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Rakshan Scholarship Registration Form
Registration Application
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Basic Information
Registration Year
*
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Applicant Name
*
Applicant's Photo
*
Date of Birth
*
Age
Proof of DOB
*
ID Type
*
Select
Aadhar
PAN
Other
ID Number
*
If Aadhaar, enter the last 4 digits only
ID Proof
*
Gender
*
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Male
Female
Other
Email Address
*
Phone Number
*
Parent/Guardian Details
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Applicant Category
*
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DNT
NON-DNT
Caste Certificate
Income Proof
*
Address Information
State
*
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District
*
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Block
*
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Panchayat
*
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Village
*
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Educational Background
Previous Academic Year
*
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Previous Qualification
*
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Class 5th
Class 6th
Class 7th
Class 8th
Class 9th
Class 10th
Class 11th
Class 12th
UG 1st Year
UG 2nd Year
UG 3rd Year
UG 4th Year
PG 1st Year
PG 2nd Year
Other
Previous Qualification Name
*
Previous School/College Name
*
Previous Qualification Marksheet
*
Previous Result
*
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Pass
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