Home
FAQs
Application Form
Contact Us : +91 84477 33263
Application Form
ABOUT THE STUDENT
(All fields are mandatory except otherwise stated)
First Name
Middle Name
Last Name
Date of Birth
Alternate Contact number
Contact number (Parent or Self)
Current Class
Select Grade
Post Graduation Year 2
Post Graduation Year 1
Graduation Year 4
Graduation Year 3
Graduation Year 2
Graduation Year 1
Grade 12
Grade 11
Grade 10
Grade 9
Grade 8
Grade 7
Grade 6
Grade 5
Grade 4
Grade 3
Grade 2
Grade 1
Gender
Select Gender
Male
Female
ABOUT THE SCHOOL/COLLEGE
Select State
Andaman & Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Telangana
Select District
ABOUT THE PARENT
Select Company Name
Uber
Ola
Meru
Savaari
BluSmart
Others
PERSONAL ACCOUNT DETAIL
Select Account Holder Name
Upload Passbook or Cancelled Cheque
UPLOAD DOCUMENT
Photograph of the student
LMV driving licence of parent - Front
LMV driving licence of parent - Back
Proof of enrolment
Student ID card Issued by School/College
Bonafide certificate issued by School/College
2023-24 Marksheet signed and stamped by school/college
Marksheet - Front
Marksheet - Back
Proof of address of applicant
Aadhaar card of applicant
Ration card
Birth certicate
Family income certificate issued by the government in the name of the applicant
Voter ID
Passport
Birth certicate
Family income certificate issued by the government in the name of the applicant
Voter ID
Aadhaar card of applicant - Front
Aadhaar card of applicant - Back
Ration card - Front
Ration card - Back
Passport - First page
Passport - Last page
Education expenses receipt
(Note: At least 1 upload is mandatory in this section.)
School fees
Uniform
Stationery
Books
School transport
Ed-tech subscriptions
I accept the following terms:
I understand that applying for this financial aid does not guarantee selection.
On submission of this enrollment form and other documents/declarations, the applicant and/or its guardian authorize Synergie and/or UBER to obtain, collect, process, transfer, administer, store, program and use my personal and other information for the above purposes and any other reasonable and lawful purposes.
I hereby give express permission to Synergie and/or UBER to freely use the information/details/pictures provided in the application form, for the purpose of financial aid or for any lawful purpose.
I understand that Uber India reserves the right to stop this financial aid at any time. In such an event I will have no claims even if I have been selected for receiving the financial aid.
Referred By
Aditya Kumar
Deepak Patil
divya joshi
Gagan Singh
Harshada Mhatre
Himanshu Sachan
Jitender kumar
kirti Raut
Kranti Phadtare
Mounica Mounica
NAKUL VISHE
Nakul Vishe
Raja Sekhar
Ravindra Arwel
Saurabh Tarde
Shiv Kumar
Sunil Kumar
Tejas paunikar
Vikas Singh
Zarina Waqeel
×
Applicant Login
Login error:
Invalid phone number or date of birth. Please try again.
Enter your phone number
Select your DOB
Login
×
Verify OTP
We have sent OTP on your registered mobile number.
Enter your OTP
Verify OTP
