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::PreMatric::Application Registration 2018-19
Pre-Matric Scholarship Application Form (2018-19) for SC,ST,BC and DISABLED WELFARE Students

Ration Card Details
Ration Card No:
Student Particulars

Student Name :* Student UID (Aadhar) No:
Gender :*   MALE      FEMALE Date Of Birth :* DDMMYYYY
Physically Challenged :*  Yes  No Community / Religion :*
Caste Category:* Sub Caste :*
Parent Particulars
Father's Name :* Father UID (Aadhar) No:
Mother's Name :* Mother UID (Aadhar) No:
Profession of Parents :*
School Particulars
School District : School Mandal :*
School :*
Class :* Medium :*
Admission No. :* Admission Date :* DDMMYYYY
Student Bank Account Details
Bank IFSC Code: * Bank Details :      
Student Bank Account No :* Reenter Student Bank Account No :*
Address
District :* Mandal / Muncipality :*
Village/Ward :* Address :*
PIN Code :* Mobile No :*
Re Enter Mobile No :* Mobile No. Belongs to :*
Email ID :
Income Certificate Details
MEE SEVA No. :*  
Applicant Name : *
Father Name : *
District : *
Mandal : *
MRO Name : *
Total Income : *
 
Caste Certificate Details
MEE SEVA No.(Caste Certificate) :*
 
Applicant Name : *
Father Name : *
District : *
Mandal : *
MRO Name : *
Caste : *
Scanned Documents
Image of your Passport Photograph :*
Scanned Bank Pass Book (First page) :
Scanned UID(Aadhar) :



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