Online Application - FAEA 2023-24

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FAEA : Scholarship 2023-24

Application Form

* Confirmation Code: 202695138


Personal Details

Name (as it appears in your


*  ISHIKA GURJAR
SSLC/SSC certificate)

* Mother's Name Kavita gurjar

* Father's Name Sukhpal gurjar

Email-ID ishikag081@gmail.com

* Gender FEMALE * Date of Birth 27-Feb-2005


* Complete Permanent Address *
Address for Communication
(with Home State/City)
Dev narayan mandir ke pass
Dev narayan mandir ke pass
Kota
Kota
KOTA
KOTA
RAJASTHAN-324009
RAJASTHAN-324009
Alternate Mobile No./
* Mobile No. 7000622566 7000622556
Telephone No.
Fax No. Aadhar No. 599787479038

Social Details
If SC/ST/OBC, please
* Category OBC-NCL Obc
specify
Do you have BPL Card?
Do you belong to Below Poverty
* NO * If yes, give the BPL Card
Line (BPL) Category?
No.
Do you have a physical or
Do you belong to a Religious NO
* Other * sensory disability?
Minority?
If yes, please specify
* Who was the first person to complete Matriculation (upto class 10) in your immediate family? Parents
* Father's Education Level Senior School * Mother's Education Level Graduation
* Father Occupation Business * Father's Income 100000
* Mother Occupation Housewife * Mother's Income 00
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 Name of the Board(Class
* Global public school * Cbse
Institute Name? XII/Diploma)?
* Name of the City/ Town/ Kota
Village in which your Class
Which type of school did you study XII School/Diploma
* Private
in? Institute was located?
If other, please specify
Class XII/Diploma - Was it a
Class XII/Diploma Medium of
* English * residential (boarding) YES
instruction
school

Academic Background
* Year of passing Class X 2020 * Class X percentage 75
Year of passing Class XII/Diploma
* 2022 * Class XII/Diploma subject Science
Exam
* Class XII/Diploma percentage: 68%
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 Btech

* Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? YES


if Yes, provide the following information:
Pursuing Currently you are In Year 2023-24, you
Name of the College City State Degree/Course studying in the year will be in which
Name (Course Year) (course year)

Arya institute of
engineering Jaipur Rajasthan Rajasthan I II
technology

* Proposed Course of Study Engineering if others, please specify


Why do you want to join this course?(not more than 200 words):
Because I had intreste in coding and upcoming generation will be dependent on Ai technology.so its a best option for
best jobs apportunity.

Reference Details

* Reference Name #1 Sukhpal gurjar * Gender Male

* Address for Communication Dev narayan mandir ke pass


34 b keshavpura sector 4
KOTA RAJASTHAN

* City/District Kota * Pin Code 324009


* State Rajasthan
Contact No. with STD
* 7849911696 Contact No./Mobile No. (ii) 7849911696
Code/Mobile No. (i)
Fax No. Email-ID

Reference Name #2 Lokesh parjapati Gender Male

Address for Communication Dev narayan mandir ke pass


486 b keshavpura sector 4
RAJASTHAN

City/District Kota Pin Code 324009


State Rajasthan
Contact No. with STD
9057926374 Contact No./Mobile No. (ii)
Code/Mobile No. (i)
Fax No. Email-ID
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.  202695138. Applicated submitted on 19 June 2023 23:49
Place
Date Signature of Applicant

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