STUDENT INFORMATION FORM FOR SCHOLARSHIP

*Please check application form carefully before filling.

**You will be required to upload Marksheets copy of 10,11,12th class, college admission proof and address proof.

Personal Information

*Please upload details of at least one guardian

Guardian 1

Guardian 2

Student Details

  • Female
  • Male
This field is required.

Details of Father / Mother / Guardian as the case may be

Details for Communication

  • Yes
  • No
This field is required.

Educational Information

Particulars of School/Institution last attended class XII

  • Yes
  • No
This field is required.

Details of Class 10th, 11th and 12th Examinations

10th Board* Institution/University from which passed* Year of passing* Percentage of marks obtained* Class/Grade obtained*
11th Board* Institution/University from which passed* Year of passing* Percentage of marks obtained* Class/Grade obtained*
12th Board* Institution/University from which passed* Year of passing* Percentage of marks obtained* Class/Grade obtained*
  • I shall devote my full time to the course of study, and that *
  • This field is required.
  • I shall not receive another stipend/ scholarship from any other source*
  • This field is required.

Scholarship Information

Particulars of the course for which assistance is required*

You have words remaining

Documents

Guardian Details

Father’s Signature

(image size 50 kB to 1 MB)

Father’s Photo

(image size 50 kB to 1 MB)

Mother’s Signature

(image size 50 kB to 1 MB)

Mother’s Photo

(image size 50 kB to 1 MB)

Student Details

Student’s Signature

(image size 50 kB to 1 MB)

This field is required.
Student’s Photo

(image size 50 kB to 1 MB)

This field is required.

Address Proof (Aadhar Card only)

Address proof of student
( Frontside )*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.
Address proof of student
(Backside)*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.
Address proof of guardian
( Frontside )*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.
Address proof of guardian
(Backside)*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.

Copy of marks sheet of previous exam passed (10th ,11th and 12th.)

10th Examination*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.
11th Examination*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.
12th Examination*

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.

Marks sheet of the qualifying exam / entrance Test (wherever applicable)

Marksheet of qualifying exam

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.

Proof of admission / enrolment* ( Bona fide certificate issued by school / college)

Proof of admission

(upload pdf size max 5MB or image file size 50kB to 1MB)

This field is required.