Verma Family Scholarship
Submission date
Name
First Name
Last Name
Contact number
-
Area Code
Phone Number
Email
example@example.com
Home address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MHSOBA exit year
VCE score
Are you a MHSOBA member
YES
NO
Course
University
Are you involved in your community or university life?
YES
NO
If YES, please list examples
Provide a brief description of how this scholarship will assist you
Please upload your files here
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I declare that the information contained in this application is true and correct. I understand that all applications will be treated in strict confidence with the information only available to members of the interview panel. I understand that all applications and related material will remain the property of MHSOBA Inc.
YES
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