Reliance Foundation Scholarships
APPLICATION NUMBER : RFSCH241000536922
PERSONAL DETAILS
Name Chetna
Middle Name
Surname Patidar
Email Id [email protected]
Gender Female
Mobile Number 7441166263
Telephone Number
Date Of Birth 07/03/2007
Place Of Birth UJJAIN
Religion Hindu
Mother Toungue Hindi
Nationality India
Disability Not Applicable
ADDRESS DETAILS
Current Address Gujjar Dairy,gautam Nagar,delhi , South, Delhi, 110049,
India
Permanent Address Padsutiya, Khachrod , Ujjain, Madhya Pradesh, 456331,
India
FAMILY DETAILS
No of members in the family 4
Annual Family Income(in Rs.) 1,00,000.00
No. of children studying in family 2
Are you child of a single parent? No
FAMILY MEMBERS
Relationship Name Education Occupation Annual Income
Brother Abhishek Patidar Graduate Student 0
Father Suresh Patidar 12th Grade Agriculture 100000
Self Chetna Patidar 12th Grade Student 0
Mother Meera Patidar Below Class 10 Housewife 0
ALTERNATE CONTACT DETAILS
Name Suresh
Surname Patidar
Relationship Father
Address Padsutiya Khachrod
Pin Code 456331
District Ujjain
State Madhya Pradesh
Country India
Mobile Number 9826623604
Email
[email protected] SECONDARY EDUCATION
Education Passing Board Institute Stream Medium State City Max Obtained %
Year Name Of Marks Marks
Instruction
12th 2024 CEN- Jawa- Arts English Madhya Ujjain 500 454 90.80
TRAL har Pradesh
BOARD Navo-
OF daya
SECON- Vidyalaya
DARY
EDUCA-
TION
10th 2022 CEN- Jawa- English Madhya Ujjain 500 457 91.40
TRAL har Pradesh
BOARD Navo-
OF daya
SECON- Vidyalaya
DARY
EDUCA-
TION
GRADUATION
Education Degree Degree Institute State City Duration Passing Max Marks Obtained
Type Program Name Year Marks
UG B.A.(Bach- Psy- Gargi Delhi South 3 2027
elor of chology College,
Arts) Econom- Delhi
ics Univer-
sity
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 adhar_card_.pdf
Permanent Address Proof adhar_card_.pdf
Disability Certificate (if any) N/A
Applicant photo 1000010582.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 fees_receipt.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 04/10/2024
