Scholarship Application Form

Academic Year*

Application Date*

College Name*

Course Name*

Photo*

Student SSC details

SSC Board*

Passing Year*

SSC Seat Number*

Marks Obtained*

Student HSC Details

Applicant Name*

Mother's Name*

Date of Birth*

Is Resident of Maharashtra ?yesno

Caste Category*

Caste*

Sub Caste*

Gender*

Orphanyesno

Disabledyesno

Is Applicant Salaried*yesno

Aadhar No*

Pan No*

Applicant's Annual income*

Total Annual Income*

Marital Status*

Student Pre qualifying Details

Last attended School/College/Institute*

Last Exam Passed*

Last Exam Passes Year*

Last Exam Marks*

Institution Details

Subject*

Collage admission Number*

Date of Admission*

Joining Date*

Is Fee Paidyesno

Fee Receipt No

Receipt Date

Fee Paid Amount

QuotaManagementGovernment

Is studying at night Schoolyesno

Bank Details

Bank Name*

Branch Name*

Account Number*

Contact Details

Telephone Number*

Email Address*

Mobile Number*

Address for Correspondence*

Pin-code*

Taluka*

District*

Parent /Guardian Details

Name*

Relation with applicant*

Profession*

Annual Income*

Adhar No *

Pan no*

1 Tell Us About Yourself.*

2 What Are Your Career Goals?*

3 How Would This Scholarship Help You?*

4 Who Has Been A Role Model For You?*