Applicant Name:*
Father Name:*
Mother Name:*
Mobile No:*
Date of birth:*
Physically challenged:*
Cast Category :*
Gender :*
Address:*
Address 1:*
State:*
Distict:*
School/College Name:*
Roll Number:*
Class Name:*
Pincode:*
Subject Name:*
Aadhar Number:*
Applicant Signature Upload:*
Signature size max 1 MB
Applicant Photo Upload :*
Photo size max 1 MB