Apply For Scholarship form : Kerala Engineering Graduates Association of Northeast America Inc.

KEAN Scholarship Application Form

Apply only if you are a first year Engineering Student.
Last date to submit application - December 09, 2024

First Name*

Middle Name

Last Name*

E-mail Address*

Your Contact number*

Date of Birth*

Percentage of Marks obtained in Xth*

Percentage of Marks obtained in XIIth*

Have you attended any Entrance Coaching classes?*
Yes
No

Engineering Branch*

Head Of the Department Full Name*

Name of Engineering college currently studying*

Address of the College*

Engineering College Admission number*

Kerala Engineering Entrance Rank*

Annual Income*

Property Informatior*

Mother's occupation*

Father's Occupation*

Do you or your family own a 4-wheeler?*
Yes
No

Have you recieved any other scholarships?*
Yes
No

Personal Statement*

Please review your Answers before Submitting.

Are you ready to submit
Yes
No