Register Form

Please take your time to complete the application form. Fields marked with (*) are mandatory. Once you submit your completed application, our team will thoroughly review it and contact you if you meet the eligibility criteria.

STUDENT PERSONAL DETAILS

First Name *

Last Name *

Date of Birth *

Gender *

Email *

Mobile No. *

STUDENT HOME ADDRESS

House No/Name *

Street No/Name *

Permanent City

Permanent State *

Permanent Pin Code *

Country *

STUDENT HIGH SCHOOL DETAILS

High School Name *

High School Website

High School Address *

City

State *

Pin Code *

Country *

Year of Passing Class 12 *

Percentage/Grade Achieved in Class 12 *

STUDENT COLLEGE DETAILS

College Name *

College Website *

College Address *

City

State *

Pin Code *

Country *

Year of Starting College *

Full Course Name *

Course Duration *

Your Current Year of Study *

Accommodation Type *Choose Day Scholar only if you are staying at your home and attending college. Choose Hostel Resident if you are staying in Hostel or Paying Guest Accommodation (PG).

College Tuition Fee Per Year (INR) *

Estimated Scholarship Amount Required Per Year (INR) *

INDIA ENTRANCE EXAM DETAILS

NOTE: If you have not appeared for any entrance test, please enter 0 in Percentile Score.

Name of Entrance Test *

Exam Taken in Year

If you selected Other - Give Name of the Entrance Exam

Percentile Score *

Rank

INTERNATIONAL STANDARDIZED TEST DETAILS

Total SAT Score

SAT Exam Taken in Year

Total ACT Score

ACT Exam Taken in Year

HOW DID YOU KNOW ABOUT THIS SCHOLARSHIP?

STUDENT FAMILY DETAILS

Father's Name *

Mother's Name *

Father's Occupation *

Mother's Occupation *

Father's Age *

Mother's Age *

Father's Education

Mother's Education

Parent's Mobile No. *

HOW MANY MEMBERS ARE THERE IN YOUR FAMILY?

NOTE:
Dependent members: Family members without a source of income (for example, a sibling studying in school or elderly members who are retired or not earning).

Earning Members: Number of family members who are earning.

Total Members: Total family members (Consider all family members who share the same house).

Dependent Member *

Earning Members *

Total Members *

Currency *

Annual Family Income *

TELL US ABOUT YOUR SELF

Write about your major achievements & extracurricular activities in school and college? (Max 200 words) *0 of 200 max words.0 / 200

What are your future plans after completing this undergraduate course? (Max 100 words) *0 of 100 max words.0 / 100

Explain in detail about (1) your family, parent's profession, and all sources of income, (2) what problems are you facing? Answer both parts. (Max 300 words) *0 of 300 max words.0 / 300

Provide details about any community service or volunteer work you have done. (Max 200 words) *0 of 200 max words.0 / 200

OTHER DETAILS

Receiving any Fee waiver from the University or Government? *

If YES, what percentage of fee is covered by the waiver? *

Have you applied for other scholarships? *

If YES, what is the scholarship amount you are receiving? *

Do you self-identify as a person with disability? *

Have you taken a bank education loan?* *

If YES, how much is the bank loan amount?* *

REFERENCES

Please provide details of professional referees, such as your teachers or workplace supervisors, who can vouch for your character, work, or academic background. Personal references from friends or family members will not be accepted.

FIRST REFERENCE

Full name *

Institution *

Job Title *

Phone *

Email *

SECOND REFERENCE

Full name *

Institution *

Job Title *

Phone *

Email *

Please Upload Supporting Document Here *1. Class 12 Marksheet 2. Passport Size Photograph 3. Aadhaar Card 4. University ID Card (Admission Proof) 5. Family Income Certificate, Salary Slip, or IT Return Form 6. Entrance Exam Result (NEET/JEE/CUET/ANY OTHER)

Register Form

STUDENT PERSONAL DETAILS

STUDENT HOME ADDRESS

STUDENT HIGH SCHOOL DETAILS

STUDENT COLLEGE DETAILS

INDIA ENTRANCE EXAM DETAILS

INTERNATIONAL STANDARDIZED TEST DETAILS

HOW DID YOU KNOW ABOUT THIS SCHOLARSHIP?

STUDENT FAMILY DETAILS

HOW MANY MEMBERS ARE THERE IN YOUR FAMILY?

TELL US ABOUT YOUR SELF

OTHER DETAILS

REFERENCES

FIRST REFERENCE

SECOND REFERENCE

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