GAURAV FOUNDATION

C/o, Gaurav Singhal Group

gf
gaurav foundation
New No. 43 | Old No. 34, II Floor,
Sundaram Pillai Street, Purasawalkam,
Chennai. Tamil Nadu. India– 600 007
contact@gauravfoundation.org
gauravfoundation.org

SCHOLARSHIP PROGRAMME – REGISTRATION FORM

(For Office Use) - GFS: 10______

1. Personal Details:
Full Name : ……………………………………………………………………………….
Date of Birth : ………………………………………………………………………………. Recent Passport Size
Photograph
Country of Birth : ……………………………………………………………………………….
Nationality : ………………………………………………………………………………. (Not older than
6months)
Passport No (If) : ……………………………………………………………………………….
Full Address : ……………………………………………………………………………….
…………………………………………………………………………………………………. PIN Code : ……………...
Tel. No. (Res) : …………………………………… Tel. No. (Off) : ..……………………………………………
Mobile No. : …………………………………… E-mail ID : ..……………………………………………
Marital Status : Married Single
2. Family Background:
Family Educational Occupation / Designation Gross Income
Name Age
Member Qualification Name & Address of Company Per Annum

Father

Mother

Spouse

Brother

Sister

APPLICANT SIGNATURE
Has your education so far been financed by a person other than your parents, or by a scholarship from a Trust or Foundation?
Yes No
If yes, please mention name of the person / Trust / Foundation that financed your education so far:
……………………………………………………………………………………………………………………………..
Relationship of the person with you : …………………………
Amount of aid received per year : …………………………
3. Non Academic Interests /Hobbies / Talents Actively Pursued
Year (s) Brief Description of the Activity Pursued Prizes (If Any)

4. Awards and Scholarships

Year (s) Name of the Award / Scholarship Awarding Body

5. Have you been involved in any work / activity / programmer to change / improve the society / community ?
YES NO If yes, give details

6. How did u come to know by Gaurav Foundation?

Internet Newspaper Activity College / School Education Expo
Others __________________
7. Have you ever applied for Scholarship at Gaurav Foundation before? YES NO
If yes, mention the year __________
APPLICANT SIGNATURE
8. Apply for New / Continuation School Scholarship
YES NO
If yes, fill details below:
Latest 3 years details
S. No. School Name with Address and Phone No. Class Year Percentage

1.

2.

3.

Proposed Scholarship of Study

3 Options can be given in Schools Only
S. No. School Name with Address and Phone No. Class Year Group

1.

2.

3.

Estimated Cost of the Course per Annum

Course Fees : Rs __________________
Books Fees : Rs __________________
2 Uniform Set : Rs __________________

APPLICANT SIGNATURE
9. Apply for New / Continuation Diploma and Certificate Scholarship
YES NO
If yes, fill details below:

School Details
Study School Name Year Percentage
SSC or
Equivalent
HSC or
Equivalent

Proposed Scholarship of Study

S. No. Institute Name with Address Subject
1.
2.
3.

Estimated Cost of the Course per Annum

Course Fees : Rs __________________
Books Fees : Rs __________________
Exam Fees : Rs __________________

APPLICANT SIGNATURE
10. Apply for New / Continuation Under Graduate / Graduate Scholarship
YES NO
If yes, fill details below:
School Details
Study School Name Year Percentage
SSC or
Equivalent
HSC or
Equivalent

College Details
Study College Name Year Percentage
1st year
2nd Year
3rd Year
4th Year
5th Year

Research Experience, If any

APPLICANT SIGNATURE
Work Experience, If Any

Proposed Scholarship of Study

S. No. Institute / College / University Name with Address Course of Study
1.
2.

Estimated Cost of the Course per Annum

Course Fees : Rs __________________
Books Fees : Rs __________________
Exam Fees : Rs __________________
Living Cost : Rs __________________

APPLICANT SIGNATURE
11. Apply for New / Continuation Post Graduate Diploma and Certificate Scholarship
YES NO
If yes, fill details below:
School Details
Study School Name Year Percentage
SSC or
Equivalent
HSC or
Equivalent

College Details
Study College Name Year Percentage
1st year
2nd Year
3rd Year
4th Year
5th Year

Research Experience, If any

APPLICANT SIGNATURE
Work Experience, If Any

Proposed Scholarship of Study

S. No. Institute Name with Address Subject
1.
2.
3.

Estimated Cost of the Course per Annum

Course Fees : Rs __________________
Books Fees : Rs __________________
Exam Fees : Rs __________________

APPLICANT SIGNATURE
12. Apply for New / Continuation Post Graduate Scholarship
YES NO
If yes, fill details below:
School Details
Study School Name Year Percentage
SSC or
Equivalent
HSC or
Equivalent

College Details
Study College Name Year Percentage
1st year
2nd Year
3rd Year
4th Year
5th Year

Diploma / Certificate Course Details

S.No. Diploma / Certificate Institute Name Year Percentage
1
2
3

Research Experience, If any

APPLICANT SIGNATURE
Work Experience, If Any

Proposed Scholarship of Study

S. No. Institute Name with Address Subject
1.
2.
3.

Estimated Cost of the Course per Annum

Course Fees : Rs __________________
Books Fees : Rs __________________
Exam Fees : Rs __________________
Living Cost : Rs __________________

APPLICANT SIGNATURE
13. Write a brief essay on why you consider yourself worthy of this scholarship (Include a mention of your career plan;
the opportunities available for the proposed course of studies in India; and the contribution you hope to make to improving the
quality of life in India after completing your studies)

APPLICANT SIGNATURE
14. Reference
Please enter details of your references below:
Name
Designation
Address of Correspondence
Tel. No. Mobile No. E-mail Id:
1.
Relationship with Applicant Applicant known since
Signature

Name
Designation
Address of Correspondence
Tel. No. Mobile No. E-mail Id:
2.
Relationship with Applicant Applicant known since
Signature

Name
Designation
Address of Correspondence
Tel. No. Mobile No. E-mail Id:
3.
Relationship with Applicant Applicant known since
Signature

16. Application Fees Details

Demand Draft Number : ______________________
Bank Name with Branch : _____________________________________________________
Demand Draft Date : ______________________
Fees Amount : ______________________

APPLICANT SIGNATURE
TERMS & CONDITIONS

• Form must be filled in capital letters only, using black or blue ink.
• Applicant must sign all the pages as mentioned.
• Incomplete Application will not be processed and will be rejected.
• School Scholarship can be used for a recognized school in India Only.
• Other Scholarships applied can be used for any recognized university / college in India or outside India.
• Scholarship will not be granted for attending conferences, paper presentation or any such.
• A portion / percentage of scholarship amount request will only be granted with a maximum limit of Rs. 10 Lacs.
• On approval of application made to us, an interview will be held along with a general verification of the original documents.
• Only short listed candidates will be interviewed in their own city, where our representative would travel from Chennai to
Interview and verify the residing details of the applicant. However, all applicants will be informed of the outcome of their
application within 15 working days from the date it reaches us.
• Scholarship grant will directly be sent to the proposed school / university / college / institute / organization.
• Documentation Required :
1. All mark sheets / report card and degree certificates to support of your educational qualifications
2. GRE / GMAT / TOEFL / IELTS / GATE / CAT score cards, as applicable
3. A copy of your application to the university and / or offer letters confirming your admission.
4. Attested copy of the first & last pages of your passport (if applying for a scholarship abroad).
5. Medical Reports for Handicap Students.
6. A valid Photo ID Proof & Address Proof along this application
(Driving License, Passport, Ration Card, Telephone, Electric Bill, Voters Id, Pan Card, Etc. Any Proof in the Name of
Parents, which reflects the above filled address and parent (s) name is also accepted.)
• Reference(s) Signature can be excluded if incase is the reference is not in the country or on vacation or not in a situation to sign.
But all other details of the reference(s) shall be mandatory.
• Application Fees:
• Rs. 500 (School Scholarship within India Only)
• Rs. 1000 (UG Scholarship in India)
• Rs. 1200 (C.A. / C.S. / Fashion / Interior in India Only)
• Rs. 1500 (UG Scholarship outside India)
• Rs. 2000 (PG / M. Phil / PhD Scholarship in India)
• Rs. 2500 (PG / M. Phil / PhD Scholarship outside India)
• Payment can only be made through Demand Draft Only, in favour of ‘‘ GAURAV FOUNDATION ‘‘ payable at Chennai.
• There shall not be any grant or exceptional cases for the application fees.
• An application fee is used to verify the documents and the respective school / university / college / institute / organization
acceptance of the applicant’s course of study. This also includes other administration charges used for the applicant.
• Application will not be refunded under any circumstances and cannot be enforced for the same.
• Gaurav Foundation has no branches; its registered office is only in CHENNAI.
• Complete Documents must be send to the below given address through Courier only. Other form of sending will delay the
process for selection.

APPLICANT SIGNATURE
GAURAV FOUNDATION,
C/o, GAURAV SINGHAL GROUP,
NEW NO. 43 / OLD NO. 34, II FLOOR,
SUNDARAM PILLAI STREET,
PURASAWALKAM,
CHENNAI. TAMIL NADU. INDIA --- 600007.

Declaration

I_________________________________________________, agree to the above mentioned terms and conditions.

Details and documents submit on for these applications are true.

APPLICANT SIGNATURE

APPLICANT’S PARENT / GUARDIAN SIGNATURE

(IF APPLICANT IS A MINOR)

DATE : ______________
PLACE : _______________________

APPLICANT SIGNATURE