Scholarship* Application

Fields marked * are mandatory · Terms & Conditions

Personal Details

Full Name *

Date of Birth *

Programme *

Preferred Track *

Caste Category *

Annual Family Income (₹) *

Class 10 / SSC Percentage *

Roll Number (if already assigned)

Guardian Details

Father's Name *

Mother's Name *

Guardian's Occupation *

Contact Details

Phone Number *

Alternate Phone (optional)

Email Address (optional)

Residential Address *

Bank Details (for disbursement — optional but recommended)

Account Number

IFSC Code

Bank Name & Branch

I have read and agree to the Scholarship Terms & Conditions *

I declare that all information provided is true and correct to the best of my knowledge. *

Cancel

Fields marked * are mandatory. Submitting false information will result in disqualification.