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Merit Scholarship Application Form


Admission Helpline -
73581 75586,
89398 75566




MERIT SCHOLARSHIP APPLICATION FORM
 Engineering  Architecture  MBA
Name: 

Name of the Parent / Guardian: 

Address: 

Pin Code: 

Mobile: 

E-mail: 

Nationality: 

Mother Tongue: 

Date of Birth: 

Age: 

Gender: 

Male Female
Category: 

Religion / Caste: 

Parent's / Guardian's Occupation: 

Qualifying Examination: 

Board of Study: 

Medium of Instruction: 

Academic Performance in the Qualifying Examination
Name of the School / College: 

Address of the School / College: 

FOR FIRST YEAR B.E / B.Tech / B.Arch ADMISSION
SubjectMark ObtainedMaximum MarksPercentage of Marks
Mathematics
Physics
Chemistry
Total
1.Total Marks Obtained (12th Standard): out of  & Percentage(%):