* Indicates Mandatory Fields
  1)  Scholarship and Institution Details
Name of the scholarship*  
Name of course*    
Current year / semester of study*    
Duration  of course (InYear) *  
Wheather the student is pursuing B.Tech. course  
Name of the educational Institution*  
Postal address of the educational Institution*  
E-mail address of the Institution*    
  2)  Information of Scholarship Holder
Name of the Student*    
Name of Father / Mother / Guardian*    
Mobile / phone number*    
Year of admission*  
Year in which application for award of scholarship was submitted*  
Years for which scholarship has been disbursed in the past*

Class to which the student is promoted*  
Renewal of scholarship recommended for the year/s*

  3)  Bank Information of Scholarship Holder
Account Holder Name*   
Saving Bank A/c. No.of the student*  
IFSC Number*  
Address of the Bank*  
(For online money transfer through RTGS/NEFT)