Online Application - FAEA 2023-24

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FAEA : Scholarship 2023-24

Application Form

* Confirmation Code: 202728366


Personal Details
Name (as it appears in your
* PATEL KHUSHI
SSLC/SSC certificate)

* Mother's Name Sunita patel


* Father's Name Chandrakant patel

Email-ID khushipatel1505@gmail.com

* Gender FEMALE * Date of Birth 10-Feb-2002


* Complete Permanent Address *
Address for Communication
(with Home State/City)
Rcl-3/19 b/h ambamata temple
Rcl-3/19 b/h ambamata temple
Valsad
Valsad
Vapi
Vapi
GUJARAT-396191
GUJARAT-396191
Alternate Mobile No./
* Mobile No. 8320054290
Telephone No.
Fax No. Aadhar No. 577851117063

Social Details
If SC/ST/OBC, please
* Category SC SC
specify
Do you have BPL Card? YES
Do you belong to Below
* YES * If yes, give the BPL
Poverty Line (BPL) Category?
Card No.
Do you have a physical
Do you belong to a Religious NO
* None * or sensory disability?
Minority?
If yes, please specify
* Who was the first person to complete Matriculation (upto class 10) in your immediate family? Self
Mother's Education
* Father's Education Level Not Known * Primary
Level
* Father Occupation Contactor * Father's Income 120000
* Mother Occupation House wife * 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.75000

Educational Background
Name of the
Class XIIth School/Diploma Gujarat board of
* St francis high school * Board(Class
Institute Name? higher secondary
XII/Diploma)?
:
* Name of the City/ VALSAD
Town/ Village in which
Which type of school did you your Class XII
* Private
study in? School/Diploma
Institute was located?
If other, please specify
Class XII/Diploma -
Class XII/Diploma Medium of
* English * Was it a residential YES
instruction
(boarding) school

Academic Background
* Year of passing Class X 2018 * Class X percentage 68.33
Year of passing Class Class XII/Diploma
* 2020 * Commerce
XII/Diploma Exam subject
* Class XII/Diploma percentage: 63.73%
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 BBA
* Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? YES
if Yes, provide the following information:
In Year 2023-24,
Name of Pursuing Currently you are
you will be in
the City State Degree/Course studying in the
which (course
College Name year (Course Year)
year)

Parul
Vadodara Waghodia Waghodia VI VI
university

* Proposed Course of Study Commerce if others, please specify


Why do you want to join this course?(not more than 200 words):

Reference Details
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. 202728366. Applicated submitted on 22 June 2023 19:30
Place
Date Signature of Applicant

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(Please Print the form for Further Reference)


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