Application for Sushamajay Scholarship

Note :

  • Only Girls who lost father/mother are eligible for Sushamajay Scholarship.
  • The scholarship amount would be transferred to school account only.
  • Make sure that scanned copy (soft copy) of applicant's passport size photo, Principal's letter and birth certificate are ready before filling up the form.
  • Size of scan documents must be below 300 KB.
  • All scanned documents must be in .jpg format.

Step 1 of 3

Personal Detaills
Name of the Applicant:
Gender :
Male Female
Select Date of Birth:
Father's Name :
Mothers's Name :
Mobile Number of Applicant/Guardian (10 Digit)
Principal's Mobile Number (10 Digit)
Email ID (Applicant's) :
Total Annual Income of the Family/Guardian:
Is Father alive?
Is Mother alive?
Contact details
Address Line-1 :
Address Line-2 :
State :
District:
Pincode:
School/Fee details
School Studying in:
Class :
I am a :
Total Annual School Fee :
Total Annual Hostel Fee :
Any other fee that School charges ( Mention charge name ) :
Any other fee that School charges ( Mention charges/Amount) :
School Bank Account details
Bank Name :
Bank Address :
Account No :
IFSC Code (11 digit) :
Statement

Write a brief justification for Scholarship? ( Write in 50 words )