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Vmart Ujjwal Bhavishya Scholarship Application Form
Ujjwal Bhavishya Scholarship Application Form
Personal Details
1. Student Name
2. Father Name
3. Gender
Male
Female
4. Date Of Birth
5. Total age in Numbers
6. Address of Communication
6.1 State
6.2 Pin Code
6.3 Mobile No.
6.4 Email
7. Permanent Address
7.1 State
7.2 Pin Code
7.3 Mobile No.
8. Academic Record
Provide qualification details year wise from Class X and Class XII (As applicable)
Class
Name of the Subjects
University/Board
Year Of Passing
% Marks
10
th
12
th
9. 10
th
Marksheet
10. 12
th
Marksheet
11. Adhaar No
12. Adhaar Photocopy
13. Birth Certificate No
14. Birth Certificate Copy
15.Household income certificate issuing authority name
16. House Hold Income Amount in Rupee
17. House Hold Income Certificate No.
18. House Hold Income Certificate
19. Class 11th or Graduation 1st year latest fee receipt No.
20. Class 11th or Graduation 1st year latest fee receipt as applicable
21. Mention student name as written on bank passbook
22. Bank Name
23. Bank Account No.
24.IFSC Code.
25. Bank Account Passbook Photo
26. Student Identity Card
I agree with the terms & condition, attached with the form.
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