Nilaya Scholarship Application
Instruction:
Please complete all the fields.
Fields marked with * are mandatory
Please keep the photo or PDF of the below documents ready before you start filling the application
Last year’s marks card
2023-24 fees paid receipt
Any incorrect information will lead to disqualification of the application
For any queries please send email to nilaya.foundation@gmail.com or send WhatsApp message to 6364673746
Last date to submit applications is 13 Aug 2023.
Primary Details
1
Full name as per SSLC marks card
2
12 digit AADHAAR Number
3
Religion
Hindu
Muslim
Christian
Jain
Sikh
Other
4
Caste
Please Select
Brahmin
Billava/ Idiga
Bunts
Ganiga
Kuruba
Lingayat
Madivala
Mogaveera / Bestha
Scheduled Caste
Valmiki / Nayaka
Vishwakarma
Vokkaliga
Uppara
Yadava / Golla
Other
5
Correspondence address
(where all details can be sent through post or courier)
6
PIN code
7
District
Please Select
Bagalkote
Ballari (Bellary)
Belagavi (Belgaum)
Bengaluru (Bangalore) Rural
Bengaluru (Bangalore) Urban
Bidar
Chamarajanagar
Chikballapur
Chikkamagaluru (Chikmagalur)
Chitradurga
Dakshina Kannada
Davangere
Dharwad
Gadag
Hassan
Haveri
Kalaburagi (Gulbarga)
Kodagu
Kolar
Koppal
Mandya
Mysuru (Mysore)
Raichur
Ramanagara
Shivamogga (Shimoga)
Tumakuru (Tumkur)
Udupi
Uttara Kannada (Karwar)
Vijayapura (Bijapur)
Yadgir
Other
8
State
Please Select
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telagana
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadeep
Pondicherry
9
Phone number
please provide the mobile number for phone call
10
Whatsapp number
please provide the mobile number for WhatsApp message
11
Alternative Mobile number
12
Email
13
Have you received scholarship from Nilaya Foundation in 2022-23?
Yes
No
Personal Details
14
Father's name
15
Surname or family name
16
Father's occupation
Please select
Farmer/ Agriculture
Purohita / Archak
Cook / Catering
Helper in shop (Medical, Kirana etc)
Private Employee - Daily Wages
Private Employee - Salaried
Government Employee
Own Business
Retired with Pension
Retired without Pension
Unemployed
Other
House Wife
Student
Social Worker
Expired / Passed Away
17
Father's annual income
Please select
< 50,000
50,000 to 1,00,000 per year
1,00,000 to 5,00,000 per year
More than 5,00,000 per year
No Income
18
Permanent address
19
Mother's name
20
Mother's occupation
Please select
Farmer/ Agriculture
Purohita / Archak
Cook / Catering
Helper in shop (Medical, Kirana etc)
Private Employee - Daily Wages
Private Employee - Salaried
Government Employee
Own Business
Retired with Pension
Retired without Pension
Unemployed
Other
House Wife
Student
Social Worker
Expired / Passed Away
21
Mother's annual income
Please select
< 50,000
50,000 to 1,00,000 per year
1,00,000 to 5,00,000 per year
More than 5,00,000 per year
No Income
22
How many siblings do you have?
Please select
0
1
2
3
4
5 or more
Siblings means brothers and sisters
23
Does any of your siblings work?
Yes
No
24
Guardian's name
If your education expenses are paid by relatives (mama, ajja etc.) Then provide their details here.
25
Guardian's occupation
Please select
Farmer/ Agriculture
Purohita / Archak
Cook / Catering
Helper in shop (Medical, Kirana etc)
Private Employee - Daily Wages
Private Employee - Salaried
Government Employee
Own Business
Retired with Pension
Retired without Pension
Unemployed
Other
House Wife
Student
Social Worker
Expired / Passed Away
26
Guardian's annual income
Please select
< 50,000
50,000 to 1,00,000 per year
1,00,000 to 5,00,000 per year
More than 5,00,000 per year
No Income
Educational Details
27
Now scholarship is applied for the study of
Course
Please select
PRIMARY SCHOOL
HIGH SCHOOL
PUC
DIPLOMA
B.E / B.Tech
B.A
B.Com
B.Sc
BCA
BBA
BAMS
B.Ed
MBBS
MCA
MBA
M.Sc
M.Com
M.A
LLB
M.E / M.Tech
Other
Year
Please select
1st year
2nd year
3rd year
4th year
5th year
6th year
7th year
8th year
9th year
10th year
N/A
28
Name of the college and address
29
2022-23 academic course (Last year)
Please select
PRIMARY SCHOOL
HIGH SCHOOL
PUC
DIPLOMA
B.E / B.Tech
B.A
B.Com
B.Sc
BCA
BBA
BAMS
B.Ed
MBBS
MCA
MBA
M.Sc
M.Com
M.A
LLB
M.E / M.Tech
Other
30
Percentage of marks secured in last academic year
31
Total fees of 2023-24 academic year
32
Your CET ranking if you have appeared this year
33
Your NEET ranking if you have appeared this year
34
Bank account number
35
Name as per bank passbook
36
Bank name
37
IFSC code
Other details
38
I deserve scholarship because…
Elaborate in at least 5 or more sentences why you deserve scholarship. You can also write this in your mother tongue language like Kannada, Marathi, Tamil etc.
39
Explain about your family’s financial condition.
Elaborate in minimum 3 or more sentences
Attachments
Please attach your Marks card and Fee receipts here
Keep total file sizes to within 5MB
Add another Attachment
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