PERSONAL DETAILS Name Satyam Middle Name Surname Kumar Email Id satyamwp0192@gmail.com Gender Male Mobile Number 8825217013 Telephone Number Date Of Birth 28/10/2006 Place Of Birth GARHWA Religion Hindu Mother Toungue Hindi Nationality India Disability Not Applicable
ADDRESS DETAILS Current Address Knowledge Park 3, Greater Noida Greater Noida, Uttar Pradesh Uttar Pradesh, Gautam Buddha Nagar, Uttar Pradesh, 201310, India Permanent Address Janakpur Muhalla Tandwa Garhwa Jharkhand, Garhwa, Jharkhand, 822114, India FAMILY DETAILS No of members in the family 5 Annual Family Income(in Rs.) 95,000.00 No. of children studying in family 3 Are you child of a single parent? No
FAMILY MEMBERS Relationship Name Education Occupation Annual Income Mother Sudha Devi Below Class 10 Housewife 0 Self Satyam Kumar 12th Grade Student 0 Brother Raunak Kumar 10th Grade Student 0 Father Santosh Kumar 10th Grade Agriculture 95000 Sister Srishti Kimari Below Class 10 Student 0
ALTERNATE CONTACT DETAILS
Name Santosh Surname Kumar Relationship Father Address Janakpur Muhalla, Tandwa Garhwa Pin Code 822114 District Garhwa State Jharkhand Country India Mobile Number 6205190138 Email santosh9507188690@gmail.com SECONDARY EDUCATION Education Passing Board Institute Stream Medium State City Max Obtained % Year Name Of Marks Marks Instruction 12th 2024 CEN- R. K Science English Jhark- Garhwa 500 447 89.40 TRAL Public hand BOARD School OF SECON- DARY EDUCA- TION 10th 2022 CEN- G. N English Jhark- Garhwa 500 420 84.00 TRAL Con- hand BOARD vent OF School SECON- DARY EDUCA- TION
GRADUATION Education Degree Degree Institute State City Duration Passing Max Marks Obtained Type Program Name Year Marks UG B.Tech(Bach- Informa- GL Uttar Gautam 4 2028 elor of tion BAJAJ Pradesh Buddha Tech- Tech- INSTI- Nagar nology) nology TUTE OF TECH- NOLOGY & MAN- AGE- MENT
EXTRACURRICULAR ACTIVITIES/ COMMUNITY ENGAGEMENT ACTIVITIES
Activity Type Activity Description Role Responsibilities No record found SPECIAL RECOGNITIONS, ACADEMIC HONOURS & AWARDS Award Name Awarded Year Description No record found
CURRENT AND PRIOR SCHOLARSHIPS, GRANTS, OR FELLOWSHIPS
Name of Scholarship Duration Awarded Year Total Value of Schol- arship(INR) No record found
DOCUMENTS Document Document Name Photo ID Proof _aadhar.pdf Permanent Address Proof _aadhar.pdf Disability Certificate (if any) N/A Applicant photo IMG-20240123-WA0005.jpg Family income proof Income_certificate_(_22/09/2024).pdf Marksheet of 10th Class Board Examination _10th_(_satyam).pdf Marksheet of 12th Class Board Examination 12th_(_satyam).pdf Proof of enrollment in current institution bonafide_.pdf
By signing my name in the box below:
1.I confirm that all information provided by me in this application is correct and truthful, and is a wholly accurate and fair representation of my achievements.
2. I confirm that my parents or legal guardian have/ has reviewed the terms and condition and have provided their consent by signing their name in the designated box below.
3. I understand that any material misrepresentation (including: year of study, declared income, course of study, name of institute, academic scores, documentation etc.) by me in this application will result in disqualification of my application and, where appropriate, the rescinding of scholarship.
4. I understand that in case of any communication from Reliance Foundation seeking information or documents, I am required to respond to the same within 2 working days from receiving the communication. Failing to do so may result in disqualification of my application at Reliance Foundation’s discretion.
5. I understand that this application and supporting materials will be shared with people involved in the evaluation process and others who are responsible for administering the Reliance Foundation Scholarship and involved in the selection process and I hereby voluntarily provide my consent for sharing my personal information with the aforementioned people in order to facilitate my application for the Reliance Foundation Scholarship program.
6. I understand that failure to maintain the academic or performance standards outlined in the Award Letter issued upon successful completion of the selection process, or conduct deemed prejudicial to the program's best interests, may result in the withdrawal of my award and termination of payments. I understand that all Reliance Foundation Scholarships are subject to the policies of Reliance Foundation.
7. I consent to the use of my information for marketing and promotional purposes by Reliance Foundation. Should I wish to withdraw this consent in the future, I will notify Reliance Foundation at rf.scholarships@reliancefoundation.org. Once submitted, I will no longer have access to any part of the application or supporting materials, including any references or evaluations.
8. I confirm that as of the date of this application, (i) there have never been any proceedings instituted in respect of an offence alleged to have been committed by me in any court in India or abroad, (ii) no warrant or summons for my appearance has ever been issued under any law for the time being in force, (iii) no warrant for my arrest has ever been issued by a court under any law for the time being in force, (iv) no court has ever passed an order prohibiting my departure from India, and (v) I have not, at any time, ever been convicted by a court in India or abroad for any offence under any law.
9. I confirm that I have not (i) been subject to any disciplinary measure, (ii) resigned from a professional or academic appointment, or (iii) entered into a settlement for, or in connection to, any misconduct, including but not limited to unethical practices, harassment, sexual harassment or abuse.
Note to Applicant: If you are arrested for, charged with, or convicted of an offence, or any proceedings are instituted or pending against you, or any warrant or summons issued for your arrest or appearance, or if there is any change in your status or representations in relation to misconduct after the submission of this application, you must PROMPTLY (within 30 days of the arrest, charge, misconduct report, etc.) inform the Reliance Foundation Scholarships team at rf.scholarships@reliancefoundation.org .
Is this application has been filled on your behalf by No
someone else How did you hear about the Reliance Foundation Schol- Notification from Buddy4Study arships? Date 02/10/2024
