Saksham - Scholarship

Application Form

Read this form carefully and submit all documents. Incomplete Application Forms will be rejected. Your application to the program is voluntary, and you are not under any obligation to apply.

About the Student

name of the student

date of birth

Student Aadhar Card Number

gender

Female

Male

Any other

Current class

Parent's contact

Student's Contact

WHATS APP NUMBER

About the School/College

Name of school/college

CONTACT PERSON FROM SCHOOL

Name of Contact Person

Contact number

complete address

State / District

PIN CODE

About the Parent/Guardian

MOTHER'S NAme

father'S name

guardian'S name (optional)

Address

Bank details of student

Account holder's name

bank name

account number

confirm account number

ifsc code

confirm ifsc code

Bank passbook or cancelled cheque

Upload

Mandatory documents to upload

student photograph
(not older than 3 months )

Upload

Proof of current enrolment 2024-25 (Upload any one)
Signed and stamped by school/college
Download Bonafide Certificate Format

Upload

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

Upload

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

Upload

Aadhaar Card of student
(Front Side)

Upload

Aadhaar Card of student
(Back Side)

Upload

Three months salary slip with stamped by authorised signatory

Upload

PROOF OF INCOME OF PARENT/ GUARDIAN (Upload any one)

Upload

By submitting this form, I accept the following terms:

I understand that applying for this 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 I understand that if at any point any document is found to be false, the scholarship benefits may be withdrawn.

On submission of this enrollment form and other documents / declarations, the applicant and/or its guardian authorize Synergie and / or Mahindra Finance to obtain, collect, process, transfer, administer, store, program and use my personal and other information for the above purposes and any other reasonable and lawful purposes.

I hereby give express permission to Synergie and / or Mahindra Finance to freely use the information / details / pictures provided in the application form, for the purpose of the scholarship program or for any lawful purpose.

I understand that Mahindra Finance reserves the right to stop this scholarship at any time. In such an event I will have no claims even if I have been selected for receiving the scholarship.

I accept the above mentioned term and conditions.