Commercial Vehicle Business Unit

Paste
Child’s
Passport
Application Form Size
Photograph
Please fill in your details below:

Dealership Name: _________________________________ Dealership Code: ________ Location: __________________

(First Name) (Middle Name) (Surname)
Employee Name: _______________________________________________________________________________________

Employee No.: Mobile No:

Working Division: Sales Service Spares Accounts HR Others (Specify) ___________

Joining date at Dealership ______________

DD/MM/YYYY Work Experience at Current Dealership: ________ Years

Your child’s details:

(First Name) (Middle Name) (Surname)
Name: ___________________________________________________________________________ Gender: M F

Class: V VIII X XII Marks Obtained: ____________________ Total Marks: ________________

Please enter the details as applicable:

Grade: __________________________________ Percentage (Please specify): ___________________________________

School Name: ______________________________________________________________________________________________

Child’s Bank Account no.: _____________________________________________ IFSC Code : __________________________

Bank Name: _____________________________________________ Branch:__________________________________________

I hereby certify that the information provided above is true to the best of my knowledge.
I accept the terms and conditions of the TATA Motors Parivar Yuva Pratibha Scholarship.

TATA Dealership Employee signature Verified by Dealer’s HR manager Signature and Dealer’s Stamp
Name of the HR Manager _____________________________________
Email Id: _______________________ Mobile: ______________________

Please ensure that the following documents are duly attached and submitted to TATA Motors Parivar Yuva Pratibha
Program Center, Result Services Pvt. Ltd., 8, Balaji Estate, Guru Ravi Dass Marg, Kalkaji, New Delhi – 110019
Passport size photo of child
Attested marksheet photocopy with mother’s/father’s name
In case if Parents details are not mentioned on the marksheet Birth Certificate attested photocopy needs to be provided.
Copy of Employee ID card of Dealership
Terms and conditions:
 Application Forms need to be submitted from 15th August, 2017 – 25th September, 2017
 Scholarships will be awarded to children who have passed class V, VIII, X and XII in the academic year 2016 - 2017
 The Scholarship is available for children of Permanent Employees of Dealerships who have completed minimum 2 years of continuous service
with the current TATA Motors Dealership
 Minimum Percentage eligibility :
- Class V & VIII – 85% Marks or equivalent.
- Class X & XII – 90% Marks or equivalent. TATA MOTORS PARIVAR
YUVA PRATIBHA
 Incomplete documented forms will be rejected. SCHOLARSHIP
 The decision of TATA Motors Ltd. on awarding scholarship grants is final and binding
 TATA Motors Ltd. reserves the right to change the scholarship criteria without notice
 Scholarship cheque will be issued only on child’s name. If the child does not have a bank account, please open a bank account for the child

For more details, call: 1800-209-7979 / E-mail: ayon.roy@tatamotors.com

Visit: www.yuvapratibha.tatamotors.com