Maarif Scholarship Application

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Maarif Scholarship Application

Bio Data

Full Name Sex MaleFemale

Date of Birth

Place of Birth

Region

Nationality

Class your applying for

Primary

Year 1Year 2Year 3Year 4Year 5Year 6

High School: (JH)

Year 7Year 8Year 9

College (SH):

Year 10Year 11Year 12

Parents information

Father’s/Guardian’s Name

Phone No:

Father’s/Guardian’s Employer

Employment Status Self-employedGovernmentPrivateUnemployment

Employer’s Address

Phone No:

Salary range Ghc500.00 and belowGhc 600 – 1,500.00Ghc1600.00 – Ghc2,500.00Ghc2,600.00 and aboveNone of above

Mother’s/Guardian’s Name

Phone No:

Mother’s/Guardian’s Employer

Employment Status Self-employedGovernmentPrivateUnemployment

Employer’s Address

Phone No:

Salary range Ghc500.00 and belowGhc 600 – 1,500.00Ghc1600.00 – Ghc2,500.00Ghc2,600.00 and aboveNone of above

Parents’/Guardian’s Postal Address

Parents’/Guardian’s E-mail Address(es)

Parents’/Guardian’s WhatsApp Contact

Parents’/Guardian’s Fax Nos. (if any)

Marital Status Living TogetherSeparatedDivorcedWidowed/Widower

Who is the child staying with? Both parentsMother onlyFather OnlyGuardian

Has your child ever been requested to withdraw from any school? YesNo

If yes, reason

Will be able to pay for all other school charges? YesNo

Who will pay the other charges? FatherMotherGuardianEmployer

If other charges will be paid by Employer, what percentage (%) will be contributed by them?

Previous School

Name of School

Address/Location

From (Date)

To (Date)

Last Class Reached

Any Special Attributes/Abilities/Achievements of Applicant

Health Record

Does your child have normal good health? YesNo

If No, please explain

Is eyesight normal? YesNo

If No, please explain

Is hearing normal? YesNo

If No, please explain

Emergency Contact

Name and cell phone number of person(s) to be contacted in case of any EMERGENCY

Name

Cell Phone No:

Name

Cell Phone No:

Please provide the following information on all your siblings and provide supporting documents to authenticate this.

Surname

First Name

Age

Education Level

Signature of Parent/Guardian

Date

Passport Photo