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Application Form

Applicant’s information

Name

Date of Birth

Institute’s Name

Class

Mobile No

Applicant’s Family information

Father’s Name

Profession

Father’s Monthly Income

Mother’s Name

Profession

Mother’s Monthly Income

Father or Mother’s contact No

Note: Family’s monthly gross income > 40,000 taka will be disqualified.

01743986466 Declaration

I, ____________, solemnly declare that all the information provided in this application is true. I am applying for this scholarship after realizing its benefits and mentally prepared to build my future. At the same time, I promise that while receiving this financial support, I will continuously progress holistically & not do any act that harms my future or tarnishes the reputation of the Institute or ARF. My poor performance or misdeed can expel me from the program at any time if ARF’s assessment or enquiry justifies it.

Applicant’s Signature / Name

Reference

Teacher’s Name

Position

Institute’s Name

Contact No

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Note: Coloured photo against a white background & taken within the last 3 months.

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