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JK Cement Shri Yadupati Singhania Memorial Scholarship Application Form 2025-26
ABOUT THE STUDENT
(All fields are mandatory except otherwise stated)
Student's First Name
(as per Aadhar)
Student's Middle Name
(as per Aadhar)
Student's Last Name
(as per Aadhar)
Date of Birth
(as per Aadhar)
Gender
Select
Female
Male
Student's Aadhar Card Number
Email
Current Course (2025-2026)
Select
UG 1
UG 2
UG 3
UG 4
PG 1
PG 2
ITI 1
ITI 2
Polytechnic 1
Polytechnic 2
Polytechnic 3
Stream
Select
Specialization
Select
Paint Technology
Civil Engineering
Phone Number
Alternate Phone Number
Whats App Number
Last Year's Percentage/Grade (2024-25)
Percentage
Grade
Last Year's Percentage Attained
Select
1%
2%
3%
4%
5%
6%
7%
8%
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85%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
Last Year's Grade Attained
Select
Select
A
B
C
D
E
F
Are You Diffrently Abled?
Select
Yes
No
Number of Siblings
Select
One
Two
Three
More than Three
Household Type
Select
Both parents household
Single-Parent Household (Mother)
Single-Parent Household (Father)
Residing with Relatives
Other
Other
ABOUT THE COLLEGE
Contact Person
Director
Dean
HOD
Select State
Andaman & Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Telangana
Select District
Andheri East
ABOUT THE PARENT/GUARDIAN
Select Father Occupation
Mason
Daily Wager
Labourer
Deceased
Painter
Private Sector Employee
Self Employed
Government sector Employees
Select Mother Occupation
Mason
Daily Wager
Labourer
Deceased
Painter
Homemaker
Private Sector Employee
Self Employed
Government sector Employees
Select State
Delhi
Haryana
Karnataka
Madhya Pradesh
Rajasthan
Uttar Pradesh
Select District
MANDATORY DOCUMENTS TO UPLOAD
Proof of current enrolment 2025-26 ( Fee Receipt, ID Card, Bonafide Certificate, and Admission Letter)
Student's recent photo (not older than 3 months )
Student's Aadhar Card - Front
Student's Aadhar Card - Back
Parent's Aadhar Card - Front
Parent's Aadhar Card - Back
Applicant DigiLocker account Screeshot
Mark Sheet for 2024-25 Orignal/ Signed and stamped by the college - Front
Mark Sheet for 2024-25 Orignal/ Signed and stamped by the college - Back
Driving License - Front
Driving License - Back
Certificate of disablity
Fee receipts-2025-26
Family income proof (Salary slip/ BPL Card/ Income Certificate issued by Govt./ Ration Card/ Labour Card)
Letter from College of attendance 2024-25
A Self declaration signed by the students/scholars
Click here download
Fee structure for the academic session 2025-26
PERSONAL ACCOUNT DETAIL
Select Account Holder Name
Click here to check IFSC Code
Upload Passbook or Cancelled Cheque
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 JK Cement 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 JK Cement 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 JK Cement 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 accept the above mentioned term and conditions.
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