Scholarship Application – Malayalee Engineers Association in North America

PERSONAL INFORMATION

Name of Applicant*

Email*

Phone*

Permanent Address*

Mailing Address (if different)

Hobbies/Interests*

Personal Goals

Family Annual Income: Rs*

Name of responsible parent (guardian)*

Address of responsible parent (guardian) if different from Applicant’s permanent Address:

ACADEMCI and EXTRA-CURRICULAR INFORMATION

Engineering Discipline (branch)*

Engineering College/University*

Name of previous institution*

Total Marks/Grade scored in qualifying examination (Pre degree/12th/etc):*

Engineering Entrance Rank:*

Extra-curricular Activities*

Note: Original of income certificate and attested copies of mark lists/rank certificate required

File Upload*

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Upload files doc, docx, pdf

I certify that the information provided above is accurate to the best of my knowledge and I understand that any misreprentation will disqualify me from receiving MEANA Scholarship. Also, I certify that I am not receiving any financial assistance from any other sources. I agree to the terms and conditions of the MEANA Scholarship provisions and will abide by the final decision of the MEANA board.

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