Saini Bhawan

Applicant's Name :

Date of Birth:

Father's Name :

Mother's Name :

Home Address :

Mobile / Telephone No :

Email ID :

Domicile State Panjab Haryana Himachal Pradesh Chandigarh(UT) Delhi

Details of the present course/studies/research work

Name of Course	Name of Institute	Subject	Date of Joining	Duration of Course

Details of the course on the basis of which got admission in present course

Name of Course	Name of Institute	Subject	Marks Percentage	Distinction (if any)

Previous Academic Record

Year	Exam.Passed	Subjects Taken	Marks Percentage	Institute	Distinction (if any)

Any Other Specialization or Distinction:

Marital Status Married Unmarried

Applicant's Present Profession

Applicant's Income

Father's Profession

Father's Income

Mother's Profession

Mother's Income

Name and monthly amount of scholarship/financial assistance already receiving from any other agency

Annual fee structure and other expenses

Declaration - I, solemnly declare :
(a) That the above mentioned information is correct to the best of my knowledge.
(b) That I underkake to continue my above mentioned course of studies successfully.
(c) That I will spend the whole amount of the scholarship received for this course.
(d) That I will refund the received amount in case it becomes impossible to continue my studies.
(e) That I will abide by all the conditions and rules of scholarship prescribed by Saini Charitable Education Trust(Regd.) Rupnagar.
I solemnly swear in the name of God to help another deserving person in future as I have been helped by the TRUST.

I have read and agreed and wish to proceed

Submit