Scholarship Form
Candidate's Name : *
Note : Full name in capital letter(s). 		Candidate Name (in Hindi)
छात्र का नाम (हिन्दी में)		 : *
(This will be used in your MarkSheet and Degree)
Father's Name : *
Note : Full Father's name in capital letter(s). 		Father's Name (in Hindi)
पिता का नाम (हिन्दी में)		 : *
(This will be used in your MarkSheet and Degree)
Mother's Name : *
Note : Full Mother's name in capital letter(s). 		Mother's Name (in Hindi)
मां का नाम (हिन्दी में)		 : *
(This will be used in your MarkSheet and Degree)
Minority : * Student Category : *
Gender : * Domicile State : *
Date of Birth : *
 Nationality :
Mobile No. : * Religion : *
Is Enrolled? : Enrollment No. :
Is Physically Handicapped ? :
Details of Last Qualifying Examination Passed
Qualification : * Select Stream : *
Board/University : Distinction(if any) :
School/College Name : *
Passing Year : * Roll No : *
Grading System : * Obtained CGPA : *
Max Marks : * Marks Obtained : * Marks Percentage : *
Correspondence Address Details
Address : * Phone No. :
Mobile No. : * Guardian Mobile No. :
State : * Pin Code : *
District : * E-Mail Id : *
Permanent Address Details
Address : * Phone No. :
Mobile No. : * Guardian Mobile No. :
State : * Pin Code : *
District : * E-Mail Id : *
Upload Your Photo and Signature (अपलोड फोटो और हस्ताक्षर)
Upload Passport Size Photo
अपलोड पासपोर्ट आकार का फोटो		 : * (File Size limit is 100 KB.)
Upload Your Signature
अपलोड हस्ताक्षर 		: * (File Size limit is 100 KB.)