Student's Name:

School's Name:

Father's Name:

Mother's Name:

DOB:

Gender:
Male Female Other

Caste:
General OBC ST/SC

PH:
yes No Father's Occupation Mother's Occupation

Parent's Qualification:
Father's Qualification: Mother's Qualification:

Parent's Annual Income:

Address:

Student's Adhaar No:

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Upload Student's Signature: (extension allowed *.jpg)