SPT Arts & Science College, Godhra
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Scholarship Form
Personal Details
Name of Beneficiarty :
*
Name of Beneficiary in Vernacular language :
Gender :
*
----- Select -----
Male
Female
Transgender
Father's Name :
*
Father's Yearly Income :
*
Mother's Name :
*
Spouse Name :
Guardian Name :
Birthdate :
*
Scholarship :
*
---- SELECT ----
BAXI
SC
ST
Minority
Subcast :
*
Class :
*
Semester :
*
Address Details
Address 1 (Premises Identifier) :
*
Address 2 (Sub Locality 1) :
Address 3 (Sub Locality 2) :
Address 4 (Village/ Town/ City) :
Village Code :
Taluka :
District :
*
State :
Pincode :
*
Mobile No. :
*
Email :
Bank Account Details
Bank Name :
Bank Account No. :
IFSC Code :
Post Office Account Details
Name of Branch PO/Sub Post Office/Head PO :
Branch PO/Sub PO/Head PO Code :
Beneficiary Account No. :
UID (Adhar Card No.):
*
EID No. (Election Card No.) :
Rationcard Number :
BPL Number :
School Name :
Last Class :
Last Result :
*
---- SELECT ----
PASS
FAIL
Joining Date :
Fresh/Renewal :
*
---- SELECT ----
FRESH
RENEWAL
Hosteller/Day-Scholar :
*
---- SELECT ----
HOSTELLER
DAY-SCHOLAR
Notes :
*
marks indicate compulsory field.
You have to provide either Bank Details or Post-office Details.