Reliance Foundation Scholarships

APPLICATION NUMBER : RFSCH250800616930

PERSONAL DETAILS
Name Atul
Middle Name
Surname Singh
Email Id atulsinghrajput7408@[Link]
Gender Male
Mobile Number 7408292123
Telephone Number (91) 9792285484
Date Of Birth 27/10/2004
Place Of Birth KUSHI NAGAR
Religion Hindu
Mother Toungue Hindi
Nationality India
Disability Not Applicable

ADDRESS DETAILS
Current Address Village; Mundera Post; Sumahi Khurd District; Kushina-
gar, Kushi Nagar, Uttar Pradesh, 274401, India
Permanent Address Village; Mundera Post; Sumahi Khurd District; Kushina-
gar, Kushi Nagar, Uttar Pradesh, 274401, India
FAMILY DETAILS
No of members in the family 4
Annual Family Income(in Rs.) 57,000.00
No. of children studying in family 2
Are you child of a single parent? No

FAMILY MEMBERS
Relationship Name Education Occupation Annual Income
Brother Abhay Singh Post Graduate Student 0
Father Ashok Singh 12th Grade 57000
Mother Rambha Devi Post Graduate Housewife 0
Self Atul Singh 12th Grade Student 0

ALTERNATE CONTACT DETAILS

Name Ashok
Surname Singh
Relationship Father
Address Village; Mundra, Post; Sumahi Khurd , District; Kushinagar
Pin Code 274401
District Kushi Nagar
State Uttar Pradesh
Country India
Mobile Number 9792285484
Email atulkumarrajput7408@[Link]
SECONDARY EDUCATION
Education Passing Board Institute Stream Medium State City Max Obtained %
Year Name Of Marks Marks
Instruction
12th 2024 Central INTELLI- Science English Uttar Kushi 500 395 79.00
Board GENT Pradesh Nagar
Of PUB-
Secon- LIC
dary SCHOOL
Educa-
tion
(CBSE)
10th 2022 Uttar PAWA English Uttar Kushi 600 537 89.50
Pradesh PUB- Pradesh Nagar
State LIC
Board SCHOOL
Of High
School
And
Interme-
diate
Educa-
tion

GRADUATION
Education Degree Degree Institute State City Duration Passing Max Marks Obtained
Type Program Name Year Marks
UG [Link](Bach-
Com- RA- Uttar Kannauj 4 2029
elor of puter JKIYA Pradesh
Tech- Science ENGI-
nology) Engineer- NEER-
ing ING
COL-
LEGE,
KAN-
NAUJ

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 Id_proof.pdf
Permanent Address Proof Id_proof.pdf
Disability Certificate (if any) N/A
Applicant photo [Link]
Family income proof income_certificate.pdf
Marksheet of 10th Class Board Examination 10th_marksheet.pdf
Marksheet of 12th Class Board Examination 12th_marksheet.pdf
Proof of enrollment in current institution fee_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 [Link]@[Link]. 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
[Link]@[Link] .

Is this application has been filled on your behalf by No

someone else
How did you hear about the Reliance Foundation Schol- Recommendation from a current Reliance Foundation
arships? Scholar
Date 25/08/2025