Manav Rachna Educational Institutions Application for Scholarship Based on Merit in Sports|Academic Year 2022 – 23 Application Number: Course Applied For:
Name: University:
I. Sport on the basis of which scholarship candidature is to be considered: II. Highest Accomplishment (should not be more than 2 years ago): International Level National Level State Level District Level III. Title of the Competition Won: IV. Organizing Body: V. Year of accomplishment (as stated in #II above): VI. Details of Accomplishment (as stated in #II & #III above): Medal Win: Gold/Silver/Bronze Position Win: First/Second/Third Only Participation VII. Supporting Details: a. In case of International Level Accomplishment: – National Level Won in (should be in the same year as international level as stated in #II above): – Title of Competition: – Organizing Body: b. In case of National Level Accomplishment : – State Level Won in (should be in the same year as national level as stated in #II above): – Title of Competition: – Organizing Body:
(Year)
(Year)
c. In case of State Level Accomplishment : – District Level Won in (should be in the same year as state level as stated in #II above): – Title of Competition: – Organizing Body:
(Year)
Note: Please submit a hard copy/e-copy of all supporting documents/certificates pertaining to points II – VII above failing which your candidature for scholarship on the basis of merit in sports cannot be assessed. In case any document/information is found ingenuine the scholarship (in case granted on the basis of merit in sports) shall be revoked.
Signature of the Candidate:
Date: