SAHYOG Award Form Sahyog Type * Select Sahyog Type Sahyog Fees Support Laptop Scholarship Student Name * Date of Birth * Gender Select Gender Male Female Institution Name * Institution Address * Email ID Student Type * Select Student Type School College Student Class * Select Class B.A. Tamil B.A. History B.Sc. Mathematics B.Sc. Chemistry B.Sc. Physics B.Sc. Zoology B.Com B.Sc. C.S B.Sc. I.T B.Sc. BioChemistry B.Sc. Microbiology B.Com B.C.A. B.B.A. B.Sc. Software M.A. Tamil M.Sc. Zoology M.Com M.Sc. C.S M.Sc. I.T. M.Sc. Mathematics M.Sc. Physics M.A. English M.C.A M.B.A M.Phil Tamil Ph.D Tamil M.Phil Commerce Ph.D Commerce M.Phil Zoology Ph.D Zoology Engineering Diploma Others Student Class * Select Class 10th Std 11th Std 12th Std Year * Select Class 1st Year 2nd Year 3rd Year 4th Year Mention* Fees * Contact No * Physically Challenged Yes No Document Proof * Address * Location * Select Location ChennaiCuddaloreKanchipuramTiruvallurTiruvannamalaiVelloreViluppuramAriyalurNagapattinamPerambalurPudukkottaiThanjavurTiruchirappalliKarurTiruvarurDharmapuriKrishnagiriNamakkalSalemErodeTiruppurCoimbatoreNilgirisMaduraiTheniDindigulSivagangaiVirudunagarRamanathapuramTirunelveliThoothukudiKanyakumariDelhiKeralaKarnatakaUttar PradeshAndhra PradeshPondicherryMaharashtraJharkhandBiharUttarakhandRajasthanPunjabHimachal PradeshWest BengalAssam Marks (%) * Select Mark Percentage 60-70 70-80 80-90 90-100 Single Parent / Parentless * Yes No Living with * Living with Father Mother Guardian / Homecare / Hostel Father Name * Father Occupation * Father Email ID Father Contact No * Annual Income 0 lacs 2 lacs Income Proof Mother Name * Mother Occupation * Mother Email ID Mother Contact No * Annual Income 0 lacs 2 lacs Income Proof Sibling's Name Sibling's Occupation Sibling's Email ID Sibling's Contact No Annual Income 0 lacs 2 lacs Income Proof Guardian / Home / Hostel Name * Contact No Email ID Address Annual Family Income * Mark Sheet Bonafide Certificate Fees Structure Residence Proof Ration Card Photo Other Document Parents Death/Challenged/Destitute Document * Others Are you a student? Are you a Parents or Sibling? Related to the Students * Contact Person * Contact No * Address Email ID Are you a representative from School / College? School or College Name * Contact Person * Contact No * Address Email ID Are you a Third Party? Organization Name * Contact Person * Contact No * Address Email ID Bank Details ( Scholarship cheque will be issued only to the institution. Provide institution bank details. ) Fee Due Date * Payable to * Bank Name / Account Number * Branch Name * Ready to contribute Rs.10,000 for Laptop Recommendation by the Head master/Principal with Sign and Seal Declaration of Student Declaration of NGO / Foundation Submit