- SITARAM JINDAL FOUNDATION

Scholarship Application Form

I. Student Profile

1. Aadhar No:

2. Name :

3. Gender:

4. Email Id:

5. Mobile No:

6. Date of Birth:

7. Country:

8. Nationality:

9. Permanent Address:

10. Permanent Pin Code:

11. Permanent City:

12. Permanent Post Office:

13. Permanent State:

14. Present Address:

Same as Permanent Address

15. Present Pin Code:

16. Present City:

17. Present Post Office:

18. Present State:

19. Physically Handicapped:

20. Ward of Ex-Serviceman:

21. Belong to BPL Family:

22. Single Parent:

23. Orphan:

II. EDUCATIONAL INSTITUTION DETAILS

1. Country:

2. Pin Code:

3. City:

4. College Post Office:

5. State:

6. Present Institute/College/School name:

7. College Email:

8. College Phone No.(With Std. Code):

9. Previous Exam:

b) Previous Year:

10. Obtained Marks in Previous Exam:

11. Total Marks in Previous Exam:

12. Percerntage (%) in Previous Exam:

13. Current Course:

14. Course Duration (In Years):

15. Choose your Preference:

Regular

Part-time

Correspondence

Evening College

16. Annual Fee:

17. Course Started From:

(Enter the month and year when your current course began (e.g.,01-07- 20XX))

18. Final Exam:

(Enter the tentative date of your final year exam (format: DD-MM-YYYY, e.g., 01-07-20XX).)

19. Required Scholarship Amount (Per month):

20. Have You Applied Before S.R.Jindal Scholarship Scheme:

21. Are you getting any stipend/Fee reimbursement/scholarship from any other source?
:

22. Have you applied / or getting any scholarship from Minorities Welfare dept / SC / ST / OBC in your state

23. Current Stay:

III Parents/ Guardians Information

1. Name:

2. Relation:

3. Mobile No:

4. Alternate No (Optional):

5. Email Id (Optional):

6. Occupation:

7. Annual Family Income:

IV Bank Details

IMPORTANT

Important Notice Regarding Bank Accounts

Currently, online payment transfers through our system are not supported for Grameen Bank accounts.

Students having accounts in Grameen Bank are requested to provide details of any other bank account (preferably a nationalized or scheduled commercial bank).

If you do not have another bank account, please open a new account in any other bank to ensure successful scholarship disbursement.

1. IFSC:

2. Bank Name:

3. Account Number:

4. Beneficiary Name:

5. Branch Address:

6. Upload Bank Document

Only PDF files allowed (e.g., Bank_Passbook.pdf)

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