Application for Medal Award-2025 Surname Name Date of Birth Father/Guardian Name Mother Name/ Occupation Occupation of Father/Guardian Gothram Address-Permanent Address for Correspondence E-Mail Mobile Number Medal application is being made for SSC SSC maths Intermediate (MPC) Intermediate (MEC) Intermediate Maths B. Com MBA MCA CA CPT/ CA Foundation CA IPCC/ CA Intermediate CA Final Group–II CA IPCC – Law (60 Marks & Above) CA IPCC Group–I CA IPCC Group–II CA Final Group–I CMA Final CS Inter Medicine – Doctor Engineer CS Final LLB CA Final (Both groups at a time) CMA Inter Latest Class Completed Month&Year of Passing Form Submission Date Percentage (minimum percentage, 90% marks in SSC or intermediate) Marks Obtained/Total Marks Name of the school/College/Institution&Address Annual Income of Family/Guardian Any other scholarships Received Aims & Goals Are you Parent/Guardian is a member of any Vysya Association Are you interested to help financially needy/merit students in future Photo Address Proof Copy of marks list duly attested by school/college/principal/any office bearer of Vysya org.with stamp We agree to abide by the rules framed by VYSPRO INDIA I agree to the Terms & Conditions Send
