APPLICATION FORM SCHOLARSHIPS TO STUDENTS FROM NON-HINDI SPEAKING STATES FOR POST-MATRIC STUDIES IN HINDI 1990-91. Category No. .............. Serial No. of Application. PASS PORT SIZE PHOTOGRAPH With Signature of the Principal in case of the Students who have secured admission. %Marks in Aggregate: %Marks in Hindi: (Not to be filled by the Student of the Institution) for use of State Govt./Head of Col./Organization. 1. Name of the Candidate in full 2. Full address at which communication should be sent (in block litters) to the students. 3. Place of birth 4. Date of birth 5. Permanent address in full ........................ 6. Place where you stay since 1st July 1970. Period Address DistrictState From To 7. Have you been in receipt of a scholarship under the Same Scheme ever before ? If so Indicate the period and place of study. 8. State to which you belong (Please see Note below Rule VII(i) of the Scheme) 9. Name of the language which is your mother tongue. (Please give the name of major language and not the dialects. 10. (a) Are you employed anywhere ? (b) Are you studying through Correspondence? Courses? (c) Are you preparing simultaneously for any two courses? If so give details indicating whether Hindi is a subject of study in both this courses. (d) Are you studying in an unrecognized Institution? 11. (a) Name of the institution where you have secured admission during the current academic year. (b) Name of the University / Volumary Hindi Organization to which the institution joined by you is affiliated. (c) Name of the courses joined by you in the current academic year. (d) Name of the Examination nest below (i.e. examination the passing of which is the minimum qualification for admission to the course mentioned in 11(c) (e) Did you pass the examination next below, with Hindi as a subject. If not, have you passed another examination in Hindi "examination the next below ? If equivalent to mention the name of the examination." (f) Year and month in which the examination next below was held. (g) In how many attempts did you pass the "examination next below" ? (h) Whether you have taken Hindi as a subject in the course of studies now joined by you ? If so, mention the number of years for which you are required to study Hindi in this course. 12. Particulars of all examinations passed commencing from the Matriculation or equivalent examination (Please state from the Matriculation or an equivalent examination and write in chronological order). Name of examination Name of the University Board/Col. Hindi Year and month in which the examination was Class or Division with percentage Organization held Agg. Hindi Number of attempts made in Whether Hindi was a subject in passing the the examination? examination. Please say yes or No. 13. Particulars of School/College/University etc. where you studied, (any break in the educational career should be indicated in the Remarks column). Name of school / College Date of Year Remarks / Date of entering Leaving Institution with name of the City where 14. Father's name in full (a) Nationality (b) State to which he belongs. (c) Occupation (d) Present Address (e) Permanent Address 15. (To be filled only if father is dead) (a) Guardian's name in full (b) Present Address 16. List of documents attached. The reasons for the absence of any document must be clearly stated. Organizational documents should not be sent unless specially asked for otherwise the Government will not be responsible for their loss. Only attested copies should be attached. N.B.-A certified copy of the marks sheet in respect of the Matriculation or equivalent/ I.A. Pre-University/Bachelor's/Master's Examinations whichever the candidate has passed at the last academic year must be attached. If not readily available if should follow as soon as possible, otherwise the application will not be considered. The mark-sheet of the parts or year of one course must be attached. 17. I hereby declare that I have read the Rules of the Scheme and the statements made by me in this application form are true to the best of my knowledge and belief. I further I agree to abide by the terms and conditions of the award if I am selected for the Scholarship applied for. Place (P.O.) (Dist.) (State) (Signature of the Student). 18. (To be filled up by the Head of the Institution in which the students has secudents has admission in the current academic year) (a) i) Does the University to which your College Yes is affiliated conduct the Molt. (Hindi) Examination of students studying in B.A./B.Sc./B.Com. No. (Courses) ii) Deos not arise as the student is not studying B.A./B.Sc./B.com. Course. (b) In case the answer to (a) above is "yes" whether the student will be eligible for admission to the M.A. (Hindi) Course of the same University after passing his/her B.A./B.Sc./B.com. (c) Is your college an evening College? If so is the Students employed any where ?
