Sri Rag Foundation for Education, Research and Social Welfare
The information provided on this form will be used by the Sri Rag Foundation Trustees to select recipients for financial support for education. It is important that you give complete details concerning your school, college/career plans, activities and financial information.
General Information
Scholarship category
*
Pre matric
Higher secondary
Degree
Post graduation
Student's Full Name
*
First Name
Last Name
Student ID (to be filled by trust office)
Student Address for correspondence
*
House number/House name
Street/Post office
City/District
State
Pin code
Student Address (Permanent Address)
*
House number/House name
Street/Post office
City/District
State
Pin code
Student/Parent Email
example@example.com
Student Phone Number
*
Please enter a valid phone number.
Student Date of Birth
*
/
Day
/
Month
Year
Date
Gender
*
Male
Female
Other
Upload photo
*
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Upload a recent photograph of the student
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of
Identification details(please select)
*
Adhaar card
School ID card
Choose file
*
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of
Please provide details if belonging to physically challenged/economically backward category
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of
Educational Information
Details of School/ College
Name of school/college
*
School Address
*
House number/House name
Street/Post office
City/District
State
Pin code
CGPA/Percentage/Grade/Division/Rank
Year of study
*
Subjects studied
*
Name of the Head of the school/college
Educational record of past three years
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Phone Number
Details of two referees
Name of referee 1
*
First Name
Last Name
Address of referee 1
*
House number/House name
Street/post office
City/District
State
Pin Code
Email of referee 1
*
example@example.com
Phone Number of referee 1
*
Name of referee 2
*
First Name
Last Name
Address of referee 2
*
House number/House name
Street/Post office
City/District
State
Pin Code
Email of referee 2
*
example@example.com
Phone Number of referee 2
*
Parent / Guardian information
Father's name
*
First Name
Last Name
Father's occupation
*
Father's annual income
*
Contact details
*
Please enter a valid phone number.
Mother's name
*
First Name
Last Name
Mothers' occupation
*
Mother's annual income
*
Contact details
*
Please enter a valid phone number.
Extracurricular activities
Have you participated in any association/community/social activity
NCC
NSS
Social activities
Others
Have you participated in any of the following
Athletics
Sports (individual)
Sports (team)
Arts
Others
If yes, please attach copies of certificate(s)
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of
Are you working (part time) while studying
Yes
No
If yes, provide specifications
Have you received any other financial aid, if yes please provide details
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of
Bank details
* it is mandatory to have a joint account between student and one of the parent
Bank name
*
Place
*
Bank account number
*
Confirm bank account number
*
Bank IFSC code
*
Confirm bank IFSC code
*
Undertaking by applicant/parent/guardian (in case of minor)
I hereby declare that the details furnished are true and accurate to the best of my knowledge. In case any of the information submitted is found to be false, untrue, misleading, or misrepresenting, I understand it may result in the disqualification of my application.
I agree that I have read and understood the Privacy Policy and the Terms & Conditions applicable to this website. I further agree that the Sri Rag Foundation team may reach out to me via email with further information on the financial support for education.
THE DECISIONS/SELECTIONS BY TRUSTEES OF SRIRAG FOUNDATION WILL BE FINAL AND CAN NOT BE CHANGED
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