APPLICATION FOR MEINGAL SCHOLARSHIP-2012

(For HSLC Exam-2012 Passed Students only)

(Hand Written or Typed application can be used)

          Paste latest

 Passport

sized

coloured

photo

 (good quality)

 To

Meingal (NGO),

2A, Baruah Enclave,

Opp-Pragjyotish Eye Hospital,  

Hatigarh Chariali, Guwahati-24,

Kamrup, Assam.

1. Name of the Student                :_________________________________________________________

2. Father’s Name & Occupation        :_________________________________________________________

3. Mother’s Name                :_________________________________________________________

4. Address: House No. or C/o           :_________________________________________________________

                   Village/Town/City        :_________________________________________________________

                     Post Office        :_________________________________________________________

                District                :_________________________________________________________

                State                :_________________________________________________________

                Pin                :_________________________________________________________

5. Contact No.                        :_________________________________________________________

6. Email Address(if any)                :_________________________________________________________

7. Percentage of Marks secured        :_________________________________________________________

    in HSLC-2012 Exam        

    (Students secured 60% & above in HSLC-2012 Exam can apply only.

    Xeros copy of Marksheet to be enclosed with the application)

                                                                                     Signature of the Student