Reliance Foundation Scholarships
APPLICATION NUMBER : RFSCH240900445969
PERSONAL DETAILS
Name Smit
Middle Name
Surname Arjunbhai Patel
Email Id [email protected]
Gender Male
Mobile Number 9574496811
Telephone Number
Date Of Birth 25/12/2006
Place Of Birth NAVSARI
Religion Hindu
Mother Toungue Gujarati
Nationality India
Disability Not Applicable
ADDRESS DETAILS
Current Address Indira Nagar Singal Faliya Talodh Bilimora Navasari,
Navsari, Gujarat, 396321, India
Permanent Address Indira Nagar Singal Faliya Talodh Bilimora Navasari,
Navsari, Gujarat, 396321, India
FAMILY DETAILS
No of members in the family 4
Annual Family Income(in Rs.) 93,000.00
No. of children studying in family 1
Are you child of a single parent? No
FAMILY MEMBERS
Relationship Name Education Occupation Annual Income
Father Arjunbhai 10th Grade Labour 84000
Self Patel Smit Arjunbhai 12th Grade Student 0
Mother Kailashben Below Class 10 Housewife 0
Sister Trupti 10th Grade Self Employed 9000
ALTERNATE CONTACT DETAILS
Name Arjunbhai
Surname Patel
Relationship Father
Address Indira Nagar Singal Faliya Talodh Navasari
Pin Code 396321
District Navsari
State Gujarat
Country India
Mobile Number 9724387362
Email
[email protected] SECONDARY EDUCATION
Education Passing Board Institute Stream Medium State City Max Obtained %
Year Name Of Marks Marks
Instruction
12th 2024 GU- R.N Science Gujarati Gujarat Navsari 650 540 83.08
JARAT NAIK
SECON- SARV-
DARY JANIK
AND HIGH
HIGH- SCHOOL
ER
SECON-
DARY
EDUCA-
TION
BOARD
10th 2022 GU- J.J Gujarati Gujarat Navsari 600 523 87.17
JARAT MA-
SECON- HETA
DARY SARV-
AND JANIK
HIGH- HIGH
ER SCHOOL
SECON-
DARY
EDUCA-
TION
BOARD
GRADUATION
Education Degree Degree Institute State City Duration Passing Max Marks Obtained
Type Program Name Year Marks
UG B.Tech(Bach-
Com- Faculty Gujarat Vado- 4 2028
elor of puter Of dara
Tech- Science Tech-
nology) & nology &
Tech- Engineer-
nology ing, The
Mahara-
ja
Sayaji-
rao
Univer-
sity Of
Baroda
EXTRACURRICULAR ACTIVITIES/ COMMUNITY ENGAGEMENT ACTIVITIES
Activity Type Activity Description Role Responsibilities
Sports I Play Khel Mahakumbha Player I Like To Play Many Game
But Hokey And Archery Is
My Favourite
SPECIAL RECOGNITIONS, ACADEMIC HONOURS & AWARDS
Award Name Awarded Year Description
Certificate 2017 Hockey,archery
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_CARD.pdf
Permanent Address Proof AADHAR_CARD.pdf
Disability Certificate (if any) N/A
Applicant photo PHOTO.jpg
Family income proof INCOME_CERTIFICATE_.pdf
Marksheet of 10th Class Board Examination 10TH_RESULT_.pdf
Marksheet of 12th Class Board Examination 12TH_RESULT_.pdf
Proof of enrollment in current institution admission_LETTER_MSU_2.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 [email protected]. 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
[email protected] .
Is this application has been filled on your behalf by No
someone else
How did you hear about the Reliance Foundation Schol- Email/ Notification from College/Institute
arships?
Date 04/09/2024
