Application for Medal Award-2026 Surname Name Date of Birth Father/Guardian Name Mother Name Occupation of Father/Guardian Gothram Maternal Gothram Address-Permanent Address for Correspondence E-Mail Mobile Number (Whatsapp enabled) Mobile Number (Parent) Medal application is being made for SSC SSC CBSE SSC ICSE Intermediate (MPC) Intermediate (MEC) Intermediate (BiPC) Intermediate (HEC) 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 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 (Aadhar/Electricity bill/Gas bill) 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
