Merit-cum-Means Scholarship Scheme

Dempo Charities Trust

Merit-cum-Means Scholarship Scheme 2020

APPLICATION FORM : 2020

Section 1

Personal & Contact Details

Name of the Applicant *

Date of Birth *

E-mail *

Contact No. *

Programme for which admission is granted Programme for which admission is granted

Section 2

Admission Details

Institution to which admission is granted

Year of admission

Tuition Fee

Hostel Fees

Other Fees

Total

Section 3

Information about parents

Father’s Name

Father’s Occupation

Mother’s Name

Mother’s Occupation

Family income from all sources, in FY 2019-20

Address for correspondence

Section 4

Instructions to the Applicant

After submitting, you will get a copy of this application form by email. 
Note the Application ID, Print the email and submit it along with the documents mentioned below to -
 
Dempo Charities Trust, 
Dempo House, Campal, 
Panaji-Goa 403001
 
Please attach the following documents:-
 ● Photograph
 ● Copy of letter of admission to the postgraduate/professional programme.
 ● Copy of receipt towards tuition fee, other fees, hostel fees, etc. (excluding deposits) paid by the student for the academic year 2020-21.
 ● Copy of statement of marks of the preceding Board/University examination.
 ● Valid family income certificate for the preceding year, issued by competent government authority.
 ● IT returns of both parents for the preceding three years.

Your Application ID

If you are human, leave this field blank.