Merit Scholarship Form

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First Name

Last Name

Mobile Number

Date of Birth

Gender

Xth Details

Xth Year of Passing

Xth Name School/College

Xth Board

Xth Aggregate %

XIIth Details

XIIth Year of Passing

XIIth Name School/College

XIIth Board

XIIth Aggregate %

Graduation Details

Graduation Year of Passing

Graduation Name School/College

Graduation Degree

Graduation Aggregate %

Post Graduation

PG Year of Passing

PG Name School/College

PG Degree

PG Aggregate %

I hereby declare that the information given above is correct.

I am not availing of any other scholarship from any other source.

I shall abide by the terms and conditions for the sanction of the merit scholarship.

I undertake that if at any stage, it is found by the sanctioning authority that the information given by me is false or if I violate the terms and conditions of the scholarship, the scholarship sanctioned to me, may be cancelled and I will refund the sanctioned amount.

By submitting this form, I consent to the collection and use of my personal and academic information for the purpose of evaluating my eligibility for the scholarship

Merit Scholarship Form

Xth Details

XIIth Details

Graduation Details

Post Graduation

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