Islamic Research Foundation Form – Fill Out and Use This PDF

IRF UNITED ISLAMIC AID

Managed By

ISLAMIC RESEARCH FOUNDATION

Regd. Public Trust No. B-1409 (Bom)

195/213, SVP Road, Dongri, Mumbai 400 009  91-22-23736875 (8 lines) Fax 91-22-23730689 uiascholarship@gmail.com www.irf.net

IRF EDUCATIONAL SCHOLARSHIP (2013 -14) APPLICATION FORM

PARTICULARS

(Complete information to be given. No column should be left blank otherwise the form is likely to be rejected)

Details of the Scholarship Applying for Degree / Diploma / Others

1. Name of the Applicant:

2.

Sex:

3. Age:

4. Date of Birth:

5. Religion:

6.

Marital Status (tick as applicable):  Married  Single

 Divorced  Widowed

7.

Present Address:

Mobile:

Tel:

Email:

8.

Permanent Address:

Tel:

9.

Parent/Guardian’s Name:

10. Parent/Guardian’s Office Address:

Mobile:

Tel:

11. Occupation (tick whichever applicable):  Student  Employed  Self-employed  Unemployed

12. Monthly income of applicant (if any):

13. Total monthly family income (from all sources):

14. Approximate total monthly Family Expenditure:

15. Duration of stay at Present Address:

17. Details of Family Members:

Name

ACADEMIC AND RELATED INFORMATION

1.Course Applied / Admitted:

2.Name of School / College / Institution:

3.Address of School / College / Institution:

4.Study Course (Full Name):

5.  Degree

 Diploma

 Other

6. Duration of Course:

7.

Branch:

8. Year / Standard:

9. Division:

10. Roll No.:

11. Medium of Instruction:

12. Subjects: (i)

(ii)

(iii)

(iv)

(v)

(vi)

13. Annual Fees: Rs.

14. Rank in Last Annual Exam:

out of

15. Total Marks:

out of

(

%)

16.Prizes / Certificates received in School / College / Institution:

17.Prizes / Certificates received in other Academic Competitions / Sports:

18.Extracurricular Interests / Hobbies:

19.Student’s Aspirations after completing the course:

20.Any other information strongly supporting the request for Scholarship:

21.Academic Performance

Exam	School / College	Year of Passing	Percentage

22.Details of Scholarship received / Awaited / Requested from other sources for current year:

23.Details of any Scholarship received earlier from I.R.F. / other sources:

24.Reference for verifying the information given: (Name, Address & Contact Nos. of confirmable reliable sources):

Mobile:Tel:

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RELIGIOUS DETAILS:-

1.

Religion :

2. Which Islamic School of thought do you belong to:

 Hanafi  Shafi

 Salafi  Ithna Ashri (Shia)  Bohri Ismaili  Khoja

 Other

3.

Religious Interest :

 High

 Moderate

 Low

4.

Salaah:  Regular

 Sometime

 Irregular

5. Which Jamat / Organisation do you belong to / consider to be the best:

 Deobandi  Barelvi

 Ahle Hadith

 Jamat-e-Islami  Tablighi

 Other

6.

Islamic Education:

7. Association with Islamic Organisation:

Yes No

If Yes, Name :

Association / Position:

Activities involved in:

Since how many years:

8.

Besides the five pillars of Islam which other Islamic activities are you involved in:

I certify that all the information provided in this form is true and correct. There is no omission of fact

or information of significance in context of this application.

N.B.: Attach a separate sheet if more information is to be provided for any of the Questions.

Date:

Signature of Applicant:

CONDITIONS APPLY

1.Scholarship will be awarded only to good practising Muslim students.

2.Selected students will get 100% finance for the post-matric courses fees.

3.Students will have to undergo & pass written / oral exam, in Deeniyat (about Islam & its teachings), every year.

4.The scholarship is available to the Muslim Students of India.

5.The trust has the right to accept or reject the application without giving any reason for it.

Note: 1) Students short-listed will be intimated by phone to come for a further interview.

2) Issuing of this preliminary application form does NOT guarantee the award of a scholarship.

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