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Review Application

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mirzaakbar219
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0% found this document useful (0 votes)
25 views5 pages

Review Application

Uploaded by

mirzaakbar219
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Reliance Foundation Scholarships

APPLICATION NUMBER : RFSCH240900472928

PERSONAL DETAILS
Name Mirza Akbar
Middle Name
Surname Beg
Email Id akbarmuslmi2@gmail.com
Gender Male
Mobile Number 7390939695
Telephone Number
Date Of Birth 02/01/2002
Place Of Birth AZAMGARH
Religion Islam
Mother Toungue Urdu
Nationality India
Disability Not Applicable

ADDRESS DETAILS
Current Address Near Kalilullah Masjid Batla House Jamia Nagar, New
Delhi , South East, Delhi, 110025, India
Permanent Address Muslim Patti Near Jama Msjid Post Khaliya Semari, Aza-
mgarh, Azamgarh, Uttar Pradesh, 276206, India
FAMILY DETAILS
No of members in the family 10
Annual Family Income(in Rs.) 92,000.00
No. of children studying in family 5
Are you child of a single parent? No

FAMILY MEMBERS
Relationship Name Education Occupation Annual Income
Father Mirza Kamal Beg 10th Grade Self Employed 72000
Brother Mirza Mazhar Below Class 10 Student 0
Sister Hifza 12th Grade Student 0
Brother Mirza Asgar Beg Graduate Gulf countries worker 20000
Self Mirza Akbar Beg Graduate Student 000
Brother Mirza Azmat Beg Graduate Student 000
Sister Munazza Graduate Housewife 0
Sister Faiza Bano Graduate Housewife 00
Brother Mirza Athar Below Class 10 Student 0
Mother Shafqat Bano 10th Grade Housewife 00

ALTERNATE CONTACT DETAILS


Name Mirza Kamal Beg
Surname Mirza
Relationship Father
Address Muslim Patti
Pin Code 276206
District Azamgarh
State Uttar Pradesh
Country India
Mobile Number 9451827818
Email mirzaakbar7390@gmail.com
SECONDARY EDUCATION
Education Passing Board Institute Stream Medium State City Max Obtained %
Year Name Of Marks Marks
Instruction
12th 2021 UTTAR PSBIC Science Hindi Uttar Azam- 500 358 71.60
PRADESH Pradesh garh
STATE
BOARD
OF
HIGH
SCHOOL
AND
INTER-
MEDI-
ATE
EDUCA-
TION
10th 2019 UTTAR PSBIC Hindi Uttar Azam- 600 386 64.33
PRADESH Pradesh garh
STATE
BOARD
OF
HIGH
SCHOOL
AND
INTER-
MEDI-
ATE
EDUCA-
TION

GRADUATION
Education Degree Degree Institute State City Duration Passing Max Marks Obtained
Type Program Name Year Marks
UG B.Ed.(Bach-Educa- Jamia Delhi New Del- 2 2026
elor of tion Millia hi
Educa- Islamia
tion) (A
Central
Univer-
sity)
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 compressed_image3.pdf
Permanent Address Proof compressed_image3.pdf
Disability Certificate (if any) N/A
Applicant photo imresizer-1724844917033.jpg
Family income proof output_1.pdf
Marksheet of 10th Class Board Examination compressed_image1.pdf
Marksheet of 12th Class Board Examination compressed_image2.pdf
Proof of enrollment in current institution output_2.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 rf.scholarships@reliancefoundation.org. 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
rf.scholarships@reliancefoundation.org .

Is this application has been filled on your behalf by No


someone else
How did you hear about the Reliance Foundation Schol- Email/ Notification from College/Institute
arships?
Date 14/09/2024

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