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SOCIETY CHARITABLE FOUNDATION MEMBERS PROFILE Members Name Membership No Date of Joining Contact No Blood Group Email Id Date of Birth Date of Marriage Residential Address
Qualification Occupation Office Address
Family Details: S.NO Name 1 2 3 4 5 6
Specialized in / Strength
Remarks
Relationship
Date of Birth
SOCIETY CHARITABLE FOUNDATION MEMBERS PROFILE Members Name Membership No Date of Joining Contact No Blood Group Email Id Date of Birth Date of Marriage Residential Address
Vishal R Kothari
9840541337 [email protected], [email protected]
4/11/1984 Not Applicable 84, Arimuthu Street, Choolai, Chennai - 600 112 Tamilnadu (India)
Qualification
B. Com, CA - PE II Cleared
Occupation Office Address
Studying & Article Assistant at B & S
Family Details: S.NO Name Relationship 1 Ravindra Kumar Kothari Father 2 Vasantha Bai Kothari Mother 3 Vivek Kothari Brother 4 5 6
Specialized in / Strength
Remarks
Date of Birth 27th Dec 15th Aug 27th Apr
Good in communication and can understand the nature of people which helps in my work. Have good accounting knowledge. Have lots of good friends which adds to my strength
SOCIETY CHARITABLE FOUNDATION Registration No. 631/IV of Year 2006 84, ARIMUTHU STREET, CHOOLAI CHENNAI - 600 112. Contact No. 938006830 SCHOLARSHIP APPLICATION FORM S NO NEW RENEWAL
PHOTO
APPLICANT NAME: NAME OF THE INSTITUTION WITH ADDRESS:
ACADEMIC YEAR
STD OF STUDYING
DATE OF BIRTH AGE Are you a beneficiary of any other financial assistance? Yes
No
If yes provide details Financial
Books
Uniform
SEX
PROMOTED M
Yes No
F
Others
No of years of receiving the assistance: …………………Years Name of the address of assisting Agency/ Institution
ANY SPECIAL ACHIEVEMENT: AIM FOR FUTURE: ABOUT APPLICANT:
SIGNATURE OF THE STUDENT
SIGNATURE OF PARENT
FAMILY DETAILS FATHERS NAME MOTHERS NAME OTHER FAMILY MEMBERS PERMANENT RESIDENTIAL ADDRESS
TELEPHONE NO NATURE OF BUSINESS NAME AND ADDRESS OF WORK PLACE
OFFICE PHONE NO MONTHLY INCOME REASONS FOR NOT BALE TO RAISE FUNDS FOR FEES
I………………………………………………….. F/o…………………………………….. State that the particulars mentioned above are true and correct to the best of my knowledge and belief Place: Date:
Signature
VERIFICATION 1 I………………………………………………….. S/o…………………………………….. Residing at …………….. ……………………………………………………………………………………………………………………………… Phone/ Cell No……………………………………. Know the above person for ………….years and state that the details annexed are true and correct to the best of my knowledge and belief.
Place: Date:
Signature
VERIFICATION FROM SCHOOL I here by inform that ………………………………………………….. (name of the student) S/o / D/o………………….. ………….………………………. Was studying in …………….. Class and has been promoted to …………class for the academic year 2007-08 and that his academic performance is good.
Place: Date:
Signature of the Head of the Institute Name and Designation along with the seal of the Institution
SYSTEM1: THIS SHEET SHOULD NOT BE UPLOADED IN THE SITE. THIS IS FOR PERSONEL REFERENCE ONLY.
S NO
NAME
SCOIETY CHARITABLE FOUNDATION MEMBERS DETAILS
D.O.B.
CONTACT NO
1
Anitha Bhaiya
12/24/1970
9380006830
84, Arimuthu St, Choolai, Ch - 112
2
Prashant Ostwal
9/25/1984
09740455116
66, EVK Sampath Road, Swapnalok Apts, Vepery, Ch - 7
3
Vishal Kothari
4/11/1984
9840541337
84, Arimuthu St, Choolai, Ch - 112
4
Sonam Kothari
6/17/1987
9443312319
C - 1 'Aashiyana', 3/3 Church Lane vepery, Ch - 7
5
Geetu Jain
12/20/1983
9884892937
66/163 Jani Jhan Khan Road, Royapettah, Ch 14.
6
Sailesh jain
8/18/1985
9790910260
89, Arimuthu St, Choolai, Ch - 112
7
Neha Lohia
9841152328
5A, jai Palace, Temple Street, Kilpauk, Ch - 10
8
Sauvrin Patel
9884741010
Mahaveer Colonu, Vepery Ch - 7
9
Laxmikant Petty
9283107882
15, Avadisrinivasan St, Choolai, Ch - 112.
10
Varun Singhi
9789988565
25, Kalathiappan St, Choolai, Ch - 112
11
Umesh Jitani
12
Tarachand Parihar
9840722500
Perumal Mudali St, Sowcarpet, Ch - 79
13
Komal K
9940500871
10/2, Church Lane, Ritherdon Road, Chennai - 7
14
Punit Kedia
9884541114
Kences Appartments Poonamalle High Road, Ch -
6/3/1984
4/21/1988
CONTACT ADD
DATION
EMAIL ID
BLOOD GROUP
[email protected]
[email protected]
[email protected] [email protected] [email protected]
A +VE
[email protected]
B +VE
[email protected]
B +VE
[email protected]
[email protected]
A +VE
[email protected]
[email protected]
[email protected]
B +VE
SCF - MEMBERSHIP COLLECTION DETAILS Jan' 08 MEM FEES BOX DATE 1 Anitha Bhaiya 2 Prashanth Ostwal 3 Vishal Kothari 4 Sonam Kothari 5 Geetha Jain 6 Sailesh Jain 7 Neha Lohia 8 Sauvrin Patel 9 Laxmikanth Bhaiya 10 Varun Singhvi 11 Umesh Jitani 12 Tarachand Parihar 13 Komal Ostwal 14 Punit Kedia
Feb' 08 MEM FEES BOX
DATE
Mar' 08 MEM FEES BOX
DATE
Apr' 08 MEM FEES BOX
DATE
Qualification Occupation Office Address
Family Details: S.NO Name 1 2 3 4 5 6
Specialized in / Strength
Remarks
Relationship
Date of Birth
SOCIETY CHARITABLE FOUNDATION MEMBERS PROFILE Members Name Membership No Date of Joining Contact No Blood Group Email Id Date of Birth Date of Marriage Residential Address
Vishal R Kothari
9840541337 [email protected], [email protected]
4/11/1984 Not Applicable 84, Arimuthu Street, Choolai, Chennai - 600 112 Tamilnadu (India)
Qualification
B. Com, CA - PE II Cleared
Occupation Office Address
Studying & Article Assistant at B & S
Family Details: S.NO Name Relationship 1 Ravindra Kumar Kothari Father 2 Vasantha Bai Kothari Mother 3 Vivek Kothari Brother 4 5 6
Specialized in / Strength
Remarks
Date of Birth 27th Dec 15th Aug 27th Apr
Good in communication and can understand the nature of people which helps in my work. Have good accounting knowledge. Have lots of good friends which adds to my strength
SOCIETY CHARITABLE FOUNDATION Registration No. 631/IV of Year 2006 84, ARIMUTHU STREET, CHOOLAI CHENNAI - 600 112. Contact No. 938006830 SCHOLARSHIP APPLICATION FORM S NO NEW RENEWAL
PHOTO
APPLICANT NAME: NAME OF THE INSTITUTION WITH ADDRESS:
ACADEMIC YEAR
STD OF STUDYING
DATE OF BIRTH AGE Are you a beneficiary of any other financial assistance? Yes
No
If yes provide details Financial
Books
Uniform
SEX
PROMOTED M
Yes No
F
Others
No of years of receiving the assistance: …………………Years Name of the address of assisting Agency/ Institution
ANY SPECIAL ACHIEVEMENT: AIM FOR FUTURE: ABOUT APPLICANT:
SIGNATURE OF THE STUDENT
SIGNATURE OF PARENT
FAMILY DETAILS FATHERS NAME MOTHERS NAME OTHER FAMILY MEMBERS PERMANENT RESIDENTIAL ADDRESS
TELEPHONE NO NATURE OF BUSINESS NAME AND ADDRESS OF WORK PLACE
OFFICE PHONE NO MONTHLY INCOME REASONS FOR NOT BALE TO RAISE FUNDS FOR FEES
I………………………………………………….. F/o…………………………………….. State that the particulars mentioned above are true and correct to the best of my knowledge and belief Place: Date:
Signature
VERIFICATION 1 I………………………………………………….. S/o…………………………………….. Residing at …………….. ……………………………………………………………………………………………………………………………… Phone/ Cell No……………………………………. Know the above person for ………….years and state that the details annexed are true and correct to the best of my knowledge and belief.
Place: Date:
Signature
VERIFICATION FROM SCHOOL I here by inform that ………………………………………………….. (name of the student) S/o / D/o………………….. ………….………………………. Was studying in …………….. Class and has been promoted to …………class for the academic year 2007-08 and that his academic performance is good.
Place: Date:
Signature of the Head of the Institute Name and Designation along with the seal of the Institution
SYSTEM1: THIS SHEET SHOULD NOT BE UPLOADED IN THE SITE. THIS IS FOR PERSONEL REFERENCE ONLY.
S NO
NAME
SCOIETY CHARITABLE FOUNDATION MEMBERS DETAILS
D.O.B.
CONTACT NO
1
Anitha Bhaiya
12/24/1970
9380006830
84, Arimuthu St, Choolai, Ch - 112
2
Prashant Ostwal
9/25/1984
09740455116
66, EVK Sampath Road, Swapnalok Apts, Vepery, Ch - 7
3
Vishal Kothari
4/11/1984
9840541337
84, Arimuthu St, Choolai, Ch - 112
4
Sonam Kothari
6/17/1987
9443312319
C - 1 'Aashiyana', 3/3 Church Lane vepery, Ch - 7
5
Geetu Jain
12/20/1983
9884892937
66/163 Jani Jhan Khan Road, Royapettah, Ch 14.
6
Sailesh jain
8/18/1985
9790910260
89, Arimuthu St, Choolai, Ch - 112
7
Neha Lohia
9841152328
5A, jai Palace, Temple Street, Kilpauk, Ch - 10
8
Sauvrin Patel
9884741010
Mahaveer Colonu, Vepery Ch - 7
9
Laxmikant Petty
9283107882
15, Avadisrinivasan St, Choolai, Ch - 112.
10
Varun Singhi
9789988565
25, Kalathiappan St, Choolai, Ch - 112
11
Umesh Jitani
12
Tarachand Parihar
9840722500
Perumal Mudali St, Sowcarpet, Ch - 79
13
Komal K
9940500871
10/2, Church Lane, Ritherdon Road, Chennai - 7
14
Punit Kedia
9884541114
Kences Appartments Poonamalle High Road, Ch -
6/3/1984
4/21/1988
CONTACT ADD
DATION
EMAIL ID
BLOOD GROUP
[email protected]
[email protected]
[email protected] [email protected] [email protected]
A +VE
[email protected]
B +VE
[email protected]
B +VE
[email protected]
[email protected]
A +VE
[email protected]
[email protected]
[email protected]
B +VE
SCF - MEMBERSHIP COLLECTION DETAILS Jan' 08 MEM FEES BOX DATE 1 Anitha Bhaiya 2 Prashanth Ostwal 3 Vishal Kothari 4 Sonam Kothari 5 Geetha Jain 6 Sailesh Jain 7 Neha Lohia 8 Sauvrin Patel 9 Laxmikanth Bhaiya 10 Varun Singhvi 11 Umesh Jitani 12 Tarachand Parihar 13 Komal Ostwal 14 Punit Kedia
Feb' 08 MEM FEES BOX
DATE
Mar' 08 MEM FEES BOX
DATE
Apr' 08 MEM FEES BOX
DATE
