Jain Alert Group - Minority Application Form

INTEGRATED PLATFORM

TO ANALYSE ELIGIBILITY FOR MINORITY, GOVERNMENT AND OTHER BENEFITS
STUDENT DETAILS
Full Name*

PrefixFirst NameMiddle NameLast Name
Mobile*
Email*
Do you belong to Jain Community ?*

YESNO
City/ Town/ Village *
State/ Union Territory*
Residential Pincode*
Native Place
Date of Birth*

DayMonthYear
Date
Age Group*
(Select your age bracket from the drop down list below)
Present Academic Qualifications*
What kind of assistance is being sought under the eligible Minority, Government or Other Benefit Scheme(s) for Education ?*
For which Academic Year ?*
(Such minority assistance can be applied only for the academic year 2023-24 onwards)
To Pursue which Grade?*
(Mention the applicable grade corresponding to the Academic Year chosen)
Stream*
(Mention the course / stream only for post-metric and above)
Specific Course*
(Mention the course / stream only for post-metric and above)
Total Family Income*

Below ₹ 1 lakh₹ 1 - 3 lakhs₹ 3 - 5 lakhs₹ 5 - 8 lakhsAbove ₹ 8 lakhs
Does your family member(s) file Income Tax Return ?*

YESNO
Other Specify Here
Other Specify Here
Other Specify Here
Kindly press 'SAVE' button and then move to 'NEXT' section.
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FAMILY DETAILS
Total Family Members*
Other Specify Here
Father's Name*

PrefixFirst NameMiddle NameLast Name
Mother's Name*

PrefixFirst NameMiddle NameLast Name
Spouse's Name (if applicable)

PrefixFirst NameMiddle NameLast Name
Guardian's / Other Family Member's Name (if applicable)

PrefixFirst NameMiddle NameLast Name
Father's Occupation*
Other Specify Here
Mother's Occupation*
Other Specify Here
Spouse's Occupation (if applicable)
Other Specify Here
Complete Residential Address (for courier delivery)
(Required Format: Flat No., Wing, Building, Road, Suburb, Landmark, City, State, Pincode)
Whom do you want to assign as Alternate Contact Person ?*

FatherMotherSpouseGuardian / Other Family Member
Alternate Contact Person's Phone Number*
Kindly press 'SAVE' button and then move to 'NEXT' section.

DECLARATION

Mandatory Declaration for completing this application for onward registration process under the eligible Minority, Government / Any Other Benefits scheme(s):

(a) I, hereby declare that the information provided is true and correct;

(b) I, hereby affirm to share additional information, as and when required during the registration process under eligible scheme(s);

(c) I, hereby give my consent to share these information at necessary places including authorised persons, institutions and / or government departments;

(d) I, hereby understand that the registration process under eligible scheme(s) shall be made on best effort basis;

(e) I, hereby understand that submitting this application does not tantamount to any commitment / assurance / confirmation regarding the eligibility or receiving of any benefit(s);

(f) I, understand that the registration under the eligible scheme(s) shall be made in good faith and no one shall be held responsible whatsoever or due to reasons beyond our control, in case the benefits are not availed under any eligible scheme(s).
Confirm Email *
Kindly confirm the same Email ID as mentioned in the initial section and then follow below steps:

1. Press 'VERIFY EMAIL' button;

2. Kindly 'COPY' and 'PASTE' the verification code received in your email;

3. Press 'CONFIRM CODE' button.

After submission, you will receive PDF copy of your filled application in your email. Kindly also check your spam / junk emailbox, in case not received in your inbox.
HELPDESK

Email ID: jainalertminorities@gmail.com | Mobile: +91 99203 09933

Kindly save the contact details above for further correspondence(s).
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