HWA SCHOLARSHIP PROGRAM

Supported by Hira Foundation Trust (Regd.)

Corp. Office: #52, St. John’s Church road, opp. Coles Park, Bangalore – 560 005

Regd. Office: #57, 1st Cross, Shivaganga Layout, Outer Ring Road, Mahadevapura, Bangalore – 560 048

Email : hwafoundationblr@gmail.com
www.hwafoundation.in

APPLICATION FOR HWA SCHOLARSHIP

1. Personal Details

Applicant's Name *

Name of Parent / Guardian *

Age *

Gender *

Aadhar Number of Student *

Aadhar Number of Parent / Guardian *

Contact Number *

WhatsApp Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nearby landmarks to identify the location Building / Road / Electric Post no. / etc. *

Occupation of the Family Head *

Annual Income of the Family *

Ration Card Status *

BPL
APL
No Ration Card

Are you a person with disability *

Yes
No

2. Educational Details

Tick the box of Pursuing Education *

9th / 10th / 12th
PUC (+2)
Degree
PG / Above PG
Diploma
Certificate Program
Coaching

Others ( Please Specify ) *

Institution/ College/ School *

Year/Semester *

Last Semester/ Year Marks % *

Details of Education Completed

Course *

Institution *

University/ Board *

Year of Passing *

Marks % *

Additional Qualification 1

Add Course

Course

Institution

University/ Board

Year of Passing

Marks %

Additional Qualification 2

Add Course

Course

Institution

University/ Board

Year of Passing

Marks %

Additional Qualification 3

Add Course

Course

Institution

University/ Board

Year of Passing

Marks %

Additional Qualification 4

Add Course

Course

Institution

University/ Board

Year of Passing

Marks %

Scholarship Details

Why do you need this scholarship? *

Have you received any other scholarship? *

Yes
No

Have you received HWA scholarship before? *

Yes
No

Have any siblings received scholarship from HWA? *

Yes
No

Year of passing *

Details of Family Member

Name *

Age *

Relationship with the head of the Family *

Occupation *

Details of disability or disease, if any *

Add family member 1

Add Member

Name

Age

Relationship with the head of the Family

Occupation

Details of disability or disease, if any

Add family member 2

Add Member

Name

Age

Relationship with the head of the Family

Occupation

Details of disability or disease, if any

Add family member 3

Add Member

Name

Age

Relationship with the head of the Family

Occupation

Details of disability or disease, if any

Total Members of family *

Bread winner of the Family *

Parent Status *

Widowed
Divorce
Other

Is the father supporting the family *

Yes
No

Comments *

Decleration of the Parent / Guardian *

I do hereby declare that the furnished details are true to the best of my knowledge and i understand that any false information revealed during verification would result in blacklisting and won't recieve any help whatsoever from the Association or its network NGOs in the Future.

Place *

Date *

For Verification Use only

Name of the Verification Officer

Signature

Remarks

HWA Charitable Foundation

HWA Charitable foundation is a not for profit, Section-8 Company registered under Companies act, government of India. Although, HWA was formally registered under section -8 in 2019, HWA team was formed in 2005 and has been constantly working among the poor and the underprivileged in Bangalore.

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127, St.Johns Road
Opp. Cole’s Park, Shivaji Nagar
Bangalore, Karnataka
India – 560005

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