AWSWM | Wazifa Scholarship Form 2025-26

Class 9th to 12th Scholarship Application Form is valid for session 2025-26

(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)


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

I also declare & Promise as to my moral & social obligation to help needy & promising students by refunding/paying the total amount of Wazifa received by me immediately on getting any employment or starting to earn

I , hereby declare that all the information given above are true and correct. If any information is found to be false or incorrect at any stage, application will be at once REJECTED & the Wazifa will be discontinued , the beneficiary will have to refund the entire amount received.

NOTE: Students are advised to keep a photocopy of the filled-in application form for future record.
Please ensure that photo copies required at Srl. No. 5, 10, 13 & 14 are enclosed with this form.

Signature of Parent/Guardian _________________

Signature of Student: _________________

IDENTIFICATION SLIP (FOR PAYMENT)

Session - 2025-26			Wazifa No (In case of [Tajdeed] Renewal):
Student's Name:
Father Name:			DOB:
Class:	Course of Study:
Address:			Pincode:
Name of the Institution/College:
Phone No.(Applicant):		Phone No. (Parent/Guardian):
Signature of the Parent/Guardian:			Applicant's Signature:

Enter Details

Class 9th to 12th Scholarship Application Form is valid for session 2025-26

Declaration

IDENTIFICATION SLIP (FOR PAYMENT)