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C H A N G I N G H E A R T S A N D M I N D S E T S
Corporate Office:Space Campus, B-II/1, MCIE,
Mathura Road, New Delhi - 110044Tel: 011-41676794 | Web:
www.raifoundation.org
NOMINATION FORMDREAMZ SCHOLARSHIP SCHEME FOR UNDERPRIVILEGED
GIRLS
in association with participating universities
1. Name of the Applicant :
2. Date of Birth :
3. Name of the Father/Guardian :
4. Occupation and Monthly Income :
5. Name of the Mother :
6. Occupation and Monthly Income :
7. Present Address :
City & Country :
(Ph) Landline (R) : Mobile:
Email (if any) :
8. Education Qualification (Class Xth onwards)
Certificate / Degree Year of Passing Subject University / Board
% of Marks
9. Write about your extracurricular activities and
accomplishments. (Pls. attach separate sheets, if required)
10. Give us a glimpse of some situations pertaining to your High
School, Family or Community that will give us a better
understanding aboutyou and your aspirations. (Pls. attach separate
sheets, if required)
11. How was your earlier education? What skills did you learnt
and what was missing? (Pls. attach separate sheets, if
required)
12. How have your brothers/sisters and parents impacted your
thoughts? Give us some details about them.(Pls. attach separate
sheets, if required)
13. What community work and social contributions have you made
during your school/college holidays? (Pls. attach separate sheets,
if required)
14. Have you had access to computers and internet? If yes, what
have you learned? (Pls. attach separate sheets, if required)
15. Give examples where you have demonstrated qualities of
leadership, social caring, innovation and determination. (Pls.
attach separatesheets, if required)
Please write on a separate sheet of paper an essay (400 words).
16. What do you aspire to be and how this scholarship will help you
realise your dreams and achieve your goals?17. Please provide a
separate recommendation from Principal/Head of the
Institute/NGO/Orphanage who should provide reasons, why the
applicant should be awarded Dreamz Scholarship.
(To be filled in by the student only)
I,, Principal/Head of ., nominate the following girl student for
Dreamz Scholarship Scheme for
under privileged girls.
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18. Tick ( ) the higher education option of your choices. Please
visit our website www.dreamzrf.org for more course options &
details:
qBachelors in Business Management- BBA (Duration - 3 Years)
qBSc. Media & Communication (Duration - 3 Years)
qBSc. Interior Designing/Multimedia (Duration - 3 Years) qBSc.
Hospitality Management (Duration - 3 Years)
qBAAirhostess & Customer Services (Duration - 3 Years)
qBAFashion Technology (Duration - 3 Years)
qB.TechBiotechnology (Duration - 4 Years) qB.TechElectronic
& Communication (Duration - 4 Years)
qB.Tech Computer Science (Duration - 4 Years) qB.Tech Mechanical
Engineering (Duration - 4 Years)
qMasters in Business Management -MBA (Duration - 2 Years) qOther
course as on website (specify)__________________________
19. Give reasons for choosing the course you have chosen. How
will you use this knowledge to serve the society?
20a. Tick ( ) the appropriate details: 20b. Mention:Single
ParentqOrphanqHandicappedq No. of Sisters______ No. of
Brothers______
21. Are you the 1st member of the family/community applying for
higher education? Yes/No __________.
22. Admission sought for:qRai University, Ahmedabad, Gujarat
qNIILM University, Kaithal, HaryanaTick ( ) any one qJharkhand Rai
University, Ranchi, Jharkhand
ENTRY & ELIGIBILITY CRITERIA: For Under Graduate degree
programmes - 10+2 from a recognised board with minimum 60% marks
For Post Graduate degree programme - Graduation from recognised
University with minimum 50% marks B.Tech Electronic and
Communication - 10+2 (PCM) with minimum 55% marks B.Tech
Biotechnology - 10+2 (PCB) with minimum 55% marks Basic English
writing and speaking skills Should Be Single The combined income of
both parents should be below`8,000/- per month.
SCHOLARSHIP: This scholarship covers the full tuition fee of
1,00,000/- per annum for the entire duration of the programme
(3years / 4 years as applied).
FIXED CHARGES PAYABLE*: Scholarship recipient wishing to avail
hostel facility will be required to pay`40,000/- per annum for
on-campus boarding and lodging . Scholarship recipient opting for
Bio-Technology or B Tech (Electronics and Communications) will also
have to pay lab fee of 20,000/-per
annum. Scholarship recipient opting for BA (Fashion) or BA
(Hospitality) will have to pay lab fee of 10,000/- per annum. In
the case of Orphan girls, Rai Foundation may consider taking care
of boarding & lodging charges and lab fee.
*unless approved otherwise
PLEASE NOTE: Applicants will be selected by a selection
committee of the Foundation and their decision will be final and no
explanation will be given in case of refusal. Transport to &
from the campus during admissions & vacations is the
responsibility of the parents/students. Students can stay during
Summer/Winter
holidays at campus. Passport/Visa processing fees, visa
extension fees, minor medical expenses which are not covered under
the cashless medical facility and other out of
pocket expenses for basic personal requirements are to be borne
by the student/parents/sponsors themselves. Academic session for
2013 batch will commence from 1st August, 2013. New students will
undergo an orientation program for one week. In case it is found at
any stage that any incorrect information has been given or some
material facts have been concealed, the student is liable to
eviction
from the University. Besides such other action that the
University deems fit may be initiated against her. The University
& Foundation will not be
responsible for student's loss of studies . Fully filled up form
duly completed in all respects should reach the Foundation by 15th
May, 2013. All the information is mandatory. Half filled
nomination forms will not be accepted.
We, hereby, declare that all the information provided by us is
true and correct to the best of our knowledge.
Signature of the Applicant SignatureHead of the Institute / NGO
/ Orphanage
Signature of Parent Seal of the School / College / NGO/
Orphanage
Enclosures: Residential Proof. Transfer certificate. Migration
certificate. Evidence of the date of birth.
Income Certificate of Parents (original). Fitness (Medical
certificate ) from a qualified Doctor. Legal proof of Income of
Parents (attested photocopy) Ten (10) number of coloured passport
size photographs. Attested photocopies of Mark Sheet (Class Xth
onwards). Attested copy of the Graduation Degree or Provisional
Certificate. Character certificate from the Principal of the
school/college last attended. Medical & other case history duly
signed by the Head / Trustee of the NGO / Orphanage Attested copy
of the statement of marks and pass certificates (10th, 12th,
Graduation) of the qualifying examinations.
Rules and Regulations1. Students should maintain 75% attendance
in classes.2. Change of course will not be entertained after the
admission.3. All campus rules and regulation as mentioned in
student handbook are to be followed strictly.4. Students failing in
exams will have to repeat that paper at their own cost as per
university norms.5. Any student found violating the campus and
hostel rules will be asked to discontinue the studies and will have
to leave.6. Any drop-out after the commencement of the academic
session, would require to submit the fees of that particular
semester and medical insurance
premiums of that particular year.
7. The scholarship in subsequent semester will be subject to the
candidates acquiring and maintaining minimum 60% marks in aggregate
as well asdisplaying her good conduct at the university.
For queries, contact:Ms. Babita BhanProgram Head, Dreamz
Scholarship SchemeMobile: +918860222227 | Email:
[email protected] | Website: www.dreamzrf.org
Printable form can be downloaded from www.dreamzrf.org
Correspondence Address: Dreamz-RF Scholarship, Space Campus,
B-II/1, MCIE, Mathura Road, New Delhi - 110044 | Tel: 011-41676794
| Web: www.raifoundation.org
