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AMM ScholarshipApplication03Dec2021

The document is an application form for the AMM Murugappa Chettiar Centenary Scholarship. It contains 8 sections requesting information from applicants such as personal details, family income details, academic qualifications, college and course details, fee details, bank account information, short essays, and required attachments. Applicants must fill all sections correctly and attach documents like photos, mark sheets, income certificate, fee receipt, and bank passbook or their application will be rejected. The completed form and attachments should be emailed to the provided email address.

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P .sabarinathan
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124 views3 pages

AMM ScholarshipApplication03Dec2021

The document is an application form for the AMM Murugappa Chettiar Centenary Scholarship. It contains 8 sections requesting information from applicants such as personal details, family income details, academic qualifications, college and course details, fee details, bank account information, short essays, and required attachments. Applicants must fill all sections correctly and attach documents like photos, mark sheets, income certificate, fee receipt, and bank passbook or their application will be rejected. The completed form and attachments should be emailed to the provided email address.

Uploaded by

P .sabarinathan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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A.M.M.

FOUNDATION
AMM MURUGAPPA CHETTIAR CENTENARY SCHOLARSHIP
Application Form

READ THE BELOW INSTRUCTIONS BEFORE FILLING THE FORM


1. The Application can be filled up in English or Tamil
2. Applications with incorrect or incomplete information will be rejected
3. The scholarship shall be governed by the regulations issued by the A.M.M
Foundation and the decision of the Foundation shall be final and binding Latest Photo
4. Send the completed forms to [email protected] of the
5. Please attach copy of Mark Sheets in X Std and XII Std Student
6. Attach Income certificate. Income given under 3 below should include actual income
of the family from all sources and not just based on Income Certificate from Revenue
Department
7. Attach statement of fee details from the college & Copy of the receipt of last paid fees

1 Name & Address of the Applicant-


(As per School/College records with proof)

2 Contact Landline /Mobile Number (parent)


Applicants Mobile Number
3 Details of Parents / Guardian (In case of incorrect information, the application will be rejected)
Relationship Name Qualification Employment Monthly Income
(Rs)
Father
Mother
Brothers &
Sisters

Guardian
Income from other Source: Total Monthly
Income*
*Should include the actual income of the family from all sources not just based on Income Certificate
4 Details of the Student:
Name: Sex: Date of Birth:
4.1 School studied and mark obtained in X std and XII std (Attach Copy of Mark Sheet of X Std and XII Std)
Exam Passed Marks Name of School Govt/Aided/ Medium of Fees paid
Matric Instruction per year

X Std

XII Std
4.2 College where the student is studying now
Course Month / Year of Name & Address of the College
Joining

5 Fee Details: Statement of fees from the college & copy of the receipt for last paid fees to be attached
College Fees Refundable
Hostel Fees Mess Fees
Fees paid at the time
Any other Fee
Deposits of counseling

Total Fees for the year


6 Are you in receipt of scholarship, fee concession / fee discount or other financial support from your school or any other
1
organisation in the past or at present? If give Yes, give details
Details of Scholarship, Fee Concession, Donation, etc Course for which Year Amount {Rs)
received

7 Bank Details of the Parent/Guardian/Applicant ( Attach a copy of the front page of your Passbook)
Name of the Account Holder : Account Number:
IFSC Code: Name and address of the Bank

8. About Yourself
8.1Describe your family’s living conditions?

8.2Tell us some things about yourself, your strengths/weaknesses, interests/hobbies:

8.3What is your ambition in life?

2
8.4What is the kind of support you need in your journey to achieve your ambition

Place:
Date:

Attachment along with the mail:


Please attach (scan copy) the following documents with the mail. Mail attachment size should not exceed 5MB
- Latest Passport size photo
- 10th and 12th Mark sheet
- Income Certificate
- Attach statement of fee details from college & copy of the receipt of last paid
- Bank passbook - FrontPage
- Proof of admission: Fees receipt paid, ID card, Bonafide Certificate

Send the completed forms along with attachments to [email protected]

For any queries, contact: 044-24320347

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