Scholarship

Name*

Phone Number*

Email*

Birth date*

Qualifications*

Name of Parent/ Guardian*

The Profession of Parent/ Guardian*

Name and address of School*

The year of completion of schooling*

Report Card of last two years of Schooling*

The Reason for Scholarship*

Letters of Recommendation: Please provide one letter from a school official (Compulsory)

CERTIFICATION: I certify that all the information provided in this form is accurate and complete to the best of my knowledge. I agree to give proof to the information on this application, when requested.

I permit the selection committee to review information on this form, my transcripts, and any additional supporting document submitted as part of this application. I also agree to let the selection committees contact the high school/college officials for additional academic information.

If chosen for the scholarship award, I agree to provide my mark sheets to the committee every six months towards continuation of the scholarship if selected, I agree to submit a written paragraph to be publish on how much the scholarship values in my academic pursuits.

Kindly send the duly filled application to uniquesolns@gmail.com