gender MALE * Date of Birth 27-Dec-2002
Aadhar No.

Social Details
If SC/ST/OBC, please
* Category NONE/GENERAL
specify
Do you belong to Below Do you have BPL Card? YES
* Poverty Line (BPL) YES * If yes, give the BPL Card
Category? WAP012301900134
No.
Do you have a physical or
Do you belong to a NO
* None * sensory disability?
Religious Minority?
If yes, please specify
Who was the first person to complete Matriculation
* Siblings
(upto class 10) in your immediate family?
* Father's Education Level Illiterate * Mother's Education Level Illiterate
* Father Occupation FARMER * Father's Income 82000
* Mother Occupation HOME MAKER * Mother's Income 0

Educational Background
Class XIIth
SRI CHAITANYA JUNIOR Name of the Board(Class BOARD OF INTERMEDIATE
* School/Diploma Institute *
COLLEGE XII/Diploma)? EDUCATION ANDHRAPRADESH
Name?
Name of the City/ Town/
Village in which your
Which type of school did VISHAKHAPATANAM
* Private * Class XII School/Diploma
you study in? Institute was located?
If other, please specify
Class XII/Diploma - Was it
Class XII/Diploma
* English * a residential (boarding) YES
Medium of instruction
school

Academic Background
* Year of passing Class X 2018 * Class X percentage 95
Year of passing Class
* 2020 * Class XII/Diploma subject Science
XII/Diploma Exam
93.29

Class for Basis of


Percentage Marks Entered:
12th
Note: Select 11th class
onlyif result is awaited for
Class XII/Diploma BACHELOR OF TECHNOLOGY IN
* class 12th Present Course Pursuing
percentage MECHANICAL ENGINEERING

(Students whose results


of class 12th are still
awaited may also apply on
the basis of 11th Class
marks.)
Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG
*
Etc)?
YES
if Yes, provide the following information:
Pursuing Currently you are In Year 2020-21, you
Name of the College City State Degree/Course studying in the year will be in which
Name (Course Year) (course year)

NATIONAL INSTITUTE JAMMU


JAMMU AND
OF TECHNOLOGY SRINAGAR AND I I
KASHMIR
SRINAGAR KASHMIR
Proposed Course of
* Engineering if others, please specify
Study
Why do you want to join
I WANT TO BE AN AUTOMOBILE ENGINEER IN COMPANIES LIKE FORD OR TESLA AND
this course?
WANT TO WORK ON DIFFERENT TYPES OF ENGINES WHICH WORK ON RENEWABLE
(not more than 200
RESOURCES
words)

Reference Details

Declaration

I hereby 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 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.  202019903

Place
Date Signature of Applicant

Print
(Please Print the form for Further Reference)

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