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SARASWATI KARKIRDI YOJANA - 2016 Student Information Decleration Student Name : Date : Vasti Patrak No. : Application Form : Mumbai Kandivali Virar Other Pin Code : ( First Name ) ( Father / Mother Name) ( Surname ) ( First Name ) ( Father / Mother Name) ( Surname ) Nativ Place : Resi. Address : Date of Birth : Mobile No.: Age : E-mail ID : Tel. : (O.) Tel. : (R) To, The Education Committee, SNVVS. I/We hereby apply for the financial aid under Saraswati Karkirdi Yojana-2016 as per details mentioned in the Form. We have read and understood rules of this Yojana and we agree to abide by the same. We hereby declare that the information provided in this application is true, complete and authentic. We understand that any misrepresentation of facts is ground for rejection of this application. Other Details Educational Details Fees Bank Details of Student or Parents For Office Use Received Application Form from Mr./ Ms. for Saraswati Karkirdi Yojana under 1) Higher Education Yojana 2) Coaching Class / Vocational Training Yojana along with (A) True Copy of Mark Sheet (B) Receipt of Fees Paid (C) Cancelled Cheque. Other Education Aid : Name of Trust / Source : Apply for Yojana : Any other Education aid received and /or to be received from any Trust / sources. Yes No. If Yes, Amount : No. of Family Members : Last Standard you Passed : Name of the College : Name of the Coaching / Vocational Classes : Fees Rs. : Fees Rs. : In which Course Admission taken : Earning Members : Annual Family Income : Duration of Course : Higher Education Yojana - 2016 Coaching Classes / Vocational Training Yojana - 2016 Both Yojana - 2016 Stream & Percentage : Science Commerce Arts Last Year Degree % % % % % % % % Account Name : Bank Name : Branch Address : Account No. : IFSC Code : Receipt Receiver’s Signature Receiver’s Name Date Shree Navgam Visanagar Vanik Samaj Mumbai : 6/8, Anantwadi, Nagar Nivas, Bhuleshwar, Mumbai - 400 002. I Tel.: 2206 3802 Kandivali : C-301, Gokul Heights, Mathuradas Road, Kandivali (West), Mumbai - 400 067. Tel. 022-2808 4024 / 25 Virar : C-301, Vithal Nagar, Ram Mandir Road, Virar (West), Thane - 401 303. Mob.: 93254 73822

Shree Navgam Visanagar Vanik Samaj · »Éù»´ÉlÉÒ HÉùÊHqÔ «ÉÉàW{ÉÉ-2016 +ùY ~ÉmÉH {ÉÅ. ´É»lÉÒ ~ÉmÉH J©ÉÉÅH. lÉÉ. H¬ÉÅ (HÉà»ÉÇ©ÉÉÅ) W´ÉÉ

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SARASWATI KARKIRDI YOJANA - 2016

Stu

dent

Inf

orm

atio

nD

ecle

rati

on

Student Name :

Date :Vasti Patrak No. :Application Form : Mumbai Kandivali Virar Other

Pin Code :

( First Name ) ( Father / Mother Name) ( Surname )

( First Name ) ( Father / Mother Name) ( Surname )

Nativ Place :

Resi. Address :

Date of Birth :

Mobile No.:

Age : E-mail ID :

Tel. : (O.) Tel. : (R)

To,

The Education Committee, SNVVS.

I/We hereby apply for the financial aid under Saraswati Karkirdi Yojana-2016 as per details mentioned in the Form.

We have read and understood rules of this Yojana and we agree to abide by the same. We hereby declare that the

information provided in this application is true, complete and authentic. We understand that any misrepresentation

of facts is ground for rejection of this application.

Oth

er D

etai

ls

EducationalDetails

Fees

Ban

k D

etai

ls o

f Stu

dent

or

Pare

nts

For

Off

ice

Use

Received Application Form from Mr./ Ms.

for Saraswati Karkirdi Yojana under 1) Higher Education Yojana 2) Coaching Class / Vocational Training

Yojana along with (A) True Copy of Mark Sheet (B) Receipt of Fees Paid (C) Cancelled Cheque.

Other Education Aid :

Name of Trust / Source :

Apply for Yojana :

Any other Education aid received and /or to be received from any Trust / sources. Yes No. If Yes, Amount :

No. of Family Members :

Last Standard you Passed :

Name of the College :

Name of the Coaching/ Vocational Classes :

Fees Rs. :

Fees Rs. :

In which Course Admission taken :

Earning Members : Annual Family Income :

Duration of Course :

Higher Education Yojana - 2016 Coaching Classes / Vocational Training Yojana - 2016 Both Yojana - 2016

Stream & Percentage : Science Commerce Arts Last Year Degree % % % % % % % %

Account Name :

Bank Name :

Branch Address :

Account No. :

IFSC Code :

Receipt

Receiver’s Signature Receiver’s Name Date

Shree Navgam Visanagar Vanik SamajMumbai : 6/8, Anantwadi, Nagar Nivas, Bhuleshwar, Mumbai - 400 002. I Tel.: 2206 3802

Kandivali : C-301, Gokul Heights, Mathuradas Road, Kandivali (West), Mumbai - 400 067. Tel. 022-2808 4024 / 25

Virar : C-301, Vithal Nagar, Ram Mandir Road, Virar (West), Thane - 401 303. Mob.: 93254 73822

»Éù»´ÉlÉÒ HÉùÊHqÔ «ÉÉàW{ÉÉ-2016+ùY ~ÉmÉH {ÉÅ.

lÉÉ.´É»lÉÒ ~ÉmÉH J©ÉÉÅH.

H¬ÉÅ (HÉà»ÉÇ©ÉÉÅ) W´ÉÉ ©ÉÉÅNÉÉà UÉà HÉà»ÉÇ +´ÉÊyÉ

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¾ÖÅ {ÉÒSÉà »É¾Ò Hù{ÉÉù ÊSÉ. {ÉÉ ©ÉÉlÉÉ/Ê~ÉlÉÉ/´ÉɱÉÒ UÖÅ +{Éà A~Éù WiÉÉ´Éà±É Ê´ÉNÉlÉÉà ©ÉÉùÒ XiÉ ¡É©ÉÉiÉà »ÉÉSÉÒ Uà.

lÉÉùÒLÉ ©ÉÉlÉÉ/Ê~ÉlÉÉ{ÉÒ »É¾Ò ©ÉÉHǶÉÒ÷{ÉÒ ]àùÉàKÉ +{Éà £Ò {ÉÒ ù»ÉÒq Ê¥ÉeÉiÉ W°ùÒ Uà.

»ÉÖ[É ¸ÉÒ,+É +ùY ~ÉmÉH +{ÉÖ»ÉÉù ©ÉÉùà {ÉÒSÉà WiÉÉ´Éà±É ¡É©ÉÉiÉà ¶ÉäKÉÊiÉH »É¾É«É{ÉÒ W°ùlÉ Uà, »É©ÉÉW{ÉÒ +É +ùY{ÉÉ »É´Éâ yÉÉùÉ yÉÉàùiÉÉà lÉoÉÉ Ê{É«É©ÉÉà +{Éà lÉà©ÉÉÅ ¾´Éà ~ÉUÒ Wà £àù£Éù oÉÉ«É lÉà »É´Éâ ©É{Éà ©ÉÅWÖù Uà. {ÉÒSÉà Ê´ÉNÉlÉÉà WiÉÉ´É´ÉÉ©ÉÉÅ +É´ÉÒ Uà, Wà ©ÉÉùÒ XiÉ ¡É©ÉÉiÉà »ÉÉSÉÒ Uà.

©ÉÖÅ¥É> : 6/8, +{ÉÅlÉ´ÉÉeÒ, {ÉÉNÉù Ê{É´ÉÉ»É, §ÉÖ±Éà¹Éù, ©ÉÖÅ¥É> - 400 002. £Éà{É : 2206 3802

HÉÅÊq´É±ÉÒ : »ÉÒ-301, NÉÉàHÖ±É ¾É>÷»É, ©ÉoÉÖùÉqÉ»É ùÉàe,HÉÅÊq´É±ÉÒ (´Éà.), ©ÉÖÅ¥É> - 400 067. £Éà{É & 2808 4024/25

Ê´ÉùÉù : »ÉÒ-301, Ê´Éd±É {ÉNÉù, ùÉ©É©ÉÅÊqù ùÉàe, Ê´ÉùÉù (´Éà»÷), 401 303. £Éà{É : 93264 73822

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Pin Code :

( First Name ) ( Father Name ) ( Surname )

´É«É : E-mail ID :

Ê´ÉvÉoÉÔ{ÉÖÅ {ÉÉ©É :

»Éù{ÉÉ©ÉÖÅ :

´ÉlÉ{É :

W{©É lÉÉùÒLÉ :

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ÊeOÉÒ{ÉÉ +ÅÊlÉ©É ´ÉºÉÇ: Ê´É[ÉÉ{É Ê´É§ÉÉNÉ ´ÉÉÊiÉV«É ʴɧÉÉNÉ H±ÉÉ Ê´É§ÉÉNÉ % % % %

Hà÷±ÉÒ ÷HÉ´ÉÉùÒ »ÉÉoÉà: Ê´É[ÉÉ{É Ê´É§ÉÉNÉ ´ÉÉÊiÉV«É ʴɧÉÉNÉ H±ÉÉ Ê´É§ÉÉNÉ % % %

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Uà±±ÉÒ G«ÉÉ yÉÉàùiÉ{ÉÒ ~ÉùÒKÉÉ ~ÉÉ»É HùÒ G«ÉÉ Ê´É§ÉÉNÉ©ÉÉÅoÉÒ: Ê´É[ÉÉ{É ´ÉÉÊiÉV«É H±ÉÉ

Uà±±ÉÒ G«ÉÉ yÉÉàùiÉ{ÉÒ ~ÉùÒKÉÉ ~ÉÉ»É HùÒ G«ÉÉ Ê´É§ÉÉNÉ©ÉÉÅoÉÒ: Ê´É[ÉÉ{É ´ÉÉÊiÉV«É H±ÉÉ

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For

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Student Name :

Cheque / NEFTin the Name of :

Bank :

Encl

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Decl

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of

Stud

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/ Sig

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True Copy of Mark Sheet Original Paid Receipt of Fees Cancelled Cheque Copy

I am Father/Mother of and I confirm that information provided in this Application form is correct in all respect.

I give my consent to Credit the fund directly in Account details provided.

Date : Student SignatureParent Signature

Application Form : Mumbai Kandivali Virar Other

SBT / BOB Cheque No. / UTR Date Approval Signature

1) Higher Education Yojana

2) Coaching Classes / Vocational Training Yojaya

Total :

Amount Claimed Amount Approved

Under Saraswati Scholarship Yojana top 3 students securing 90% or more marks in 10th & 12th standard (each) are honored with

Rs. 5,000/- as token of appreciation for their efforts and achievement. Students to apply under Saraswati Scholarship Yojana

should send (a) Application letter with their Name, Address and Photo (b) Copy of Mark Sheet.

Following Students can apply for Higher Education Yojana.

1) Students passing 11th std. (Including Student who has cleared SSC and securing admission for 11th std.) and other higher standards.

2) Student passing SSC (10th) and doing Diploma or such other course.

3) Student perusing further studies like Post Graduate or Double Graduate Courses.

Aid Amount 50% of Fees or Rs. 12,000/- whichever is less.

Students whose family Yearly Income is Rs. 1,20,000/- or less can apply under this Yojana.

1) Student who has car in family should not submit this application except for Scholarship Yojana.

2) Student / Parents applying under Saraswati Karkirdi Yojana should be Member of SNVVS.

3) Separate form should be filled for each student.

4) Enclose clear xerox copy of Mark Sheet and Receipt of Paid Fees. Bring Original Copies to check.

5) Under Saraswati Karkirdi Yojana one student can get Maximum of Rs. 30,000/- Fees only.

6) Form should be complete in all respect along with Bank details. Amount will be directly remitted to account details provided

by the applicant.

Timeline :

Appeal :

Student willing to take benefit under Saraswati Karkirdi Yojana-2016 should submit their application form dully filled with all supportingon or before 31st July, 2016 in any of the Samaj Office.

Important

Instruction :

Education Committee Sanchalak, SNVVS

Krunal S. Shah - 098 1919 1599

Scholarship Yojana :

Higher Education

Yojana

Criteria :

Coaching Classes /

Vocational

Training Yojana

Criteria :

Income Eligibility :

Income Eligibility :

Aid Amount :

Aid Amount :

We believe that it is a moral responsibility of all students who are taking aid under Saraswati Karkirdi Yojana, contribute to SNVVS in the best possible way as and when you start carrier and get the opportunity. Your small contribution will lead to Education of few more students.

Rules for Saraswati Karkirdi Yojana - 2016

Following Students can apply under Coaching Classes / Vocational Training Yojana.

1) Students of Standard 8th to 15th.

2) Students enrolling for Coaching Classes of any Post Graduate or Double Graduate Courses including classes joined for Entrance Exam

of Post Graduate Course.

Students whose family Yearly Income is Rs. 1,80,000/- or less can apply under this Yojana.

1) 50% of Fees or Rs. 25,000/- whichever is less.

2) Fees of Rs. 3,000/- or less will get 100% fees.

Sara

swat

i Ka

rkir

di

Gha

dtar

Yo

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Above all, Samaj & All Trusts jointly decided to give Fees for any Educational or Carrier

Oriented Yojana. Person has to apply separately with appropriate documents on blank

paper with heading “Saraswati Karkirdi Ghadtar Yojana”.

Funding under this Yojana is subject to application and funds available.

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©ÉÖÅ¥É> : 6/8, +{ÉÅlÉ´ÉÉeÒ, {ÉÉNÉù Ê{É´ÉÉ»É, §ÉÖ±Éà¹Éù, ©ÉÖÅ¥É> - 400 002. £Éà{É : 2206 3802

HÉÅÊq´É±ÉÒ : »ÉÒ-301, NÉÉàHÖ±É ¾É>÷»É, ©ÉoÉÖùÉqÉ»É ùÉàe,HÉÅÊq´É±ÉÒ (´Éà.), ©ÉÖÅ¥É> - 400 067. £Éà{É & 2808 4024/25

Ê´ÉùÉù : »ÉÒ-301, Ê´Éd±É {ÉNÉù, ùÉ©É©ÉÅÊqù ùÉàe, Ê´ÉùÉù (´Éà»÷), 401 303. £Éà{É : 93264 73822

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HÉÅÊq´É±ÉÒ : »ÉÒ-301, NÉÉàHÖ±É ¾É>÷»É, ©ÉoÉÖùÉqÉ»É ùÉàe,HÉÅÊq´É±ÉÒ (´Éà.), ©ÉÖÅ¥É> - 400 067. £Éà{É & 2808 4024/25

Ê´ÉùÉù : »ÉÒ-301, Ê´Éd±É {ÉNÉù, ùÉ©É©ÉÅÊqù ùÉàe, Ê´ÉùÉù (´Éà»÷), 401 303. £Éà{É : 93264 73822

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