Scholarship Registration Form

Section A: Student Particulars

Passport Size Photo Signature of Applicant Full Name (As per school records) Date of Birth Aadhaar Number Current Grade / Class Select 6 7 8 9 10 11 12

Section B: Academic & School Details

School Name School Address (District & Block) Board of Study Select CBSE ICSE State Board Last Year's Percentage / GPA

Section C: Contact Information

Parent / Guardian Name Primary Mobile Number (SMS alerts) Email Address Postal Address

Section D: Exam Preferences

Preferred Stream Select Science Commerce Arts Preferred Medium of Exam Select English Hindi Preferred Exam Center (District) Select District Ajmer Alwar Anupgarh Balotra Banswara Baran Barmer Beawar Bharatpur Bhilwara Bikaner Bundi Chittorgarh Churu Dausa Deeg Dholpur Didwana-Kuchaman Dudu Dungarpur Gangapur City Hanumangarh Jaipur Jaipur Rural Jaisalmer Jalore Jhalawar Jhunjhunu Jodhpur Jodhpur Rural Karauli Kekri Khairthal-Tijara Kota Kotputli-Behror Nagaur Neem Ka Thana Pali Phalodi Pratapgarh Rajsamand Salumber Sanchore Sawai Madhopur Shahpura Sikar Sirohi Sri Ganganagar Tonk Udaipur

Section E: Payment Details