Request edit access
UNIVERSITY OF JAFFNA
Application for getting Financial Assistance - Mrs. Arulammah Balachandran Memorial Scholarship - 2026
Sign in to Google to save your progress. Learn more
Full Name *
Title (Please tick the appropriate one)
*
Permanent Address
*
Temporary Address *
Mobile No
*
Email ID
*
NIC No
*
District
*
GS division
*
DS division
*
Course of Study
*
Faculty
*
Registration No
*
Academic Year
*
Year of Study (Only First Year students are eligible to apply)   *
Grade Point Average (GPA)  - 01st Year
Grade Point Average (GPA)  - 002nd Year
Grade Point Average (GPA)  - 03rd Year
Grade Point Average (GPA)  - 04th Year
Grade Point Average (GPA)  - 05th Year
Z Score *
Are you accommodated in the University hostel
*
Are you physically impaired (Please tick the appropriate one)
*
Civil Status
*
If you are married, is your spouse employed
Clear selection
If your spouse works, the total annual income of your spouse
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Jaffna.

Does this form look suspicious? Report