NAGARATHAR SANGAM UK

NaSa UK Education Scholarship Application Form

Please type or write clearly in CAPITAL LETTERS

Student Name : _____________________________________

Age & Current Qualification : _____________________________________
Father’s Name : _____________________________________
Mother’s Name : _____________________________________
Annual Family Income (Rs) : _____________________________________
Number of Brothers & Sisters : _____________________________________
Address : _____________________________________
_____________________________________
_____________________________________
_____________________________________
Telephone number : _____________________________________
E-mail Address : _____________________________________
Native Place : _____________________________________
Kovil & Pirivu : _____________________________________
College Name and Address : _____________________________________
_____________________________________
_____________________________________
_____________________________________
Degree & Year for which assistance required : _____________________________________
How did you join/intend to join this course? Entrance exam
(Please circle one) General quota
Private management quota
Aggregate % or Grade(previous year) : _____________________________________

Annual Tuition Fees Rs : _____________________________________

Name & Phone No. of Nagarathar Reference in UK: _____________________________________
(if applicable) _____________________________________

Please email scanned documents to treasurer.nagarathar.sangam.uk@gmail.com or nagarathar.sangam.uk@gmail.com

This form last modified on 16 July 2015
 NAGARATHAR SANGAM UK
NaSa UK Education Scholarship Application Form
Please type or write clearly in CAPITAL LETTERS

BANK ACCOUNT DETAILS

Name as in Bank Account : _____________________________________

(Should be Applicant or Parent)
Bank Name : _____________________________________
Branch Bank Address : _____________________________________
_____________________________________
_____________________________________

Bank Account Number :

IFSC Code :

Account Type : _____________________________________

DECLARATIONS

I certify that the above information is true. I will abide by all the conditions set forth by the
scholarship funds of the Nagarathar Sangam UK.

Signature of Student: ___________________________________ Date:___________________

Signature of parent/guardian: _____________________________ Date:___________________

The above student is in genuine need of financial assistance. The above information is true to the
best of my/our knowledge.

Name & Address of Nagarathar Reference: __________________________________________

_____________________________________________________________________________
Contact Number:________________________________Signature:_______________________

New Scholarship Applicants: Following MUST be provided to process application

 Letter stating why you should be considered for this scholarship

 Copy of X and/or XII Mark Sheet and/or recent Mark Sheet

 Annual Family Income proof (Salary certificate or Letter from job or copy any
Government document showing current income)
 Tuition Fees Receipt or Letter from the educational institution

 A letter of attestation from a known Nagarathar or Nagara Sivan kovil

Current Scholarship Recipients: Following MUST be provided to process application

Please email scanned documents to treasurer.nagarathar.sangam.uk@gmail.com or nagarathar.sangam.uk@gmail.com

This form last modified on 16 July 2015
 NAGARATHAR SANGAM UK
NaSa UK Education Scholarship Application Form
Please type or write clearly in CAPITAL LETTERS

 Copy of recent Mark Sheet

 Tuition Fees Receipt or Letter from the educational institution stating the
Tuition Fees

EDUCATIONAL SCHOLARSHIP

NaSa UK Educational Scholarship program provides scholarships to needy Nagarathar students to

help with higher education expenses. The funds are generated through our Nagarathar members’.

The education scholarship applications are accepted throughout the year. This site will be updated
once we have exhausted our funds for the year.

ELIGIBILITY

Applicants must:
 Be a resident of India
 Be registered as full-time student in any registered College (or) University in India
 Show consistent academic performance
 Show proof of family income
 Complete the online application form
 Submit a ‘Letter of Attestation’ from your local Nagarathar Sangam (or) Nagara Sivan
Kovil

SELECTION

To be considered for a NaSa UK Educational Scholarship, applicants must meet all eligibility
criteria as outlined in the Eligibility section. Recipients will be selected based on the information
they provide. The Executive committee will use academic performance to select the nominees and
will make every effort to award deserving candidates.

Educational Scholarship of 15000 will be given to every selected candidate in a year. Selection
in a year does not guarantee automatic cash awards in the subsequent years. Students are
encouraged to apply for cash awards every year till completion of their course.

Please email scanned documents to treasurer.nagarathar.sangam.uk@gmail.com or nagarathar.sangam.uk@gmail.com

This form last modified on 16 July 2015