JAYA SATYA PRAMODA NIDHI (Regd Trust) (A Division Of Satya Pramoda Foundation)

JAYA SATYA PRAMODA NIDHI (Regd. Trust) 

(A Division Of Satya Pramoda Foundation) 

Regd. Office: Uttaradi Math, Pooja Mandira, Uttaradi Math Road 

Basavanagudi, Bangalore-560004 

(Established by Sri Sri 1008 Sri Satyapramoda Teertharu) 

________________________________________________________________________ 

Application Form for PUC (I st Year & 2 nd Year) 2010- 11 

(This form can also be downloaded free of cost from (http://jspn.uttaradimath.org) 

Note: 

A) Students should neatly fill this form in their own handwriting. 

B) Applications containing incomplete/incorrect information will be rejected. 

C) The application should be sent directly to the above address on or before 

31.07.2010. 

D) This scholarship is by way of reimbursement. 

E) Please read instructions compulsorily provided at the end before filling this form. 

To, 

The Executive Trustee 

Jaya Satya Pramoda Nidhi, 

Pooja Mandira (Upstairs), 

Uttaradi Math Building, 

Basavanagudi, 

Bangalore-560004 

Sir, 

I, the undersigned, request to apply for a scholarship from your Nidhi for pursuing higher 

studies and furnish below full particulars which are true to the best of my knowledge and 

belief. 

1) Student Name: 

.................................................................................................................. 

2) Date of Birth: ……………………….. 

3) I belong to …………………………Math (Ex Uttaradi Matha/Rayara Matha/ Vysaraja 

Matha..etc) 

4) Father’s/Guardian’s Name: 

…………………………………………………………………….. 

5) Occupation of Father/Guardian: ………………………………………………….. 

6) Student family details: 

a) No. of Members: .................... 

b) No of Earning Members: ……… 

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________________________________________________________________________ 

c) Earning Member Details: 

Name of Earning Member 

Total Annual Gross Income 

7) Total Annual Gross Income of All Earning Members: ............................ 

8) Parents/Guardian residence address: 

........................................................................................................ 

House No.: ............................... Street/lane: ............................................. 

At:......................................... 

Post: .................................... Taluk: ...................................... Dist: ............................... 

Pin Code: .................................. Tel. No. (With STD code) : ........................................... 

Mobile No: …………………………………………… 

9) College address 

:........................................................................................................................................ 

House No.: ............................... Street/lane: ............................................. 

At:......................................... 

Post: .................................... Taluk: ............................... Dist: :......................................... 

Pin Code: .................................. Tel. No. (With STD code) : ........................................... 

Mobile No: …………………………………………… 

10) Student's contact address: ......................................................... Street/lane: 

.............................. 

(If staying in hostel or room) At:.......................................... Post : .................................. 

Taluk: .......................... Dist: ....................... Pin Code: ....................... 

Tel. No. (With STD Code) ............................... 

Mobile No: ……………………………. 

For immediate correspondence please give your E-mail ID: ............................................. 







________________________________________________________________________ 

11) Currently Studying: …………………………………………………………….. 

12) Marks and Percentage Obtained in SSLC/PUC 1 st Year Examination: ……………….. 

13) Class Admitted: Class: .......................... Roll No.: .................... Division: 

.............................. 

14) If poor academic performance, give reasons. (If necessary use extra paper) 

............................................................................................................................................. 

........... 

15) Fees paid to the college for this academic year: .............................. (Attach attested 

copies of receipts) 

Amount yet to be paid: ........................... (Attach original estimated expenditure 

statement) 

16) Have you received financial assistance from any other sources? (If yes give details) 

............................................................................................................................................. 

............ 

............................................................................................................................................. 

............ 

17) Give the details of extra curricular activities (If participated in Taluk, Dist. or higher 

level. Enclose the attested copies of certificates)..................... 

..................................................................................................... 

............................................................................................................................................. 

............ 

18) Attach following documents with the application. Tick mark (√) 

i) Attested copy of fee receipts. How many receipts? Rs. 

ii) Attested copy of SSLC marks card/Puc 1 st year (Send provisional 

marks card, if original marks card is awaited) 

Date: 

Signature of Student 

____________________________________________________________ 

Carefully read the details given overleaf before filling the application form. 

Duly filled in application forms should be sent on or before 31.07.2010 to 

“Jayasatyapramoda Nidhi”, C/o Uttaradi Math, 5 th Cross Road, Shankarpuram, 

Basavanagudi, Bangalore – 560 004 







________________________________________________________________________ 

Please read the following guidelines before completing the application form 

One of the principle objectives of the trust is to give scholarship to deserving poor Madhva 

Students for pursuing their education in PUC. The Nidhi Trust has accordingly decided to 

award subject to the Rules framed in this behalf, financial assistance in the form of 

scholarship etc., to eligible students belonging to Madhwa Community. Scholarship will be 

awarded to eligible students subject to the rules framed in this behalf. 

Applicants should necessarily meet the following criteria: 

• Gross family income should be less than 60,000 Per Annum 

• Students aspiring to take up science groups should have scored more than 85% in 

SSLC examination. 

• Students aspiring to take up other than science groups should have scored more 

than 65% in SSLC examination. 

• Students completed in 1 st PUC (Science Groups) should have scored more than 80% 

• Students completed in 1 st PUC (Other than Science Groups) should have scored 

more than 60% 

No application will be considered without attested copies of the following documents: 

• Character certificate. 

• An Eligibility Certificate obtained from two respected members of the Madhwa 

Society residing in the applicant’s area stating that the candidate is eligible for 

scholarship on account of his poverty. 

• Bonafide studentship Certificate from the College. 

• Proof of Income Certificate/Pay Slip of Parent/Guardian. 

• Marks Certificate obtained in SSLC Examination. 

• Receipts of fees paid. 

Note: 

• Nidhi has limited resources. Hence, quantum of scholarship will be decided every 

year depending on availability of funds and also number of applications received. 

• Boy Student should compulsorily learn Sandhya Vandane and Sri Hari 

Vayustuthi with in next Financial Aid Year. 

• Girl Student should compulsorily learn Lakshmi Shobane or Two Sandhi’s of 

Hari Kathamrutha Sara within next Financial Aid Year. 

• Nidhi Volunteers may visit for verifications of information given in application. 

• The Nidhi (Trust) shall thereupon as soon as possible consider the application and 

decide upon the nature and extent conditions of the financial assistance to be 

awarded to the applicant. 

• The Nidhi reserves the right to award scholarships to eligible students and the 

decision of the Sanctioning Authority is final. 

• Cheques will be distributed at Uttaradhi Math branches in respective places, 

students need to show their college ID Card to collect the same. 

• Time and location of distribution of cheques will be intimated through letter 

• Students who have availed donation from JSPN for the last financial year 

should give test on Sadhya Vandane or Vayusthuthi for Boys and Lakshmi 

Shobane or Harikathamrutha Sara for Girls 

S.B Venkata Rao 

Executive Trustee

JAYA SATYA PRAMODA NIDHI (Regd Trust) (A Division Of Satya Pramoda Foundation)

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