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.
Date of Birth
Place of Birth
State of Birth
District of Birth
Taluk of Birth
Gender
Mother Tongue
Parent's Details
Pan Card No.
(Father/Mother/Guardian)
PAN Holder Name
Parent Address
Pin Code
State
District
Parent Occupation
Annual Income (in Numbers)
Student's Contact Details
Mobile No. for Calling
Whats App No. for Messaging
Email Id
Student's Other Details
Nationality
Religion
Caste
Category
Accomodation
Have you secured any merit
certificates in extra curricular
competitions at a level higher than district in your school
Physically Challenged
If YES Specify
Student's I PUC Details
First Language
Second Language
Course
Combination
Previous School Details
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)
10th Standard Mid Term Marks (Marks must be in Numbers)
Mathematics (Out of 100)
Science (Out of 100)
Uploads (All Mandatory)
Student Photo
Student Adhar
Father Adhar
Mother Adhar
IX Std Marks Card
Bus Details
Do you require a Bus
Route
Pickup Point
Hostel Required