SAHU JAIN TRUST 1, Insiational Area, Lodi Road, New Dsthi- 110.003 Phone : 24626467 28698817 ‘BOOK Post Ref. No, SIT Date INLAND SCHOLARSHIP To, With reference to your ete date. son Application Form ising sent herewith It should be filed in by the candidate in hisher own handwriting afer carefully going through the enclosed rles and conditions, and returned tothe above ares for consideration ofthe Trust. No column should be left bank, “The scholarships are given to deserving eudents for pesuing hgh shi heya higher ‘secondary level) in India The Trust expects them to maintain good results and therefore Students obsining lower than first divisions in thee annual examinations have relatively Tower chance of being considered. Applications would be received upto 31st July every year and seholarships would be ‘announeed by end of September, Only successful candidates wil be informed. Applicants ‘who do not Hear ofthe grant by the end of October and wish to make an enquiry about the ‘sume are requested 1 send a pre-stamped selfaddressed envelop without which no reply ‘would be given Incomplete forms are lable to summary ejection. “Thedcision ofthe Trstes shall be final, and no claim or eorrespondence sll be entertained in that repoct. Som Chandra SecrearyRULES AND CONDITIONS (Governing the award of Scholarship) (1) _Itisessential that the candidate should fill in correctly and truthfully all the information in the application form. 2) If the student's record of studies or characteris considered unsatisfactory, of which the Trust will be the sole judge, the scholarship may be stopped any time, The scholarship may also be stopped at the sole discretion ofthe Trust if ts found that the student has made mis-statements in this application, (G) On receipt of intimation of grant of scholarship the Candi Banker and Account No, so that scholarship amount is ret (4) If the applicant’s result has not been announced by the time of his sending the application form, he must send the same duly certified as soon as itis announced. The consideration of the award will remain in abeyance tll his result is received by the Trust. (3) ‘The candidate has to execute an undertaking in the form of a bond that as soon as he commences earning, he will start repaying the loan scholarship without any interest thereon at the minimum rate of 10% of his earnings every month tll the entire amount is repaid. Scholarship would be remitted only after receipt of this Bond. ‘This is intended to infuse a high sense of responsibility and discipline in the student ‘who should feel proud and happy in extending this co-operation so that the Trust shall utilize all money thus repaid to help more and more students under this scheme. (6) Ifthe student discontinues his studies during the mid session for which he is getting the scholarship, he must immediately inform the Trust of the same and would be liable to refund the entire amount received tll then, and intimate the Trust about the refund plan of the same (7) All migrations and changes in the student’s subject, institution, hostel, residence and address should be intimated to the office ofthe Trust immediately for furture reference, (8) Students desirous of renewing their scholarship will have to apply altesh every year.APPLICATION FORM FOR INLAND SCHOLARSHIP “The Managing Trustee Tea Ree oe Please SAHUJAIN TRUST | Date sa 1, nsintional Are, - eae Lodhi Roa, ‘Scholarship Sanctioned Passport size NEWDELET-110003 | Re cnr PAI Reopen | Trot Dew Si, [sho apply fran inland scholarship oF Rs. for persuing my higher stalis ‘8 detailed ern, and submit below the gure information SECTIONA PERSONAL PARTICULARS Name 0) Date of Binh Age Maleate (© Nationality Mother Tongue @ Religion Case SCISTOBCIGENERAL. (©) Father's Name CCecupation (© eames Reside Ades Present Residential Address. “inease adress for commision i ferent, please state that addres als) (Local Guandian and his Address © esmaini. ©) Family Deis ‘Name ofthe | Relationship with | Age | Vocation | Monthy Income family members | the Applicants ooscars af a ofan aor ML, Fee Structure @ Sate whether the Scholarship is required for the present course or forthe proposed ‘course. Give the following details accordingly ‘Total Fe for the Sessiow/Year Total Per Month Rs) Rs) Tuition Fee Examination Fee Hostel Charges Any other (please speci) Taal ‘Whether the student is geting subsidy / Scholarship / financial assistant from other Institutions State or Central Goverment: Yes/No (Pl, ick) yes Amount Rs Self Finance ©) © (© Amountof Scholarship required (©) Howedidyou nance the education til ow? (©) Details of Scholarships previously received frm this Trust Yer ‘Amount per month | Forhow many months [Toul @(0) Certificate by the Head of Institution 1, cet thatthe applicant MMs, was ia my schooVollege forthe ast ‘Year() and that hehe as Tas appeared a. ‘Examination held on. The rests ot hither lst examination is 8 follows Subjects | Total | Paw | Marks | Distinction | Div & Percentage | Remarks Marks | Marks | Obtained cof marks secured Division ‘TOTAL ‘The students conduct has been Horse bears a good moral character. ‘The statements made by thé applicant inthis application ae true and correct to the best of my knowledge Head ofthe Insttation Name Date os Desgoation Seal ofthe Insiuion SECTION, ‘The candidate i required to give two reference of reputed persons oer than hs relatives, ‘Th Tove sil hoa hertyt refer to them mpnting the caida’ carve, chaser and ligibility forthe scholarship. o 2 Name in fal Occupation all Address “SECTION PERSONALITY & SPIRITUAL DEVELOPMENT © EXTRA-CURRICULAR ACTIVITIES (@) Games you play- Indoor Outdoor (©) Hobbies. (©) Sociatineighbourhood work doneparticipated (©) Membership of hbstudy cirleL brary. (©) Newspapers youread (, Otherreading habits preferences (@) Politica nctination‘Atiation (0) Religious tntnaton’Aiiation (@ Whatdoyoudo foryour spiritual upifiment Avplicant [solomnly declare that the above information fumished by me is tae and correct inal respect. Should any pat of it be found otherwise, the Trust would be entitled in taking suitable action against me TTave gone through the rules and conditions of the Trust in connection with the award of @ loan-scholarship. I solemnly agre to abide by them, Signature of the applicant SECTION D (a) (Father'sGuardian’sCertifieate) above by my soaldaughtorward/Ms/Me ae tre and correct. Date Address Signature of FatherGuaedian ®