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Scholarship Form
Candidate's Name
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Note : Full name in capital letter(s).
Candidate Name (in Hindi)
छात्र का नाम (हिन्दी में)
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(This will be used in your MarkSheet and Degree)
Father's Name
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Note : Full Father's name in capital letter(s).
Father's Name (in Hindi)
पिता का नाम (हिन्दी में)
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(This will be used in your MarkSheet and Degree)
Mother's Name
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Note : Full Mother's name in capital letter(s).
Mother's Name (in Hindi)
मां का नाम (हिन्दी में)
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(This will be used in your MarkSheet and Degree)
Minority
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-- Select Minority --
Yes
No
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Student Category
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--Select Student Category--
BACKWARD CLASS-A ( BC-A )
BACKWARD CLASS-B ( BC-B )
DEPRIVED SCHEDULED CASTE ( DSC )
GEN ( GEN )
OBC ( BC )
OTHERS ( O )
SC ( SC )
ST ( ST )
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Gender
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-- Select Gender --
Male
Female
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Domicile State
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-- Select Domicile State --
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJRAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPAL
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
OTHER
PUDUCHERRY
PUDUCHERRY (PONDICHERRY)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
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Date of Birth
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Nationality
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Indian
Other
Mobile No.
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Religion
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-- Select Religion --
BUDDHIST
CHRISTIAN
HINDU
JAIN
MUSLIM
OTHER
PARSI
SIKH
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Is Enrolled?
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Enrollment No.
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Is Physically Handicapped ?
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Details of Last Qualifying Examination Passed
Qualification
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-- Select Oualification --
Intermediate
Matriculation
Graduation
Post Graduation
Others
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Select Stream
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-- Select Stream --
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Board/University
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--Select Board/University--
JNVU
OTHER
Rajasthan Board
Andhra Pradesh Board of Intermediate Education, Vidya Bhawan, Nampally, Hyderabad-500 002.
Andhra Pradesh Board of Secondary Education Hyderabad-500 001.
Assam Higher Secondary Education Council, Bamunimaidan, Guwahati - 781021
Assam Board of Secondary Education, Guwahati-781 021
Bihar Intermediate Education Council, Budh Marg, Patna-800 001.
Bihar School Exam. Board, Sinha Library Road, Patna-800 017.
Central Board of Secondary Edu. 2, Community Centre, Shiksha Kendra, Preet Vihar, Delhi-110 092.
Goa Board of Secondary & Higher Secondary Education, Alto Betim, Berdez, Goa-403 521.
Haryana Board of School Education, Hansi Road, Bhiwani-125 021.
J&K Board of School Edu., Rehari Colony, Jammu-180 005.
Karnataka Secondary Edu. Examination Board, 6th Cross, Malleswaram Bangalore-560 003.
Kerala Board of Public Exam., Pareeksha Bhawan, Poojapura, Thiruvananthapuram-695 012.
Madhya Pradesh Board of Higher Secondary Edu., Bhopal-462 001.
M.P.State Open School Board of Secondary Education, Campus Shivaji Nagar, Bhopal-462 013.
Maharashtra State Board of Secondary & Higher Sec. Education, Campus Shivajinagar, Pune –411 005.
Manipur Board of Secondary Edu., Imphal – 795 001.
Manipur Council of Higher Secondary Education, Babupara, Imphal West- 795 001 (Manipur)
Meghalaya Board of School Edu., West Garo Hills, Tura, Meghalaya-794 102
Mizoram Board of School Education, Chaltlang, Post Box-7, Aizawl-796 012
Nagaland Board of School Education, Post Box-98, Kohima-797 001
National Institute of Open Schooling, B-31B, Kailash Colony, New Delhi - 110 048.
Orrisa Council of Higher Secondary Edu. C-2 Pragnyapith, Samantapur, Bhubneshwar.
Orrisa Board of Secondary Edu., Bajra Kabali Road, Cuttack-753001
Punjab School Edu. Board, Vidya Bhawan, SAS Nagar, Phase –8, Mohali-160 059.
Rajasthan Board of Secondary Education, Ajmer-305 001.
Tamil Nadu State Board of School Examinations, College Road, Chennai-600 006.
Tamil Nadu Board of Higher Secondary Education, DPI Compound, College Road, Chennai-600 006.
U.P. Board of High School & Intermediate Education, Allahabad.
W.B. Board of Secondary Education, 77/2, Park Street, Kolkata-700 016.
W.B. Board of Madrasah Edu., 19, Haji Md. Mohsin Square, Kolkata-700 016.
Rabindra Mukta Vidyalaya, Vikas Bhawan (2nd Floor, East Block), Bidhannagar, Kolkata-700 019.
Chhatisgarh Board of Secondary Education, Pension Bada, Raipur-492001.
Uttarakhand Board of High School & Intermediate Education, Dehradun- 248001
Jharkhand Academic Council, Birsadin, Hawai Nagar, Hatia, Khunti Road, Ranchi-834 003.
ISC
ICSE
U.P. Madarsa Board Lucknow
Other Board / University
Madhyamik Sanskrit Shiksha Parishad, Lucknow
Rajakiya Institute of open schooling, UP, Lucknow
Board of Technical Education, Rajasthan, Jodhpur
Rajashtan State Open School
Banasthali Vidyapith
RAJASTHAN COUNCIL FOR VOCATIONAL EDUCATION AND TRAINING ITI
Board of Technical Education Rajasthan, Jodhpur
VMOU, Kota, Rajasthan
Chaudhary Devi Lal University
Kurukshetra University
Maharshi Dayanand University
Chaudhary Ranbir Singh University Jind
Haryana Atate Board of Technical Education, Panchkula
Distinction(if any)
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School/College Name
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Passing Year
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--Select Year--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
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Roll No
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Grading System
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-- Select Grade --
Yes
No
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Obtained CGPA
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Max Marks
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Marks Obtained
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Marks Percentage
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Correspondence Address Details
Address
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Phone No.
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Mobile No.
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Guardian Mobile No.
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State
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-- Select State --
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJRAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPAL
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
OTHER
PUDUCHERRY
PUDUCHERRY (PONDICHERRY)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
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Pin Code
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District
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-- Select District --
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E-Mail Id
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Permanent Address Details
Same As Above
Address
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Phone No.
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Mobile No.
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Guardian Mobile No.
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State
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-- Select State --
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJRAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPAL
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
OTHER
PUDUCHERRY
PUDUCHERRY (PONDICHERRY)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
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Pin Code
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District
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-- Select District --
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E-Mail Id
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