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Scolarship Application

  Fields marked with * are mandatory

Personal Details

Upload Picture*
Name *
Email *
Date of Birth *
Sex* Male Female
Father's Name*
Mother's Name
Guardian Name
Contact Number*
Annual income*

Address Details

Present Address*
Permanent Address

Educational Details

Pursuing Degree*
% marks obtained*
Present Institution*

Bank Account Details

Bank Name*
Bank Account Number*
Account Holder's Name*
Branch Name
IFSC Code*
Additional Information