Lodha Scholarship FORM - GENERAL - SECAB

Instructions
1. Please read the terms and conditions carefully. The applicant applying for the Scholarship is deemed to have accepted
the terms and conditions mentioned herein.
2. Fill in all the necessary details and submit the form online or send filled up application forms to the address mention below
3. Certain documents need to be scanned and attached, please ensure you have those ready with you before applying.
Application forms without complete or accurate information or details and necessary documents attached, are deemed to
be incomplete and therefore ineligible, and will not be considered further.
4. Last date of submitting your application for the 2012 program is 14th May, 2012 (shall be extended by 7 days for Std. X
students, from the day results have been declared).
5. The application form/s received after the last date of submission or without mandatory details (*) will not be considered.
6. Fully filled application forms can also be submitted (along with necessary supporting documents) via courier to Lodha
Foundation, Level P 2, Lodha Excelus, N.M. Joshi Marg, Mahalaxmi, Mumbai – 400 011.
For any queries, please email us at lodhafoundation@lodhagroup.com
Personal Information*
Applicant Name (Student seeking scholarship):
Gender: Date of Birth: Nationality:
Academic Information*
Name of the School (Applying for):
Address: Contact No.:
School fee for next year: in words:
Name in which fee payments need to be made:
2011
Standard/Class: Overall Score (%):
2010
LODHA FOUNDATION SCHOLARSHIPS
Standard/Class: Overall Score (%):
Are you availing of any other scholarship program? Yes No
Parent / Guardian Information
Parent/Guardian 1 Name:
Relationship: Profession: Company Name:
Designation: PAN No.:
Annual Income (from all sources): in words:
Parent/Guardian 2 Name:
Relationship: Profession: Company Name:
Designation: PAN No.:
S H I K S H A S E S H A K T I
SCHOLARSHIP APPLICATION FORM
For Students of standard V to XII
Annual Income (from all sources): in words:
Home Address: City: State:
Pincode: Residence No.: Mobile No.: e-mail:
Unique Identification No.:
(For office use only)

Mandatory Attachments
1. Certified copy of last two year's mark sheet (duly attested by the school principal)
2. Photocopy of the student's school ID card
3. Parent/Guardian 1&2 – Previous year's Income Tax statement /
4. Statement of fee from the school for this year
5. Proof of residence of the student
I certify that the statements herein are true to the best of my knowledge and grant my permission for the information contained herein
to be shared with the scholarship selection committee(s) and scholarship donor(s). I also confirm that in case of providing of any false
information, my application and/or scholarship shall automatically stand disqualified/terminated.
Yes (check box):
TERMS AND CONDITIONS
Program Benefits
1. Trust will pay 75% of the school fees for the student, subject to a maximum of Rs. 18,000 per year / 1,500 per month. Fee will be
paid directly to the school on a quarterly basis.
2. Students who get 80% or higher marks (weighted average of all school-level exams held during the year) will receive an additional
stipend of Rs. 3,000 per year for use towards their intellectual growth at the end of the school year.
Eligibility and application process
1. Students who are studying in a school located in MMR region (MMR) (including Mumbai, Thane, Mira Bhayandar, Kalyan
Dombivali, Vasai-Virar, Navi Mumbai)
2. Families whose annual household income is less than Rs. 4,50,000 per annum/37,500 per month. (combined income of both
parents / guardians) are eligible for the program.
3. Selection shall be made on basis of merit and financial need, as per the sole decision of the Governing body.
4. Over 1000 such scholarships shall be given each year of which minimum 50% shall be earmarked towards families of
government employees and preference shall be given to female students.
5. Only Indian nationals are eligible to apply for this program.
6. Students already availing of any other scholarship are not eligible for this program.
7. Decision on award will be notified by email by 30th May for all except students who've completed Std., and within 30 days of the
declaration of the respective board results for Std X students.
8. To maintain eligibility for next academic year, students have to obtain min. 70% in their school exams (weighted average of all
school-level exams held during the year).
9. Fresh application is required to be filled after 3 consecutive academic years of receiving the program benefits.
10. Only one child per family will be eligible for this scholarship.
How to Apply
1. Eligible students are required to fill the application form with complete details and submit it online or send filled up application
forms to the address mention above, before the due date. The necessary supporting document copies must also be attached.
2. Students shortlisted may be asked for further details - attested photocopies of the originals documents such as academic
certificates, mark sheets, etc., as and when required. These details will be informed via e-mail/letter.
Mandatory Documents to be attached
1. Student – Mark sheets for the previous two years, duly certified by the school.
2. Student - School ID card
3. Student – Ration card/passport copy showing name and address
4. Parent/Guardian – Last year's Income Tax statement of both parents OR Statement of Income from employer of both parents
stating total income for last financial year.
5. Photograph of the student
6. Proof of address – Passport / Ration Card
7. At the time of selection, photocopies of all the aforesaid documents will be required to be submitted.
I hereby declare that I have read the terms and conditions of the program and the statements made by me in this application are correct
and all the documents submitted are genuine and valid. I further agree to abide by the terms and conditions of the award if I am selected
for the scholarship applied. I undertake to maintain appropriate behaviour during the tenure of my scholarship and not participate in any
illegal or immoral activity. I undertake that if any statement made by me is found incorrect by Lodha Foundation, whose decision will be
final and binding on me, the scholarship amount received will be returned by me and failing which Lodha Foundation will be entitled to
recover the amount through whatever means it deems proper. I fully understand that a declaration of false statement will debar me for
scholarship forever under this or any other scholarship scheme.
In case of a minor, application should only be made under supervision of parent/guardian.
Initital (3 alphabets): Date:
Statement of Income from employer
Disclaimers
• All decisions vests solely with the Lodha Foundation and no disputes in this regard shall be entertained.
• The Scholarships are offered subject to funding and availability. The Lodha Foundation reserves its right to withdraw or amend the
scholarship without prior notification.
• The Lodha Foundation reserves absolute discretion to accept or reject the application of any candidate and no disputes in this regard
shall be entertained.
• The Terms and Conditions are subject to change as per the discretion of the Lodha Foundation, in the interest of continued
improvement of the program.
• Lodha Foundation does not offer/guarantee any admission in any school/university
• In no event Lodha Foundation /its trustees/office bearers shall be liable to any applicant/its representatives, for any direct or
consequential, cost, loss or damage whatsoever, arising from the application process/rejection of any application form.
For office use only
Next Action: Decision (Grant/Decline/Query):
For further details write to lodhafoundation@lodhagroup.com or log in to www.lodha-foundation.org