INDIAN SOCIETY OF ACCOUNTING & MANAGEMENT A-2/156, Paschim Vihar, New Delhi Id:

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INDIAN SOCIETY OF ACCOUNTING & MANAGEMENT A/6, Paschim Vihar, New Delhi 006 Email Id: info@indsam.com APPLICATION FORM FOR SHRI B.C.MAHESHWARI / SMT. SUGAN DEVI MAHESHWARI MEMORIAL SCHOLARSHIP The eligible candidates who intend to seek scholarship may apply through the Dean of the concerned University School of Studies or the Principal/Director of the Affiliated College of the University, or their employers along with the following documents/enclosures: (i) (ii) (iii) (iv) (v) Income certificate from the parent s employer (Affidavit attested by st Class Magistrate/SDM, in case there is no employer.) University/Institute of Chartered Accountants of India (ICAI) Enrolment Certificate. Attested copies of the marksheets of class XII, previous semester/year BBA/B.Com (Hons.)/MBA examination/ca Inter/ Graduation (as may be relevant). Recommendation of Dean/Principal/Director of the concerned University School of Studies/Affiliated College or Employer (for students of ICAI). Copy of receipt of last fee deposited with the University/Institution/ICAI.. Name of the Candidate:. Date of Birth:. Name of the Programme:. Name and Address of the Institution/Employer. Enrolment Number 6. CET Rank (if applicable):

7. Educational Qualification (including marks of semester examination last appeared) S. No.. XII Qualification Board/University Name & Address of School/College/ Institution Year of Passing Division %age/ CPI. Graduation/ Previous. MBA Previous / CA Inter. Others * Cumulative Performance Index 9. Total family income (annual): 0. Do you receive any other Scholarship/Financial Assistance? If yes, give details: Name & Address of the Organization Amount of Monthly/Annually Assistance Received Number of Days/Months/Year, for which the Assistance is being Received Type of Assistance Received. Any Other Source of Scholarship/Financial Assistance applied for Note: The candidates who do not clear their examinations (BBA/B.Com/MBA/CA Inter/ Previous (as may be relevant) in the first attempt will be deemed as ineligible for availing the scholarship. Income certificate from the Parent s employer/affidavit attested by st Class Magistrate/SDM (in case there is no employer) should be issued on or after st August of the year in which application for scholarship has been made. The completed application, with requisite documents, for grant of scholarship will be accepted upto st October & st March every year. The application received after the given date, due to any reason, will not be considered. Incomplete applications or applications not in prescribed format shall not be entertained.

UNDERTAKING I hereby declare that the above mentioned information furnished by me is true and correct to the best of my knowledge and belief. If any information is found incorrect, at any stage, my application may be rejected and amount, if any, received by me will be refunded along with penalty as decided by the Society. (Signature of Father/Mother/Guardian) (Signature of the Candidate) Date:. Permanent Address: Address for Correspondence: E mail Address: Contact No.: (Mobile) (Residence) UNDERTAKING The above said information furnished by the candidate has been verified to the best of my knowledge and the application has been forwarded for scholarship by me only after such verification. Signature & Full Name of Dean/Director/ Principal/Employer/Institute/Institution with Office Seal Place: Date: (Signature of the Candidate)

INDIAN SOCIETY OF ACCOUNTING & MANAGEMENT A/6, Paschim Vihar, New Delhi 006 Tel. No. 0669, 8 Email Id: info@indsam.com Website: www.indsam.com/scholarship.pdf GUIDELINES FOR SHRI B.C.MAHESHWARI AND SMT. SUGAN DEVI MAHESHWARI MEMORIAL SCHOLARSHIPS (Revised as per General Body Meeting held on th August, 07) The Indian Society of Accounting & Management (ISAM) has set up a Fund to provide two scholarships of Rs.,000/ each (per semester for University Examinations) and Rs. 0,000 p.a. for CA Examination in the memory of: (i) (ii) Shri B.C. Maheshwari (for Boys Only) Smt. Sugan Devi Maheshwari (for Girls Only) The Scholarships would be conferred upon meritorious and economically weak students. The beneficiaries of the scholarship shall be selected from the applicants, by a Committee comprising of the eminent persons. A total of two students (one girl & one boy) would be selected from B.Com. (Hons.)/BBA/MBA/Chartered Accountancy Course. The following criteria shall be used to select the candidates:. Students should have successfully completed their previous semester/year of B.Com, BBA & MBA and CA Inter (as may be relevant) from a recognized university/institution cleared in first attempt.. Application shall be invited from students seeking the scholarship on a prescribed format.. The format shall have a point based score for all the information provided by the student.. The Committee shall identify the students with the highest scores for scholarships.. The selected candidates shall appear for an interview, if desired, with the Chairman of the Society at the final stage. The selection format shall have the following basis and the evaluation criteria () Annual Family Income The point scores shall be allocated as under Annual Family Income Range (INR) Less than,00,000/,00,00/,0,000/,0,000/,0,000/,0,000/,60,000/,60,000/,80,000/ Points

() Academic Merit The points score for the academic merit would be allocated as under: Percentage Point Score Above 80% 70% to 79.99% 6% to 69.99% 60% to 6.99% Less than 60% XII BBA/B.Com/ Previous Graduation MBA st CA Inter Above 60% Below 60% In case of scores being tied, then the annual income of the student shall remain the deciding criteria. () Application Form and Rules can be downloaded from Society s Website: www.indsam.com/scholarship.pdf () The Form duly completed may be submitted in hard copy by post on the Society s address or submitted by email on the address given above. (Dr. S.N. Maheshwari) Chairman INDSAM