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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

Personal Details

Full Name *

Gender *

Date of Birth *

Student's Aadhaar Number

Apply for Class *

Presently Studying in Class *

Religion *

Caste Category *

Email Address*

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)*