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Application Form

Important Instructions:
  • Parent’s income should be less than Rs. 2 Lacs/Annum
  • Child’s age as of 31st March 2024
    • Boy: 10-11 Years
    • Girl: 10-12 Years
  • The child should be studying in class 5th
  • Aadhaar Card is mandatory, Upload a copy of both sides of the aadhaar card
  • Upload a clear Picture of the candidate
  • All information is to be filled in correctly
  • In case of any difficulty in filling up the form please contact the below no.
    9653018353
    9634098003

Personal Details

Full Name *

Gender *

Date of Birth *

Student's Aadhaar Number

Apply for Class *

Presently Studying in Class *

Student’s School Name *

Religion *

Caste Category *

Phone No. *

Family Details

Father's Name *

Qualification *

Occupation *

Mother's Name *

Qualification *

Occupation *

Parents Total Income (Yearly) *

Permanent Address

Address *

State/ UT *

Pincode *

Correspondence Address

Address *

State/ UT *

Pincode *

Same as Permanent?

Other Information

Student Photograph (Max size: 15mb)*

NGO Code

Examination Center Code

Upload Aadhaar (Max size: 15mb)*