Download Application Form For Award Of Educational Scholarship From Navy Wives Welfare Association (Central) To The Children Of Deceased Naval Personnel

APPLICATION FORM FOR AWARD OF EDUCATIONAL SCHOLARSHIP FROM NAVY WIVES WELFARE ASSOCIATION (CENTRAL) NEW DELHI TO THE CHILDREN OF DECEASED NAVAL PERSONNEL PART I PARTICULARS OF SERVICE 1. Name of the widow/Applicant --------------------------------------------­ 2. Relationship with the deceased -------------------------------­ 3. Name, Rank and Number of late Officer/Sailor -------------------------------------------------- Photgraph of Applicant 4. Ship / Establishment last served ------------------------------­ 5. Date of Release/discharge / death --------------------------- PART II DETAILS OF DEPENDANTS Sl. Name Age Relationship 1. 2. 3. 4. 5. 2. Rate of family pension/children Allowance per month -------------------------­ 3. Total monthly income of the family including income from landed / house property --------------------------­ 4. Any other source of income, indicate amount per month ( if employed, give place of duty and pay per month) -------------------------­ 5. Whether any other member of the family earning ( give monthly income) PART III 1. Number of school/college going children ------------------------------­ 2. Number of boarders/day scholars ---------------------------------------­ 3. Particulars of the children Sl. Name of the child Date of Name of school/ Class in Date of Period of birth college which admission Academic studying in school/ year college 1. 2. 3. 4. 5. 4. Yearly approximate expenditure on 1) Books --------------------------­ 2) Stationery --------------------------­3) Uniform --------------------------­4) Fees --------------------------­ 5. Whether any child is in receipt of scholarship from INBA or any other source; give particulars of scholarship and the amount of the scholarship per annum. 6. Whether the child has been granted fee remission or fee concession by the educational institution and amount of fees paid per month PART IV CERTIFICATE FROM THE APPLICANT Certified that the above particulars are correct and any false statement by me will render me ineligible for a scholarship Date Signature of applicant PART V SCHOOL/COLLEGE ATTESTATION Certified that the facts given in part III above are correct as per school/college records. Stamp of the School/College Signature of with Date Head of the School/College