SNCF Scholarship Form 2024 25

ANNEXURE - II
APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER “NIRANKARI RAJMATA

SCHOLARSHIP SCHEME” OF SNCF: 2024 – 2025
(To be filled in Block Letters)
PART–I (Personal Information)
1. Name of the Student : ________________________________________ PASTE RECENT
2. Date of Birth : ________________________________________ PASSPORT SIZE
PHOTO HERE
3. Male/Female : ________________________________________
4. Permanent Address : __________________________________________________________
__________________________________________________________
5. Correspondence Address : __________________________________________________________
__________________________________________________________
6. E-Mail Id of Student : __________________________________________________________
7. Contact No. : (Mob.) ___________________________ (Tel) ____________________
8. Name of the Course : __________________________________________________________
9. Duration of the Course : ____________________ Present Year(I/II/III) & Sem _______________
10. Name and Address of the Institute : ____________________________________________________
11. E-Mail Id of the Institute : __________________________________________________________

12. Rank/Percentage/Score in Entrance Examination: _________________________________________
13. Whether admission taken under Management/Convenor Quota or any other Quota: (Yes/No) : ____
14. Whether ever penalized for adopting Unfair Means in the Examination of the University /
Educational Institution (Yes / No) : _______

15. Admission Category (Delhi/Out Side Delhi & SC/ST/OBC/PH/GEN/ Kashmiri Migrant, etc.): _________
16. Have you received any financial assistance under this Scheme from SNCF in the last year: (Yes/No)
If yes, please mention the amount received: (Rs. __________________) in words

_________________________________________________________________________________
17. Bank Account Details (the bank account must be in the name of applicant):
i) Bank Account No. _________________________________________________________________

ii) Name & Address of the Branch/ Bank _________________________________________________
iii) IFSC code of the Bank/ Branch: ______________________________________________________
18. From where did you come to know about this Scheme?
S. No. Reference Address Contact No.

1.
2.
19. Educational Qualification (including marks of semester examination last appeared)
S. No. Qualification Board / Name & Address Year of Division %age

University of Passing
School / College
1. 10th
2. 12th
3. Graduation
(Mention the
Course & result
semester wise)
4. Any other
PART-II
(Information for Assessment of Financial Assistance from SNCF)
Note: - Information should be filled up by the Applicant
S. No. PARTICULARS FOR ASSESSMENT OF ECONOMIC CONDITION OF FAMILY
1. FAMILY ANNUAL INCOME

Rs. _________________ /-
(as per certificate issued by the SDM)
2. DETAILS OF FATHER / GUARDIAN / MOTHER
 (Please tick) [ ] FATHER / [ ] GUARDIAN
Name: _______________________________ Age: ________ Mobile No. __________________
Qualification: ____________________________ Occupation: ___________________________
Name & Address of Employer: ____________________________________________________
_____________________________________________________________________________
Monthly Income: ___________________ / if retired, Monthly Pension (Rs.) _______________
(In case Father passed away, enclose a copy of death certificate)
MOTHER
3.
Name: _______________________________ Age: ________ Mobile No. __________________
Qualification:_____________________________ Occupation: ___________________________
Name & Address of Employer: _____________________________________________________
______________________________________________________________________________
Monthly Income: __________________ / if retired, Monthly Pension (Rs.) _________________
(In case Mother passed away, enclose a copy of death certificate)
2
4. A. DETAILS OF SIBLINGS
S. Name Age Studying Marital If studying, Annual
No OR Status mention Income,
Working School Name & if working
Annual Fee
1.
2.
3.
B. Whether the applicant is a “Single Girl Child”? _________________
5. DETAILS OF DEPENDENTS IN FAMILY

S. No Name Age Relationship
1.
2.
3.
4.
6. A. STATUS OF FAMILY / SOURCES OF INCOME

_____________________________________
_____________________________________
_____________________________________
_____________________________________
B. DETAILS OF LOCALITY & ACCOMMODATION

a. Name of locality of accommodation: ____________________________________________
b. Nature of accommodation Rented or owned: _____________________________________
c. Total Plot Area of House (Sq. Mtr.): _____________________________________________
d. Total carpet area of Flat / Floor (Sq. Mtr.): _______________________________________
e. If any floor given on rent? If Yes, mention the monthly rent: Rs. ______________________
f. Is there any shop in house? if yes, details of business running & monthly income :
_________________________________________________________________________
3
C. DETAILS OF PROPERTY
a. Agricultural land (Mention the area size and city): __________________________
b. Any other immovable property of family: ________________________________
7. DETAIL OF ANY OTHER SCHOLARSHIP/FINANCIAL ASSISTANCE RECD.

S. Name & Address of the Amount of Monthly / Period of
No Organization Annually Assistance Assistance
Received
1.
2.
3.
Any other relevant information for requirement of financial assistance

____________________________________________________________________________
* Note- Applicant may enclose documentary proof, if any, for justifying their economic condition and
financial requirement of family.
UNDERTAKING
“I hereby declare that the above mentioned information furnished by me is true and correct to the best
of my knowledge and belief. If any information provided in the application form is found incorrect at any
stage or if it is found that I had failed in any one or more of the subjects of the University examinations
on the last date of submission of application or otherwise was ineligible to be considered for financial
assistance under this scheme, my application may be rejected and amount, if any, received by me from
SNCF shall be refunded along with penalty, as decided by the competent authority. This is without
prejudice to other disciplinary and other legal measures with SNCF may take besides the refund of the
financial assistance received.”
(Signature of Student with date) (Signature of Parents/Guardian with date)
(Sanyojak/Zonal Incharge)
4
PART- III
Format for Affidavit
(On Non-Judicial Stamp Paper of Rs. 10/- duly attested by Notary Public)
I/ My ward________________________________________________(Name of the candidate),

Son/Daughter/Wife of ________________________________________(Father’s/Husband’s Name)
Resident of ______________________ __________________________________(Permanent address)
seeking grant of financial assistance under the Nirankari Rajmata Scholarship Scheme of Sant Nirankari
Charitable Foundation, hereby solemnly affirm and declare
1. That the total Annual Income of my family from all sources is not more than Rs. 3.50 Lakhs.
2. That the candidate has not been granted scholarship under any scheme of other private
organization or religious or spiritual organization or Government authorities. If taking Financial
Assistance from other source kindly mention Amount Rs. ________ from _________________
(Organization Name).
3. That the applicant does not have the status of failure in any subjects of any semester(s) on the
date of swearing of this affidavit.
4. That the applicant fulfills all the eligibility norms / conditions notified in the guidelines for grant of
financial assistance under Nirankari Rajmata Scholarship Scheme of SNCF.
Deponent
VERIFICATION:
Verified at _______________________ (Place) on__________________________ (Date/Month/Year).
The contents of the above Affidavit are true and correct to the best of my knowledge and belief. No part
of it is false and nothing material information has been concealed therefrom.
Deponent
Note:
(i) In case the candidate is minor i.e. below 18 years of age; in that case, the affidavit shall be signed
by his/her parent/guardian.
(ii) Submission of false affidavit is punishable offence. If it is found at any stage that false affidavit was
submitted, Scholarship shall be cancelled/recovered back and legal proceedings shall be initiated,
for which candidate/parent/guardian shall be responsible.

SNCF Scholarship Form 2024 25

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ANNEXURE - II

APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER “NIRANKARI RAJMATA

11. E-Mail Id of the Institute : __________________________________________________________

Educational Institution (Yes / No) : _______

If yes, please mention the amount received: (Rs. __________________) in words

i) Bank Account No. _________________________________________________________________

S. No. Reference Address Contact No.

S. No. Qualification Board / Name & Address Year of Division %age

1. FAMILY ANNUAL INCOME

B. Whether the applicant is a “Single Girl Child”? _________________

5. DETAILS OF DEPENDENTS IN FAMILY

6. A. STATUS OF FAMILY / SOURCES OF INCOME

B. DETAILS OF LOCALITY & ACCOMMODATION

7. DETAIL OF ANY OTHER SCHOLARSHIP/FINANCIAL ASSISTANCE RECD.

Any other relevant information for requirement of financial assistance

(Signature of Student with date) (Signature of Parents/Guardian with date)

Format for Affidavit

I/ My ward________________________________________________(Name of the candidate),

Verified at _ (Place) on____ (Date/Month/Year).

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