FAEA : Scholarship 2025-26
Application Form
* Confirmation Code: 251001719
Personal Details
    Name (as it appears in your SSLC/SSC
*                                            SHAIKH AYAN NIJAMMUDIN
    certificate)
* Mother's Name                              Rehana banu
* Father's Name                              Nijammudin shaikh
    Email-ID                                 shaikhnijamudin15@gmail.com
* Gender                                     MALE                                 * Date of Birth                     27-Nov-2008
* Complete Permanent Address                                                      *
                                                                                      Address for Communication
    (with Home State/City)
                                                                                      Chhala, gandhinagar
    Chhala, gandhinagar
                                                                                      Gandhinagar
    Gandhinagar
                                                                                      Chala
    Chala
                                                                                      GUJARAT-382321
    GUJARAT-382321
                                                                                      Alternate Mobile No./
* Mobile No.                                 9773037829                                                               09773037829
                                                                                      Telephone No.
    Fax No.                                                                           Aadhar No.                      299634041374
Social Details
* Category                                   OBC-CL                                   If SC/ST/OBC, please specify    Obc
    Do you belong to Below Poverty Line                                               Do you have BPL Card?
*                                            NO                                   *
    (BPL) Category?                                                                   If yes, give the BPL Card No.
                                                                                    Do you have a physical or sensory
                                                                                                                      NO
* Do you belong to a Religious Minority?     Muslim                               * disability?
                                                                                      If yes, please specify
* Who was the first person to complete Matriculation (upto class 10) in your immediate family? Parents
* Father's Education Level                   Matriculation                        * Mother's Education Level          Middle
* Father Occupation                          Farmer                               * Father's Income                   150000
* Mother Occupation                          Housewife                            * 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.140000
Educational Background
    Class XIIth School/Diploma Institute                                            Name of the Board(Class
*                                            OM landmark school                   *                                   CBSE
    Name?                                                                           XII/Diploma)?
                                                                                  * Name of the City/ Town/           GANDHINAGAR
                                                                                    Village in which your Class XII
* Which type of school did you study in?     Private                                School/Diploma Institute was
                                                                                    located?
                                                                                      If other, please specify
                                                                                      Class XII/Diploma - Was it a
* Class XII/Diploma Medium of instruction English                                 *                                    YES
                                                                                      residential (boarding) school
Academic Background
* Year of passing Class X                    2023                                 * Class X percentage                 50
* Year of passing Class XII/Diploma Exam 2025                                     * Class XII/Diploma subject          Science
* Class XII/Diploma percentage: 50%
 Present Course Pursuing
* Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? NO
* Proposed Course of Study                   Engineering                              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. 251001719. Applicated submitted on 24 May 2025 11:15
   Place
   Date                                                                                                                Signature of Applicant
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