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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
Marathi
Gujarati

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 for personal interview at our Korba Works.

At the time of interview following documents are to be present in original along with a set of attested photocopies
  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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