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Corporate Office: Space Campus, B-II/1, MCIE, Mathura Road, New Delhi - 110044 Tel: 011-41676794 | Web: www.raifoundation.org

DREAMZ SCHOLARSHIP SCHEME FOR UNDERPRIVILEGED GIRLS in association with participating universities
(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.

NOMINATION FORM

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Name of the Applicant Date of Birth Name of the Father/Guardian Occupation and Monthly Income Name of the Mother Occupation and Monthly Income Present Address City & Country (Ph) Landline (R) : Email (if any) :

: : : : : : : : Mobile:

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 about you 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 separate sheets, 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.

18. Tick (

19. Give reasons for choosing the course you have chosen. How will you use this knowledge to serve the society?

q Bachelors in Business Management- BBA (Duration - 3 Years) q BSc. Interior Designing/Multimedia (Duration - 3 Years) q BA Airhostess & Customer Services (Duration - 3 Years) q B.Tech Biotechnology (Duration - 4 Years) q B.Tech Computer Science (Duration - 4 Years) q Masters in Business Management -MBA (Duration - 2 Years)

) the higher education option of your choices. Please visit our website www.dreamzrf.org for more course options & details:

q BSc. Media & Communication (Duration - 3 Years) q BSc. Hospitality Management (Duration - 3 Years) q BA Fashion Technology (Duration - 3 Years) q B.Tech Electronic & Communication (Duration - 4 Years) q B.Tech Mechanical Engineering (Duration - 4 Years) q Other course as on website (specify)__________________________

20a. Tick ( ) the appropriate details: 20b. Mention: Single Parent q Orphan q Handicapped q 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: q Rai University, Ahmedabad, Gujarat q NIILM University, Kaithal, Haryana Tick ( ) any one q Jharkhand 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.

PLEASE NOTE:

*unless approved otherwise

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 Signature Head of the Institute / NGO / Orphanage Seal of the School / College / NGO/ Orphanage

Rules and Regulations

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Signature of Parent 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.

For queries, contact: Ms. Babita Bhan Program Head, Dreamz Scholarship Scheme Mobile: +918860222227 | Email: babita.bhan@dreamzrf.org | Website: www.dreamzrf.org

Students should maintain 75% attendance in classes. Change of course will not be entertained after the admission. All campus rules and regulation as mentioned in student handbook are to be followed strictly. Students failing in exams will have to repeat that paper at their own cost as per university norms. Any student found violating the campus and hostel rules will be asked to discontinue the studies and will have to leave. 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 as displaying her good conduct at the university.

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