Scholership

   I wish to apply for scholarship of Rs. for pursuing my higher studies as detailed and submit below the required information.

Name(Mr./Mrs.)* :

Date of Birth* :

Age* :

Gender* :

Nationality* :

Caste* : General OBC SC ST NT

Religion* :

Father's Name* :

Family Income* :

Permanent Residential Address* :

Phone No.* :

Present Postal Address* :

Phone No.* :

Email ID* :

Name of the Institution

University/Board Affiliation

Degree Course admitted to

Duration of the Course (In Years)

Whetherthe student is getting subsidy/scholarship /financial assistance fromother Institution / State or Central Government : Yes/ No If yes Amount Rs

Self Finance

Amount of Scholarship required

How did you finance the education till now ?

Passport Photo