This is only a preliminary survey form and not an application for scholarship or loan. Application form will be sent only to eligible candidates as per criteria of JEET.
Head of Family:*
Address:*
Native Place:*
Email ID:*
Mobile No.:*
Telephone No.:
City*
Taluka
District
State*
Pin Code*
Jain Caste/Sub-Caste*
Electricity Bill/mon*
Place of Residence*
House Rent/mon*
Details of Family Members
Mediclaim
Mediclaim
Mediclaim
Mediclaim
Mediclaim
Mediclaim
Mediclaim
Details of Students Studying in Family
Any family members diagnosed with critical illness? (E.g. Cancer, Paralysis, etc.) *
If Yes, Approximate monthly expenses for the same?
Monthly Family Income *
Do you need any Financial Help for Education?
Have you applied for Jain Minority Scholarship with Govt. National Scholarship Portal? *
Have you received any financial support for Education from JEET or any other organization/trust/individual? *