Class 9th to 12th Scholarship Application Form is valid for session 2026-27

(Submission of this application does not guarantee for approval of the Scholarship)
Application without proof of admission i.e. (Fee Receipt or Bonafide certificate & Last Examination passed mark sheet will be SUMMARILY REJECTED)
(Orphan [Yateem] Students are requested to submit death certificate of his/her Father)
Student Image
JADEED - New Application Tick any one Wazifa Number
TAJDEED - Appln. For RENEWAL
For Official Use: Date:
Screening Committee Remarks:
Member's Name of Screening Committee: Signature:
STUDENT APPLICATION FORM
Name of the Student
Date of Birth Present Class 9th
Course of Study Science Admission Fees (Rs) 2500
Total Annual Fees (Rs) Institution Name & Address
Father's Name Father/Guardian Annual Income (Rs) 3,00,000
Mother's Name Mother's Annual Income (Rs) 0
Guardian Name - Guardian Relationship -
Permanent Address
Pin Code Aadhaar No. XXXXXXXXXXXX
Present Address Same as Permanent Address
Contact No. Email
Bank A/C Name Bank A/C No. XXXXXXXXXXXX
IFSC XXXX0001234 Bank Name, Branch & City
Recommendation by any Member of the Anjuman WSWM (Not to be filled by student)
Name of Member Membership No: Mobile No:
Address: Signature of Member:
Recommendation by "Aalim-e-Deen" or Reputed Person (Not to be filled by student)
Name of Member: Mobile No: Pin Code:
Address: Signature of Member:
Recommendation by the Local Secretary of the Anjuman WSW Momineen (Not to be filled by student)
Name of Local Secretary: Mobile No: Email:
City / Area: Pincode: Signature:
Declaration
Signature of Parent/Guardian _________________
Signature of Student: _________________

Note / Instructions

arrow Jadeed (New) Applicants are those who are applying wazifa for the first time or applying for a new course, for example first year/B.A./B.Sc./B.Com etc. Tajdeed (Old) Applicants are those who have received wazifa for a particular course during last session and applying for IInd & IIIrd year of the same course during the current academic session.

arrow Normally scholarships are granted for students studying in class XI, graduate & post graduate courses. However application from financially weak students may be considered under special condition.

arrow Percentage of marks obtained in last examination shall be the criteria for award of scholarship in each category. However cases of orphans shall be considered on priority basis.

arrow Use capital letters while filling the columns numbers 1-11.

arrow Bonafide certificate from the present institution / fee receipt or any document ensuring admission of the student during the current session should be enclosed.

arrow Applicants are advised to keep a photocopy of the filled application form with them.

arrow Students should submit only their active bank account passbook with recently updated KYC. .

NOTE: Students are advised to keep a photocopy of the filled-in application form for future record.

arrow Please double-check your Bank Account Details, Date of Birth and Contact Number. You will need to enter the same details to view or download your form.

arrow Please ensure that the following documents are enclosed with this form:

  • Aadhaar Card Copy
  • Active Bank Passbook Copy with Updated KYC
  • Latest Fee Receipt / School or College Fee Slip
  • Previous Class Marksheet / Result Copy
  • Passport Size Photograph
  • (Orphan [Yateem] Students are requested to submit death certificate of his/her Father)
  • Student ID Card / Bonafide Certificate (if available)

IDENTIFICATION SLIP (FOR PAYMENT)

Session: 2026-27 Wazifa No: Student's Name: Father Name:
Student Image DOB: Class: Course:
Institution/College:
Phone (Applicant): Phone (Guardian):
Address:    Pincode:
Signature of Parent/Guardian: Applicant's Signature: