Name of the Applicant
(as per 9th STD Marks Card)
Name of the Father
(as per 9th STD Marks Card)
Name of the Mother
(as per 9th STD Marks Card)
Student Aadhar No.
Pan Card No.
(Father/Mother/Guardian)
PAN Holder Name
Address
Pin Code
State
District
Mobile No. for Calling
Whats App No. for Messaging
Email Id
Parent Occupation
Annual Income (in Numbers)
Date of Birth
Place of Residence
State of Birth
District of Birth
Taluk of Birth
Gender
Mother Tongue
Nationality
Religion
Caste
Category
Accomodation
First Language
Second Language
Have you secured any merit
certificates in extra curricular
competitions at a level higher than district in your school
Course
Combination
Physically Challenged
If YES Specify
10th Standard Board
School Name and Address
State of School
District of School
9th Standard Annual Marks (Marks must be in Numbers)
Mathematics (Out of 100)
Science (Out of 100)
Student Photo
Student Adhar
Father Adhar
Mother Adhar
IX Std Marks Card
Comments