Scholarship Application Form Personal Info File ID First Name Last Name Place of Birth Date of Birth Email Mobile No. Did you get Scholarship from our Foundation last year? YES NO Type of Scholarship Required Accommodation Tuition Monthly Allowance Address How did you know about our foundation Account Name Bank Name Account No. BVN Level of Education Primary Secondary University School Name Department Class City(Local Government) State Abia Adamawa Akwa Anambra Bauchi Bayelsa Benue Borno Cross Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara Mother Name Alive/Deceased Occupation Monthly Income Mobile No. City(Local Government) State Abia Adamawa Akwa Anambra Bauchi Bayelsa Benue Borno Cross Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara Fathers Name Alive/Deceased Occupation Monthly Income Mobile No. City(Local Government) State Abia Adamawa Akwa Anambra Bauchi Bayelsa Benue Borno Cross Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara No. of Siblings No. of these in Primary No. of these in Secondary No. of these in University Do you want to participate in our foundation as Volunteer? YES NO Request Letter Admission Letter Jamb Result WAEC Result Matriculation NO. Indigene Certificate Birth Certificate Valid ID Card Reference Letter Name and Surname Relationship Occupation/Position Address Phone NO. I testify that the provided information above is correct. I accept the cancellation of my Scholarship and legal action against me in case of any false information. I willingly marked the above options for contributing the welfare actions of Near Foundation. I will fulfil my responsibilities regarding my choices. YES NO Apply Start Donating today Never let what you can do today till tomorrow Be the change you want the world to be by saving the lives of millions