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UTKARSH Scholarship Scheme
Inviting Talented Youth From Chhattisgarh

 

Application Form

 
Personal Detail  
* First Name :
  Middle Name :
* Last Name :
* Date of Birth :  /   / 
   Place of Birth :
* Correspondence Address :
* Email ID :
* Telephone No :
   Mobile No :

*  Language Known  
Language Read Write Speak
English
Hindi

Family Information  
Name Relation Qualification Present Occupation Annual Income
Father
Mother
Spouse

Academic Qualification

* Secondary School :
 
Exact Degree Year of Passing Name of the Institute / University Percentage Scored
* Higher Secondary School :  
Exact Degree Year of Passing Name of the Institute / University Percentage Scored

* Confirmed Admission : Yes   No
* Name of College / Institute :
 The above information is true to the best of my knowledge


Note :
Shortlisted candidates shall be communicated through email/ telephone.

After confirmation of selection candidate has to produce documents in original along with a set of attested photocopies at our korba works at specified date.
  1) Highest level of academic qualification,
  2) Admission letter from the admitting institute,
  3) Date of birth certificate,
  4) Family Income certificates,
  5) Domicile certificate,
  6) 2 passport size photographs,

   
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