Scolarship Application Form

Scolarship

"Education is more than a luxury; it is a responsibility that society owes to itself" Robin Cook

1. Name in Full (as per SSLC/SSC mark sheet)

2. Date of Birth

Drag & Drop files here or click to upload

3. Nationality

4. Father's / Guardian's name

5. Address for Communication

Tel. No Landline (with STD Code) / Mobile

Email ID

6. Are you physically handicapped / Widow / Ward of Ex-serviceman or belongs to BPL families

7a. Occupation of Parent / Guardian

7b. Annual income of entire family from all sources (Rs. Per Year)

8a. Particulars of the last examination passed

8b. Marks Obtained / Gross Total Marks

8c. Percentage of marks

9a. Course & Semester / Year in which studying at present

9b. Duration of the course (Years)

9c. Whether Regular / Part Time / Correspondence

Month & Year of Final Exam at end of Course

10a. Name of school / college / institute / ITI

10b. Address with the name of the state

10c. E-mail ID

10d. Phone No. with STD Code

11. Total fees per year

12. Have you applied previously to us for scholarship? If it was sanctioned, Ref No./File No.

13. Whether staying in Hostel run by the College/ Institute?

Hostel Charges Per Month

14a. Getting any other Scholarship/Stipend?

Amount per month

15. Scholarship amount required

Details of the bank account of the student :

S.B. A/c No.

Name of the Bank

Branch Address

IFSC Code

Submit

Scolarship Application Form

Scolarship

"Education is more than a luxury; it is a responsibility that society owes to itself" Robin Cook

Corporate Office

Main Menu

Downloads

Scolarship Application Form

Scolarship

"Education is more than a luxury; it is a responsibility that society owes to itself" Robin Cook

Browser not supported

Modern websites need modern browsers

Browser not supported

Modern websites need modern browsers