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Fields With (*) marks are mandatory. Please ensure all mandatory fields are filled up.

Personal Information
Applicant Name: *
Gender Male Female
Date of Birth*
Father's Name*
Mother's Name*
Total Family Member*
Total Earning Member
Present Address
Present Address
Permament Address

Permanent Address
Present Living Area
Present Residence type
If Present Residence type(Own House)Then Select the list
If Present Residence type(Own House)Land Area Of Residence
If Present Residence type(Rent House)Then-Monthly House Rent
Are u Physically Challenged
Type of Disability
Educational Qualification
Name Of Degree Group Board CGPA With 4th subject CGPA Without 4th subject CGPA Scale Total Marks Roll Registration No Passing Year
Family Info
Father's Infomation
Father's Status
Father's Education
Father's Present / Previous Profession
Father's Profession Type
Father's Profession Name
Father's Service / Business Place Contact
Father's Monthly Income
Mother's Infomation
Mother's Status
Mother's Education
Mother's Present / Previous Profession
Mother's Profession Type
Mother's Profession Name
Mother's Service / Business Place Contact
Mother's Monthly Income
Brother's/Sister Education Information
Academic Level
Institute Name
Brother's/Sister Education Information
Academic Level
Institute Name
Other's Earning Member / Legal guardian's Information
Other's Present / Previous Profession
Other's Profession Type
Other's Profession Name
Other's Service / Other Place Contact
Other's Monthly Income
Scholarship Information
Did you avail any Govt. Scholarship
Scholarship Level
Scholarship Awared
Passing Year
Did you avail any Other Scholarship
Scholarship Name
Did you avail any Other Scholarship
Scholarship Name
Upload Your Picture
Applicant Photo  * Picture width=300px Maximum 80 KB
Father's Photo
Father's Photo  * Picture width=300px. Maximum 80 KB
Mother's Photo
Mother's Photo  * Picture width=300px. Maximum 80 KB
SSC Marksheet
SSC Marksheet  * Please upload SSC Marksheet .pdf. Max: 100 KB
SSC Testimonial
SSC Testimonial  * Please upload SSC Testimonial .pdf. Max: 100 KB
HSC Marksheet
HSC Marksheet  * Please upload HSC Marksheet .pdf. Max: 100 KB
HSC Testimonial
HSC Testimonial  * Please upload HSC Testimonial .pdf. Max: 100 KB
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