Saksham - Scholarship

About the Student

name of the student

date of birth

gender

Female

Male

Any other

mobile number

Alternate mobile number

Current class

Does the student have any disability? If yes, please specify type of disability.

Yes

About the Parent/Guardian

DRIVING LICENSE Number OF PARENT/GUARDIAN

DRIVING LICENSE Expiry Date

MOTHER'S NAme

father'S name

guardian'S name (optional)

Type of vehicle driven

Light Motor Vehicle

Light Commercial Vehicle

Three Wheeler Auto Rickshaw

Any Other Vehicle

Light Motor Vehicle Type

Any Other Vehicle

Family income per year (INR)

Is your monthly income fixed?

Yes

Address

Mandatory documents to upload

student photograph

Upload

Proof of current enrolment 2022-23 (Upload any one)
Signed and stamped by school
Download school enrolment form

Upload

Driving License Front Side of parent/guardian

Upload

Driving License Back Side of parent/guardian

Upload

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

Upload

Proof of address (any one)
Address should be clearly visible

Upload

Bank passbook or cancelled cheque

Upload

Alternate Bank account passbook or cancelled cheque

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 I understand that if at any point any document is found to be false, the scholarship benefits may be withdrawn.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 have accept the above mentioned term and conditions.

Referred By

Add Means of Onboarding

Application Form

About the Student

About the School/College

About the Parent/Guardian

Bank details

Alternate Bank details

Mandatory documents to upload

By submitting this form, I accept the following terms: