Assessment cum Scholarship Form

Name: *
Email ID: *
Contact Number: *
Date of Birth: *
Place of Birth:
Native City:
Present Residing City : *
Father's Name: *
Mother Tongue:
language Known:
Father's Occupation: *
Father's Income: *
Mother's name: *
Mother's Occupation: *
Qualification Details:
Degree/ Course Board/ University School/ College Year of passing Subjects % age (overall) % age aggregate
SSLC * * * * * *
2nd puc * * * * * *
Reasons You Like the Subject:
Higher Scoring Subject In SSLC:
Your Favorite Subject In Higher Secondary:
Course Applying for: *
Course Branch:
Reason for choosing the Above Course:
Other course choice other than preferred :
Quality Exams appeared/ Applied for :
prefer Location of study: *
Any additional Information that you would like to share:
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