JAYA SATYA PRAMODA NIDHI (Regd Trust) (A Division Of Satya Pramoda Foundation)
JAYA SATYA PRAMODA NIDHI (Regd. Trust) (A ... - Uttaradi Math
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<strong>JAYA</strong> <strong>SATYA</strong> <strong>PRAMODA</strong> <strong>NIDHI</strong> (<strong>Regd</strong>. <strong>Trust</strong>)<br />
(A <strong>Division</strong> <strong>Of</strong> <strong>Satya</strong> <strong>Pramoda</strong> <strong>Foundation</strong>)<br />
<strong>Regd</strong>. <strong>Of</strong>fice: Uttaradi Math, Pooja Mandira, Uttaradi Math Road<br />
Basavanagudi, Bangalore-560004<br />
(Established by Sri Sri 1008 Sri <strong>Satya</strong>pramoda Teertharu)<br />
________________________________________________________________________<br />
Application Form for PUC (I st Year & 2 nd Year) 2010- 11<br />
(This form can also be downloaded free of cost from (http://jspn.uttaradimath.org)<br />
Note:<br />
A) Students should neatly fill this form in their own handwriting.<br />
B) Applications containing incomplete/incorrect information will be rejected.<br />
C) The application should be sent directly to the above address on or before<br />
31.07.2010.<br />
D) This scholarship is by way of reimbursement.<br />
E) Please read instructions compulsorily provided at the end before filling this form.<br />
To,<br />
The Executive <strong>Trust</strong>ee<br />
Jaya <strong>Satya</strong> <strong>Pramoda</strong> Nidhi,<br />
Pooja Mandira (Upstairs),<br />
Uttaradi Math Building,<br />
Basavanagudi,<br />
Bangalore-560004<br />
Sir,<br />
I, the undersigned, request to apply for a scholarship from your Nidhi for pursuing higher<br />
studies and furnish below full particulars which are true to the best of my knowledge and<br />
belief.<br />
1) Student Name:<br />
..................................................................................................................<br />
2) Date of Birth: ………………………..<br />
3) I belong to …………………………Math (Ex Uttaradi Matha/Rayara Matha/ Vysaraja<br />
Matha..etc)<br />
4) Father’s/Guardian’s Name:<br />
……………………………………………………………………..<br />
5) Occupation of Father/Guardian: …………………………………………………..<br />
6) Student family details:<br />
a) No. of Members: ....................<br />
b) No of Earning Members: ………<br />
DONATE TO EDUCATE THE NEXT GENERATION
<strong>JAYA</strong> <strong>SATYA</strong> <strong>PRAMODA</strong> <strong>NIDHI</strong> (<strong>Regd</strong>. <strong>Trust</strong>)<br />
(A <strong>Division</strong> <strong>Of</strong> <strong>Satya</strong> <strong>Pramoda</strong> <strong>Foundation</strong>)<br />
<strong>Regd</strong>. <strong>Of</strong>fice: Uttaradi Math, Pooja Mandira, Uttaradi Math Road<br />
Basavanagudi, Bangalore-560004<br />
(Established by Sri Sri 1008 Sri <strong>Satya</strong>pramoda Teertharu)<br />
________________________________________________________________________<br />
c) Earning Member Details:<br />
Name of Earning Member<br />
Total Annual Gross Income<br />
7) Total Annual Gross Income of All Earning Members: ............................<br />
8) Parents/Guardian residence address:<br />
........................................................................................................<br />
House No.: ............................... Street/lane: .............................................<br />
At:.........................................<br />
Post: .................................... Taluk: ...................................... Dist: ...............................<br />
Pin Code: .................................. Tel. No. (With STD code) : ...........................................<br />
Mobile No: ……………………………………………<br />
9) College address<br />
:........................................................................................................................................<br />
House No.: ............................... Street/lane: .............................................<br />
At:.........................................<br />
Post: .................................... Taluk: ............................... Dist: :.........................................<br />
Pin Code: .................................. Tel. No. (With STD code) : ...........................................<br />
Mobile No: ……………………………………………<br />
10) Student's contact address: ......................................................... Street/lane:<br />
..............................<br />
(If staying in hostel or room) At:.......................................... Post : ..................................<br />
Taluk: .......................... Dist: ....................... Pin Code: .......................<br />
Tel. No. (With STD Code) ...............................<br />
Mobile No: …………………………….<br />
For immediate correspondence please give your E-mail ID: .............................................<br />
DONATE TO EDUCATE THE NEXT GENERATION
<strong>JAYA</strong> <strong>SATYA</strong> <strong>PRAMODA</strong> <strong>NIDHI</strong> (<strong>Regd</strong>. <strong>Trust</strong>)<br />
(A <strong>Division</strong> <strong>Of</strong> <strong>Satya</strong> <strong>Pramoda</strong> <strong>Foundation</strong>)<br />
<strong>Regd</strong>. <strong>Of</strong>fice: Uttaradi Math, Pooja Mandira, Uttaradi Math Road<br />
Basavanagudi, Bangalore-560004<br />
(Established by Sri Sri 1008 Sri <strong>Satya</strong>pramoda Teertharu)<br />
________________________________________________________________________<br />
11) Currently Studying: ……………………………………………………………..<br />
12) Marks and Percentage Obtained in SSLC/PUC 1 st Year Examination: ………………..<br />
13) Class Admitted: Class: .......................... Roll No.: .................... <strong>Division</strong>:<br />
..............................<br />
14) If poor academic performance, give reasons. (If necessary use extra paper)<br />
.............................................................................................................................................<br />
...........<br />
15) Fees paid to the college for this academic year: .............................. (Attach attested<br />
copies of receipts)<br />
Amount yet to be paid: ........................... (Attach original estimated expenditure<br />
statement)<br />
16) Have you received financial assistance from any other sources? (If yes give details)<br />
.............................................................................................................................................<br />
............<br />
.............................................................................................................................................<br />
............<br />
17) Give the details of extra curricular activities (If participated in Taluk, Dist. or higher<br />
level. Enclose the attested copies of certificates).....................<br />
.....................................................................................................<br />
.............................................................................................................................................<br />
............<br />
18) Attach following documents with the application. Tick mark (√)<br />
i) Attested copy of fee receipts. How many receipts? Rs.<br />
ii) Attested copy of SSLC marks card/Puc 1 st year (Send provisional<br />
marks card, if original marks card is awaited)<br />
Date:<br />
Signature of Student<br />
____________________________________________________________<br />
Carefully read the details given overleaf before filling the application form.<br />
Duly filled in application forms should be sent on or before 31.07.2010 to<br />
“Jayasatyapramoda Nidhi”, C/o Uttaradi Math, 5 th Cross Road, Shankarpuram,<br />
Basavanagudi, Bangalore – 560 004<br />
DONATE TO EDUCATE THE NEXT GENERATION
<strong>JAYA</strong> <strong>SATYA</strong> <strong>PRAMODA</strong> <strong>NIDHI</strong> (<strong>Regd</strong>. <strong>Trust</strong>)<br />
(A <strong>Division</strong> <strong>Of</strong> <strong>Satya</strong> <strong>Pramoda</strong> <strong>Foundation</strong>)<br />
<strong>Regd</strong>. <strong>Of</strong>fice: Uttaradi Math, Pooja Mandira, Uttaradi Math Road<br />
Basavanagudi, Bangalore-560004<br />
(Established by Sri Sri 1008 Sri <strong>Satya</strong>pramoda Teertharu)<br />
________________________________________________________________________<br />
Please read the following guidelines before completing the application form<br />
One of the principle objectives of the trust is to give scholarship to deserving poor Madhva<br />
Students for pursuing their education in PUC. The Nidhi <strong>Trust</strong> has accordingly decided to<br />
award subject to the Rules framed in this behalf, financial assistance in the form of<br />
scholarship etc., to eligible students belonging to Madhwa Community. Scholarship will be<br />
awarded to eligible students subject to the rules framed in this behalf.<br />
Applicants should necessarily meet the following criteria:<br />
• Gross family income should be less than 60,000 Per Annum<br />
• Students aspiring to take up science groups should have scored more than 85% in<br />
SSLC examination.<br />
• Students aspiring to take up other than science groups should have scored more<br />
than 65% in SSLC examination.<br />
• Students completed in 1 st PUC (Science Groups) should have scored more than 80%<br />
• Students completed in 1 st PUC (Other than Science Groups) should have scored<br />
more than 60%<br />
No application will be considered without attested copies of the following documents:<br />
• Character certificate.<br />
• An Eligibility Certificate obtained from two respected members of the Madhwa<br />
Society residing in the applicant’s area stating that the candidate is eligible for<br />
scholarship on account of his poverty.<br />
• Bonafide studentship Certificate from the College.<br />
• Proof of Income Certificate/Pay Slip of Parent/Guardian.<br />
• Marks Certificate obtained in SSLC Examination.<br />
• Receipts of fees paid.<br />
Note:<br />
• Nidhi has limited resources. Hence, quantum of scholarship will be decided every<br />
year depending on availability of funds and also number of applications received.<br />
• Boy Student should compulsorily learn Sandhya Vandane and Sri Hari<br />
Vayustuthi with in next Financial Aid Year.<br />
• Girl Student should compulsorily learn Lakshmi Shobane or Two Sandhi’s of<br />
Hari Kathamrutha Sara within next Financial Aid Year.<br />
• Nidhi Volunteers may visit for verifications of information given in application.<br />
• The Nidhi (<strong>Trust</strong>) shall thereupon as soon as possible consider the application and<br />
decide upon the nature and extent conditions of the financial assistance to be<br />
awarded to the applicant.<br />
• The Nidhi reserves the right to award scholarships to eligible students and the<br />
decision of the Sanctioning Authority is final.<br />
• Cheques will be distributed at Uttaradhi Math branches in respective places,<br />
students need to show their college ID Card to collect the same.<br />
• Time and location of distribution of cheques will be intimated through letter<br />
• Students who have availed donation from JSPN for the last financial year<br />
should give test on Sadhya Vandane or Vayusthuthi for Boys and Lakshmi<br />
Shobane or Harikathamrutha Sara for Girls<br />
S.B Venkata Rao<br />
Executive <strong>Trust</strong>ee<br />
DONATE TO EDUCATE THE NEXT GENERATION