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Scholarship _Application _Form - MP Scholarship Portal 2.0

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Scholarship Application Form
Students will require following information while submitting their application for scholarships. Please
collect all information, documents and then register and submit the application carefully. Once application
is submitted, you will not be able to chance the details. In case of any incorrect, details, and absence of the
scanned copy of the board mark sheet and caste certificate, the application will be rejected.
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Identification Details:
Samagra ID - 9 Digit
Aadhaar No (Compulsory for Hoshangabad, Bhopal, Harda, Burhanpur, Jabalpur & Khandwa Districts )
10th Board marksheet Details:
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Secondary Board Name
Year of 10 examination
Board Enrollment No. as printed on board mark sheet
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Scanned copy of the board mark sheet in JPG format (less than of 100 Kb size)
Caste Certificate Details :
Certificate No
Certificate Issued By
Caste Certificate Date
Scanned copy of the Caste Certificate in JPG format (less than of 100 Kb size)
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(mandatory)
(mandatory)
Income Details: (mandatory)
Annual Family Income
Income Certificate No
Income certificate Issued by
Date of Issue
Personal Details: (mandatory)
Name (as printed in 10th board mark sheet)
Father’s First Name (as printed in 10th boardmark sheet)
Mother First name (as printed in 10th board mark sheet)
Date of Birth (as printed in 10th board mark sheet)
Category
Religion (mandatory)
Mobile Number (mandatory)
Email Address (Optional)
Last Year Exam
Exam Name, Institute and Result
Current Year Institute (mandatory)
Institute Name
Course
Course year
Admission Date
Enrollment Number
Hostel Status
Whether Stay in Government Hostel
Date of Admission in Government Hostel
Bank Account Details: (mandatory)
Bank Account No.
IFSC code of the Branch
Branch Name
DD/MM/YYYY
(SC/ST/OBC)
Y/N
DD/MM/YYYY
(mandatory)
Document
Category
Education
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File Size
38 Кб
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