HELPS INDIA SCHOLARSHIP FORM

(PLEASE FILL THE FORM)

Personal Details

For the Year*

Referral Code

Referral Name

Student's Name*

Father's Name*

Mother's Name*

Gender*

Age*

Date of Birth*

Occupation*

Annual Income of the Parent*

Religion*

Contact Details

Residential Address/Vill./Mohalla*

Post Office*

District*

State*

Pin*

Contact No*

Email-Id*

Academic Details

Details of Last Passed examination* (enclose attested copy of Mark Sheet)

Name of the Examination*

Name of the Board/ Council*

Year of Passing*

Marks Obtained*

% of Marks*

Name of School*

City*

Status of the School*

Present Class*

Registration No. (if any)

Bank Details

UPI ID*

Bank Name*

Bank A/c No*

Bank IFSC Code*

Upload Documents

Upload Self Photo*

Student's Signature*

Upload Marksheet of Previous Year*

After submitting this form, you must scan the QR code and pay Rs.250. Please send confirmation screenshot by WhatsApp to +91 8192831339. After verification your registration will be confirmed. Without payment your registration will be treated as pending.

Scholarship Registration