Scholarship

Application Form

ABOUT THE STUDENT
(All fields are mandatory except otherwise stated)

Student's First Name (as per Aadhar)

Student's Middle Name (as per Aadhar)

Student's Last Name (as per Aadhar)

Date of Birth (as per Aadhar)

Gender

Student's Aadhar Card Number

Current Grade (2024-2025)

Stream

Phone Number

Alternate Phone Number

Whats App Number

Last Year's Percentage/Grade (2023-24)

Last Year's Percentage Attained

Last Year's Grade Attained

Are You Diffrently Abled?

ABOUT THE SCHOOL

ABOUT THE PARENT/GUARDIAN

Income Declaration by Parent/Guardian of Applicant
I, Name of resident of declare that I am a citizen of India and the annual income of my family from all sources is Rs .

Contact number:

Date:

Employment Declaration by Parent/Guardian of Applicant
This is to certify that I, resident of am a mechanic by profession.
I work in located at

Contact number:

Date:

MANDATORY DOCUMENTS TO UPLOAD

Proof of current enrolment 2024-25 (Upload any one)

Student's recent photo (not older than 3 months )

Student's Aadhar Card - Front

Student's Aadhar Card - Back

Mark Sheet for 2023-24 Orignal/ Signed and stamped by the school - Front

Mark Sheet for 2023-24 Orignal/ Signed and stamped by the school - Back

Driving License - Front

Driving License - Back

Certificate of disablity

UPLOAD RECEIPTS FOR REIMBURSEMENT
(At least 1 upload is mandatory in this section)

School fee receipt for 2024-25

Signed and stamped by the school

Stationery/School Uniform Receipt for 2024-25

Name of student must be mentioned on receipt.
Receipt should have GST number and phone number of the shop.
In case of non-GST receipt, name, address and phone number of the shop must be mentioned and the receipt should be signed and stamped by the shop.

PERSONAL ACCOUNT DETAIL

Click here to check IFSC Code

Upload Passbook or Cancelled Cheque

By submitting this form, I accept the following terms:

Applying for the scholarship does not guarantee selection.
All the documents submitted are genuine, and all the information shared is true, to the best of my knowledge. I understand that if at any point any document is found to be false, the scholarship benefits may be withdrawn.
By submitting this application form and other documents/declarations, I (applicant/parent/guardian) authorize Synergie and/or Valvoline to obtain, collect, process, transfer (including transfer to a country outside India), administer, store, program and use my personal and other information for the above purposes and any other reasonable and lawful purposes; and share those data or information with third parties, including companies within the Valvoline or Cummins affiliate across the world.
I hereby give express permission to Synergie and/or Valvoline to freely use the information/details/pictures provided, for the purpose of the Program or for any lawful purpose. Synergie and/or Valvoline shall be free to reproduce, process, transfer and use the information without limitation or obligation of any kind.
I will remain eligible to receive this Scholarship till I complete grade 12, provided I continue to attain minimum 60% marks in my annual exams. Eligiblity does not gurantee selection.
If Valvoline Cummins Pvt Ltd discontinues the Muskaan Scholarship Program at any time, I may not receive any further support.

Referred By

Source

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