First Name

Middle Name

Last Name

Gender

D.O.B

Address

Contact number

E-mail

Your Photo:

This image should be your recent image. Only one image can be uploaded.

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Father's name

Mother's name

Father's Occupation

Mother's Occupation

Annual Family Income(estimated in Rs.)

No of siblings

Name of the school you passed your SLC from?

In which grade you passed your SLC ?

If you have to recommend one other person for the scholarship from your school,who would be that and why?

What would you like to study?

Why would you like to study the faculty you are choosing?

Where would you like to study?

Why ?

If you were awarded a scholarship, do you have a place to stay?

Would your family or any other source be able to contribute to your study?

If yes, state how much?(in Rs.)

After completion of your studies,Would you be able to volunteer on your area or specific village choosen by us or your choosing?

If yes,Where and how? If no,Why?

Attached with this form a separate document, please describe your motivation to study, why you need support and what you will do to ensure that the opportunity given to you to study will benefit others in the future.
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Attached with this form a recommendation letter from your School or School Management Committee
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