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:
Languages 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
Your Favourite Till SSLC:
Reason You Like the Subject:
Your Favourite Subject In Higher Secondary:
Reason You Like The Subject:
Highest Scoring Subject In SSLC:  *
Highest Scoring Subject In Higher Secondary:
Course Applying For:  *
Reason For Choosing the Above Course:
Other Course Choice Other than Preferred:
Qualifying exams Appeared / Applied for:
Preferred location of Study:  *
Any Additional Information That You would Like to Share:
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