Online Application - FAEA 2023-24

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FAEA : Scholarship 2023-24

Application Form

* Confirmation Code: 202723988


Personal Details

Name (as it appears in your


*  ANCHAL KANOJIYA
SSLC/SSC certificate)

* Mother's Name Munni kanojiya


* Father's Name Mahendra kanojiya
Email-ID komalkanojiya187@gmail.com
* Gender FEMALE * Date of Birth 04-Mar-2006
* Complete Permanent Address *
Address for Communication
(with Home State/City)
Titwala
Titwala
Mumbai
Mumbai
Titwala
Titwala
MAHARASHTRA-421605
MAHARASHTRA-421605
Alternate Mobile No./
* Mobile No. 7303054691   07303054691
Telephone No.
Fax No. Aadhar No. 834108662770

Social Details
If SC/ST/OBC, please
* Category NONE/GENERAL
specify
Do you have BPL Card?
Do you belong to Below
* NO * If yes, give the BPL Card
Poverty Line (BPL) Category?
No.
Do you have a physical
Do you belong to a Religious NO
* Other * or sensory disability?
Minority?
If yes, please specify
* Who was the first person to complete Matriculation (upto class 10) in your immediate family? Siblings
* Father's Education Level Not Known * Mother's Education Level Not Known
* Father Occupation Machanic * Father's Income 40000
* Mother Occupation Housewife * Mother's Income 0
Are you presently getting any State Government Scholarship/other scholarship/fee concession/financial help for
*
pursuing Degree Course?(Yes/No)*: NO
What is your approximate total fee expenditure per year (including course fee and hostel fee)? Please write the
*
minimum funds you require per year?: Rs.150000

Educational Background
Class XIIth School/Diploma Maharashtra board of Name of the Board(Class
* * Maharashtra board of India
Institute Name? India XII/Diploma)?
* Name of the City/ Town/ Titwala
Village in which your
Which type of school did you Class XII
* Muncipal School/Diploma Institute
study in?
was located?
If other, please specify
Class XII/Diploma - Was
Class XII/Diploma Medium of
* Hindi * it a residential (boarding) YES
instruction
school

Academic Background
* Year of passing Class X 2021 * Class X percentage 54
Year of passing Class Class XII/Diploma
* 2023 * Commerce
XII/Diploma Exam subject
* Class XII/Diploma percentage: 70%
Class for Basis of Percentage Marks Entered: 12th
Note: Select 11th class onlyif result is awaited for class 12th (Students whose results of class 12th are still awaited
may also apply on the basis of 11th Class marks.)
Present Course Pursuing
* Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? NO
* Proposed Course of Study Commerce if others, please specify
Why do you want to join this course?(not more than 200 words):
Actually I want to do graphic design and increase my knowledge in this field. I really want to do this.

Reference Details

* Reference Name #1 Mahendra kanojiya * Gender Male

* Address for Communication Titwala      


    Baneli gaon      
    Mumbai Maharashtra      
* City/District Titwala * Pin Code 421605
* State Maharashtra      
Contact No. with STD Contact No./Mobile No.
* 07303054691   07303054691
Code/Mobile No. (i) (ii)
Fax No. Email-ID komalkanojiya187@gmail.com

Reference Name #2 Munni Gender Female

Address for Communication Titwala      


    Baneli gaon      
    Mumbai Maharashtra      
City/District Titwala Pin Code 421605
State Maharashtra      
Contact No. with STD Contact No./Mobile No.
07303054691   07303054691
Code/Mobile No. (i) (ii)
Fax No. Email-ID komalkanojiya187@gmail.com
Declaration
I hereby declare that I have verified the details indicated above and I confirm that all the information
submitted above is correct to the best of my knowledge. I will provide documentary evidence in
support of all the above information. If at any stage, if it is found that any of the above information
is incorrect and/or is suppressed, the management of FAEA shall have the right to take penal action
as deemed fit.
Application No.  202723988. Applicated submitted on 22 June 2023 13:50
Place
Date Signature of Applicant

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