Higher Education 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)
Last Date: 30 September 2025
 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
Course of Study Duration of Course
Semester Admission Fees (Rs)
Total Annual Fees (Rs) Institution Name & Address
Father's Name Father/Guardian Annual Income (Rs)
Mother's Name Mother's Annual Income (Rs)
Guardian Name Guardian Relationship
Permanent Address
Pin Code Aadhaar No.
Present Address
Contact No. Email
Bank A/C Name Bank A/C No.
IFSC 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:
City / Area: Signature:
Declaration
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)

(Please fill up all Information in Capital Letters)
Session - 2025-26 Wazifa No (In case of [Tajdeed] Renewal):
Student's Name: Student Image
Father Name: DOB:
Class: Name of Course: Year: Sem:
Address: Pincode:
Name of the Institution/College:
Phone No.(Applicant): Phone No. (Parent/Guardian):
Signature of the Parent/Guardian Applicant's Signature: