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Full Name (Enter as [First Name] [Middle Name] [Last Name])  
Gender  
Date Of Birth  
Email Address  
Phone Number
Alternate Phone Number
Permanent Address  
Current Address  

SCHOLARSHIP INFORMATION

Scholarship Applied For  
Select Test  
Currnet graduation
Institution/College Name (Currently studying in)   Institution/College Address  
City  
State  
Pincode  
Subject/Specialization  

ACADEMIC PERFORMANCE

Higher Secondary School
Institution/College Name   Address  
City  
State  
Grade(in % Only)  

Bachelor’s Degree Performance
Institution/College Name Address
City
State
Bachelor’s Grade (in % Only)
F.Y
S.Y
T.Y

Master’s Degree Performance
Institution/College Name Address
City
State
Master’s Grade (in % Only)
F.Y
S.Y
T.Y