Application Form

Read this form carefully and submit all documents. Incomplete Application Forms will be rejected. Your application to the program is voluntary, and you are not under any obligation to apply.

1

About the Student

name of the student
Student Aadhar Card Number
email
date of birth
gender
mobile number
Alternate mobile number
Current class
Does the student have any disability? If yes, please specify type of disability.
2

About the School/College

Name of school/college
Name of Board/University
complete address
State / District
PIN CODE
Contact number
3

About the Parent/Guardian

DRIVING LICENSE Number OF PARENT/GUARDIAN
DRIVING LICENSE Expiry Date
MOTHER'S NAme
father'S name
guardian'S name (optional)
Type of vehicle driven
Light Motor Vehicle Type
Any Other Vehicle
Family income per year (INR)
Is your monthly income fixed?
Address
4

Bank details of student

Account holder's name
bank name
account number
confirm account number
ifsc code
confirm ifsc code
5

Mandatory documents to upload

student photograph
Upload
Proof of current enrolment 2023-24 (Upload any one)
Signed and stamped by school/college
Download Bonafide Certificate Format
Upload
Driving License of parent/guardian
(Front Side)
Upload
Driving License of parent/guardian
(back Side)
Upload
PROOF OF INCOME OF PARENT/ GUARDIAN (Upload any one)
Upload
Aadhaar Card of student
(Front Side)
Upload
Aadhaar Card of student
(Back Side)
Upload
Bank passbook or cancelled cheque
Upload
6

By submitting this form, I accept the following terms:

Referred By
How did you apply for this scholarship?