SHRI KSHATRIYA PRATIBHA VIKAS EVAM SHODH SANSTHAN AJMER
APPLICATION FOR SCHOLARSHIP
** (NOTE : For any query/issue regarding form submission please contact to Sh. Mool Singh Runija +91 9166086733)
1. Name
2. Father's Name
3. Father's Occupation
4. Mother's Name
5. Mother's Occupation
6. Total family annual income
7. Siblings Details
SNo.
Name
Age
Relation
Class/Occupation
I
II
III
IV
8. Aadhaar No.
9. Land Details
10. Vehicle Details
11. Bank Account Details
12. Gotra
13. Native Place
14. Date of Birth
15. Gender
Male
Female
16. Email Address
17. Mobile Number
18. Current Address
19. Permanent Address
20. Exam/Degree passed during the Current session
Percentage
School/Board/College/University
Roll No.
21. Presently Studying which Standard/Institute
Present Studying Course Details
If Pursuing Technical/Medical/ Management Education Write name/Status of College/Institute
22. Reference
SNo.
Name
Mobile No.
I
II
23.
Attachments (PDF or Image only)
(File size must be upto 2Mb)
Photo
Marksheet
AWS Certificate/Proof of Income
Declaration
I hereby declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my information being found false or incorrect before or after the event, action can be taken against me by the organisation. I have read the provisions of the relevant rules and Advertisement carefully. I know that committee can change any rule or criteria before informing to me. I will accept any decision of Selection Committee and I hereby undertake to abide by them. I further declare that I fulfill all the conditions of eligibility prescribed for participation to the event.
Submit
