ICAI - The Institute of Chartered Accountants of India

S.Vaidyanath Aiyar Award

FORM OF APPLICATION

The Secretary
Managing Committee of
S. Vaidyanath Aiyar Memorial Fund
C/o. The Institute of Chartered Accountants of India
P.O. Box No. 7100, I.P. Marg,
New Delhi - 110 002.

Dear Sir,

In pursuance of the announcement made by the Committee for the award of scholarships for the year ____________, I hereby apply for a scholarship to be granted to me for a period of one year. I have studied the conditions on which the scholarships are to be awarded and I am eligible there under. I undertake to abide by all terms and conditions laid down by the committee and give below the necessary particulars regarding myself.

1.	Articles Registration No.	-------------------------------------------------------------
2.	Name in Full	------------------------------------------------------------- (Capital letters)
3.	Place & Date of birth	-------------------------------------------------------------
4.	Nationality and the State to Which belongs	-------------------------------------------------------------
5.	Full address : (a) Present	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
	(b) Permanent	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
6.	Married or Single	-------------------------------------------------------------
7.	(a) Father's name (in full)	-------------------------------------------------------------
	(b) Nationality and state	-------------------------------------------------------------
	(c) Occupation	-------------------------------------------------------------
	(d) Address (i) Present	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
	(ii) Permanent	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
8.	(a)Guardian's name**(in full)	-------------------------------------------------------------
	(b) Occupation	-------------------------------------------------------------
	(c)Address (i)Present	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
	(ii) Permanent	------------------------------------------------------------- ------------------------------------------------------------- -------------------------------------------------------------
9.	Total monthly income from all sources of parents/guardians	------------------------------------------------------------- (Documentary evidence should be sent)
10.	Particulars of School/College/University etc. where the candidate had studied (Any break in the education career should be indicated in the remarks column and attested copies of the certificates should be sent with this form) Name of School/ Date of Subjects Examinations Division Remarks College/University entering studied passed awarded & leaving & % of marks.
11.	Name and address of the employer under whom practical training is being received	-------------------------------------------------------------
12.	Particulars of any testimonials or Certificate attached	------------------------------------------------------------- Signature ( Articled Registration No. _____________________)

Place : ----------------------------------

Date : ----------------------------------

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