SRG EDUCATION FOUNDATION

“Knowledge Empowers. Education Transforms.”

SARASWATI SADHANA SHISHYAVRUTTI YOJANA

APPLICATION FORM

Instruction: Please fill out this form carefully in BLOCK LETTERS. Attach all requested documents where applicable.

Student Photograph

Photo Preview

Profile Picture *

JPG, PNG or WebP. Maximum 2 MB.

1. STUDENT INFORMATION

Full Name *

Date of Birth *

Gender *

School Name *

Current Grade / Class *

School Address *

Aadhaar Card No.

2. FAMILY & GUARDIAN DETAILS

Father's Name *

Father's Occupation

Mother's Name *

Mother's Occupation

Primary Guardian (if not parents)

Relationship to Student

Guardian Occupation

Total Family Members Living in House

Siblings Currently Studying

3. ECONOMIC & VULNERABILITY STATUS

Total Monthly Household Income

Housing Type

Special Family Circumstances

Single Parent Household Orphaned Child Parent/Guardian with Chronic Illness or Disability Family belongs to a marginalized/minority community

4. CONTACT INFORMATION

Primary Mobile Number *

Parent's Email ID

Permanent Home Address *

5. TEACHER RECOMMENDATION

To be filled by School Teacher

Is the student regular in school?

School Attendance (%)

Brief Comment on Student's Learning Attitude

Teacher's Name

Date

6. DECLARATION & SIGNATURE

I hereby declare that all the information provided above is true and accurate to the best of my knowledge. I understand that any false statement may lead to the immediate cancellation of the scholarship.

I accept the above declaration and confirm that the information submitted by me is correct.

Parent / Guardian Name

Declaration Date

Please verify all information before submitting.