Scholarship Registration Form
Student Registration Form

Note:-Fields marked with asterisk ( * ) are mandatory.
Name of Applicant :*
Mobile No.: (Self)* Mobile No.: (Home)
Father's Name :* Occupation :*
Date OF Birth*    (mm/dd/yyyy) Gender*
Applicant Email:* Pincode*    
Tick the Category*    Gen.   ST.   SC.   OBC.   SBC.
Applicant Permanent Address for Correspondance:*
Whether taken admission in Any Technical Course   (if Yes,Please Specify):               
Course to be pursued after 10+2/Graduation:*
Annual Gross Family Income from all Sources:*
   Detail of Academic Particular of Applicant Acadmic (PhotoCopy of the Document with this form)
Class Passing Year School / University Name Percentage Remark
Graduation(If Any)
Diploma(If Any)
Tick the Scheme you want to Apply
  1.  National Talented Scholarship Scheme
  2.  National Girls Education Scholarship Scheme
  3.  National Economic Backward Class Scholarship Scheme
  4.  National SC,ST,Special Backward Class Education Scheme