Father:

Name      name               Age   56               Date of Birth                 05/02/1959

Education         Bsc                              Occupation

Father’s annual income for the previous three years. (Rs.)

2005      :                2004                2003

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount (Rs.)                No.of Year(s)

Mother:

Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                                       Occupation

Mother’s annual income for the previous three years. (Rs.)

2005                      2004                2003

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount (Rs.)                No.of Year(s)

Guardian (only if both the parents not alive):

Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                                       Occupation

Guardian’s annual income for the previous three years. (Rs.)

2005                      2004                2003

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount (Rs.)                No.of Year(s)
Brother/Sister’s Profile

1.
Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                           School/College

Occupation             Annual Income

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount(Rs.)                 No.of Year(s)   1

2.
Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                           School/College

Occupation             Annual Income

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount(Rs.)                 No.of Year(s)   1

3.
Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                           School/College

Occupation             Annual Income

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount(Rs.)                 No.of Year(s)   1

4.
Name                     Age                  Date of Birth                 mm/dd/yyyy

Education                           School/College

Occupation             Annual Income

Financial Assistance awarded earlier

Date of Award                   mm/dd/yyyy      Amount(Rs.)                 No.of Year(s)   1

FINANCIAL ASSISTANCE PROGRAM – APPLICATION FORM –NEON HIGH SCHOOL

Application Details

Date of Application 05/07/2006      mm/dd/yyyy

Financial Assistance required for no.of Year(s)

Percentage of Financial Assistance of the total Fee required 50%     100%   75%

Score maintainable by the student(%)          80%

(Signature of the Student)                            (Signature of the Parent/Guardian)

                                                      For Office Use only

Scholarship awarded?         Yes      No

Percentage of Financial Assistance awarded

Financial Assistance awarded for no.of Year(s)

Score to be maintained by the student (%)

(Authorised Signatory)

Evaluation: