North American Jat Charities, Inc.

20 Gumani Court, Freehold, NJ 07728 USA

Tel. 732 308 0721; Fax 732 308 4560

Scholarship Renewal application

Update student information:

1. Full name with postal address:

Update Education and Expenses Information:

1. Name of the institution with address:

2. Academic progress (documentation required):

3. Yearly tuition (documentation required): Rs.

4. Other educational expenses (documentation required): Rs.

5. Other scholarships/educational loans/family assistance received: Rs.

Update Family Information:

1. Father’s occupation:

2. Mother’s occupation:

3. Your family’s total annual income (affidavit required): Rs.

4. Family’s total land holdings:

6. Number of members dependent on above land holdings and income:

Community Service Information:

1. Location with postal address:

2. Name, address, tel no., and title of the person overseeing the community service

3. Average number of hours/week service performed:

4. Duration: From ---------------------------- to---------------------------

5. Description of Service performed:

Please make at least one suggestion as to how this application process can be improved.

Email inquiries to Dr. Jagbir Singh at: Jagbir@temple.edu

Mail completed application package to: Dr. Jagbir Singh

7940 Montgomery Ave.

Elkins Park, PA 19027

USA

All information is subject to verification. Disclosure of any false information will lead to

Immediate disqualification of applicant.