POST MATRIC SCHOLARSHIP FOR SCHEDULE TRIBE STUDENT ON DIGITAL GUJARAT PORTAL
USER MANUAL FOR STUDENTS TRIBAL DEVELOPMENT DEPARTMENT GUJARAT STATE GANDHINAGAR
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7
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HM VFWFZ G\AZ 5;\N SZ[, CX[ TM VCL 5MTFGM VFWFZ G\AZ ,BJFGM ZC[X[P
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O|L XL5 SF0" WZFJTF TYF V[DALALV[;DF\ ,MG ,LW[, lJWFYL"VMV[ V,U ZLT[ VMG,F.G V[%,FI SZJFG] ZC[X[P H[ IMHGFDF\ VMG,F.G V[%,LS[XG SZJFGL CMI T[GF 5Z Sl,S SZMP NZ[S IMHGFDF\ ;M 5|YD ;]RGFVM VFJX[ T[G[ JF\RLG[ TYF tIFZAFN GLR[ NXF"J[, A8G Sg8LgI] 8] ;lJ;" 5Z lS,S SZJFG] ZC[X[P 11
EFU ! ZlH:8=[XG 0L8[.<;
REGISTRATION DETAILS
VCL lJWFYL"V[ 5MTFG]\ OST 5|YD GFD H ,BJFG]\ ZC[X[P VCL lJWFYL"V[ 5MTFGF l5TFG]\ OST GFD H ,BJFG] ZC[X[P VCL lJWFYL"V[ 5MTFGL OST V8S H ,BJFGL ZC[X[P VFWFZ D]HA GFD VG[ VFWFZ J[ZLOFI0 S[JL ZLT[ SZJ]P VFWFZ Z OMZD[8DF\ CMI K[P OMZD[8 ! oVFWFZ D]HA GFD ,BJFDF\ VFWFZSF0"DF\ TDF~ GFD H[ D]HA K[ T[ D]HA H ,BJFG] ZC[X[P H[D S[
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DF~ VFWFZ D]HA GFD RakeshKumar Thakar YX[P GMWo G[D V[; 5Z VFWFZDF\ VFWFZDF\ H[ 5|dFF6[ GFD ,BJFDF\ VFJ[, K[ T[ D]HA H ,BJFG]\ ZC[X[P 12
G[D V[; 5Z VFWFZDF\ VFWFZDF\ OST VF ZLT[ GFD ,BJFG] ZC[X[P S/O, W/O S[ D/O 5KL VFJTF GFD ,BJFGF ZC[X[ GCL\ 5Z\T] GLR[ D]HAG]\ OMZD[8 CMITM VFWFZDF\ GFD V,U V,U OMZD[8DF\ CMI K[ HM TDFZ] VFWFZDF\ GFD ;/\U CMITM TM TDFZ[ G[D V[h VFWFZDF\ ;/\U GFD ,BJFG] ZC[X[P OMZD[8 Z
DF~ VFWFZ D]HA GFD RakeshKumar Pranshankar Thakar YX[P VCL lJWFYL"V[ 5MTFG]\ GFD VFWFZSF0"DF\ NXF"jIF D]HA H ,BJFG] K[P VCL lJWFYL"G] 5MTFG]\ GFD VFWFZSF0"DF\ NXF"jIF D]HA G] H CMITM H VCL\ R[S AM1F 5Z Sl,S SZJFG] ZC[X[P Mother’s Name DF\ VCL\ OST DFTFG]\ GFD H ,BJFG] ZC[X[P Date Of Birth DF\ 5C[,F\ A[ VF\S TFZLB ALHF A[ VF\S0F DF;GF\ 5KLGF\ RFZ VF\S0F JQF"GF\ ,BJF
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H[g0ZGF\ 0=M5 0FpG D[G] 5Z Sl,S SZTF\ Male, Female VG[ Transgender VM%XG HMJF D/X[P HM TD[ S]DFZ CMJ TM Male 5;\N SZJ] SgIF CMJ TM Female 5;\N SZJ] HM p5ZMST A[ l;JFIGL HFlT CMITM Transgender 5;\N SZJ]
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Community/Category DF\ AFI0LOM<8 ST (VG];}lRT HGHFlTf H VFJX[P
Caste DF\ TDFZL 5[8F HFlT 5;\N SZJFGL ZC[X[P
Religion DF\ Hindu slCg\N]f 5;\N SZJFG]\ ZC[X[P ;LNL DF8[ Islam sD]:,LDf 5;\N SZJFG] ZC[X[P
Marital Status DF\ VCL\ TDFZ] J{JFCLS :8[8; NXF"JJFG] ZC[X[ H[ GLR[ D]HA 5;\N SZJFG]\ ZC[X[P 5Zl6T :+L 5]Z]QF[ Married 5;\N SZJFG]\ ZC[X[P V5Zl6T :+L 5]Z]QF[ Married 5;\N SZJFG]\ ZC[X[P lJWJF :+LV[ Widow 5;\N SZJFG]\ ZC[X[P K]8FK[0F ,LW[, :+LV[ Divorced 5;\N SZJFG]\ ZC[X[P
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VCL\ S,LS SZTF V,U V,U jIJ;FI VFJX[P Parent/Guardian Occupation DF\ TDFZF l5TFGM jIJ;FI 5;\N SZJFGM ZC[X[P
HM l5TF CIFT G CMI TM DFTFGM jIJ;FI 5;\N SZJFGM ZC[X[P HM DFTF VG[ l5TF A\G[ CIFT G CMI TM TDG[ E6JFDF\ ;CFI SZTF JF,LGM jIJ;FI 5;\N SZJFGM ZC[X[P GM\W o VCL\ TDFZF DFTF4 l5TF S[ JF,LGM jIJ;FI VCL ;DFJ[X G YTM CMI TM sOthers) VW;"GM lJS<5 5;\N SZJFGM ZC[X[P 5Zl6T :+LGF\ lS:;FDF\ 5lTGM jIJ;FI 5;\N SZJFGM ZC[X[P
sOthers) VW;"GM lJS<5 5;\N SZTF TDFZ[ 8[1F AM1FDF\ p5ZMST 0=M5 0FpG D[G]DF\ ;DFJ[X YI[, G CMI T[JM jIJ;FI GFBJFGM ZC[X[P
Annual Family Income DF\ TDFZF S]8]dAs l5TF TYF DFTFfGL UT JQF"GL ;\I]ST VFJS ,BJFGL ZC[X[P 5Zl6T :+LGF lS:;FDF\ 5lTGL VFJS ,BJFGL ZC[X[P HM l5TF CIFT G CMITM DFTFGL VFJSGM NFB,M HM0JFGM ZC[X[P l5TFGF\ D'tI]G]\ 5|DF65+ HM0JFG]\ ZC[X[P Is Orphan DF\ VCL\ S,LS SZTF YESsCFf4NO sGFf GFD VFJX[PHM VF5GF\ l5TF DFTF CIFT G CMITM YESsCFf G[ l;,[S8 SZJ] VgIYF NO sGFf l;,[S8 SZJ]P
16
VCL AFI 0LOM<8 TD[ ZlH:8=0" SZFJ[,M TDFZM DMAF., G\AZ VFJL HX[P VCL AFI 0LOM<8 TD[ ZlH:8=0" SZFJ[,M TDFZM . D[., VF.0L VFJL HX[P Day Scholar/ Hosteller DF\ HM TD[ CM:8[,DF\
ZC[TF\ CMJTM CM:8[,Z Hosteller VG[ CM:8[,DF\ G ZC[TF CMJ TM 0[ :SM,Z Day Scholar 5;\N SZJFG]\ ZC[X[P Hostel Type DF\ TD[ H[ 5|SFZGL CM:8[,DF\
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CURRENT ADDRESS INFORMATION: CF,GF\ ;ZGFDFGL lJUTP
Current Address State 5Z lS,S SZTF EFZTGF\ TDFD ZFHIM N[BFX[ T[ 5{SL H[ ZFHIDF\ VF5 CF,DF\ ZCLG[ VeIF; SZL ZCIF CMIT[ ZFHI 5;\N SZJFG]\ ZC[X[P AFI 0LOM<8 U]HZFT VFJX[P VgI ZFHI 5;\N SZTF tIFZ 5KLGL CF,GF ;ZGFDFG[ ,UTL TDFD DFlCTL 8[1F AM1FDF\ HFT[ 0[8F V[g8=L SZLG[ EZJFGL ZC[X[P GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CF,GF\ ;ZGFDF\ CM:8[,G] ;ZGFD] ,BJFG] ZC[X[P
District 5Z lS,S SZTF ZFHIGF\ TDFD lH<,FGF\ GFD VFJX[ T[ 5{SL CF,DF\ H[ H<,FDF\ ZC[TF CMI T[ lH<,M 5;\N SZJFGM ZC[X[P VgI ZFHIDF\ ZC[TF\ lJWFYL"V[ lH<,FGL V[g8=L HFT[ SZJFGL ZC[X[P GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CM:8[, H[ lH<,FDF\ VFJ[, CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
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TD[ 5;\N SZ[, lH<,FGF\ TDFD TF,]SF NXF"JX[ T[ 5{SL TDFZF CF,GF\ ZC[9F6GM TF,]SM 5;\N SZJFGM ZC[X[P VgI ZFHIDF\ ZC[TF\ lJWFYL"V[ TF,]SFGL V[g8=L HFT[ SZJFGL ZC[X[P GM\Wo CM:8[,DF\ ZC[TF\ lJWFYL"V[ CM:8[, H[ TF,]SFDF\ VFJ[, CMI T[ TF,]SM 5;\N SZJFGM ZC[X[P HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM Rural s~Z,f VG[ XC[ZL lJ:TFZDF\ ZC[TF CMJTM Urban sVA"Gf 5;\N SZJFG] ZC[X[P HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM TDFZF UFDG]\ GFD TD[ 5;\N SZ[, TF,]SF D]HA VFJX[ H[ TDFZ[ 5;\N SZJFG] ZC[X[ VA"G 5;\N SZTF VF lJ,[H
VM%XG VFJX[ GCL\ VCL TDFZM DSFG G\AZ4 DCM,F G\AZ4 a,MS G\AZ4 %,M8 G\AZ VG[ V[lZIF ,BJFGM ZC[X[P GM\W CM:8[,DF\ ZC[TF lJWFYL"V[ CM:8[,G]\ GFD TYF ;ZGFD] ,BJFG] ZC[X[P VCL CF,DF\ TD[ H[ lJ:TFZDF\ ZC[TF CMJ T[ lJ:TFZGM 5LG SM0 G\AZ ,BJFGM ZC[X[P
PERMANENT ADDRESS INFORMATION: SFIDL ;ZGFDFGL lJUT
HM TDFZ] CF,GF ZC[9F6G]\ ;ZGFD] VG[ SFIDL ZC[9F6G]\ ;ZGFD] V[S H CMI TM p5ZMST R[S AM1F 5Z Sl,S SZJFG] ZC[X[P
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HM TDFZ] CF,GF ZC[9F6G]\ ;ZGFD] VG[ SFIDL ZC[9F6G]\ ;ZGFD] V,U CMI TM H GLR[ D]HA TDFZ] SFIDL ZC[9F6G]\ ;ZGFD] ,BJFG]\ ZC[X[P District 5Z lS,S SZTF ZFHIGF\ TDFD lH<,FGF\ GFD VFJX[ T[ 5{SL SFIDL H [lH<,FDF\ ZC[TF CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
TD[ 5;\N SZ[, lH<,FGF\ TDFD TF,]SF NXF"JX[ T[ 5{SL TDFZF SFIDL ZC[9F6GM TF,]SM 5;\N SZJFGM ZC[X[P HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM Rural s~Z,f VG[ XC[ZL lJ:TFZDF\ ZC[TF CMJTM Urban sVA"Gf 5;\N SZJFG] ZC[X[P HM TD[ U|FdI lJ:TFZDF\ ZC[TF CMJ TM TDFZF UFDG]\ GFD TD[ 5;\N SZ[, TF,]SF D]HA VFJX[ H[ TDFZ[ 5;\N SZJFG] ZC[X[ VA"G 5;\N SZTF VF VM%XG VFJX[ GCL\
VCL TDFZF SFIDL ZC[9F6GM DSFG G\AZ4 DCM,F G\AZ4 a,MS G\AZ4 %,M8 G\AZ VG[ 4U,Lq5M/G]\ GFD TYF XC[Z JU[Z[ V[lZIF ,BJFGM ZC[X[P VCL TDFZF SFIDL ZC[9F6GMsD]/ JTGGMf T[ lJ:TFZGM 5LG SM0 G\AZ ,BJFGM ZC[X[P
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ZlH:8=[XG 0L8[.<; EZF. UIF 5KL ;[J V[g0 G[S;8 A8G 5Z lS,S SZJFG] ZC[X[P
ZlH:8=[XGG[ ,UTL DFlCTL ;[J Y. HTF ZlH:8=[XG 0L8[.<; 5Z ,L,F V1FZDF\ 0G(Done) Y. UI[, ATFJX[P
ZlH:8=[XG 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M !P G[D V[h 5Z VFWFZ ,BJFDF\ E], YI[, GYL R[S SZL ,MP ZP 0[8 VMO AY"sTDFZL HgD TFZLBf ,BJFDF\ E], YI[, GYL R[S SZL ,MP #P H[g0Z 5;\N SZJFDF\ D[, OLD[, DF\ E], YI[, GYL R[S SZL ,MP $P 0[:SM,Zq CM:8[,Z 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP 5P CM:8[, 8F.5 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP &P C[AL8[XG 8F.5 ~Z, S[ VA"G 5;\N SZJFDF\ SM. E], YI[, GYL R[S SZL ,MP p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
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EFU oZ A[\S 0L8[.<; (Bank Details) C] :J[rKFIYL DFZF VFWFZGL DFlCTL p5IMU SZJFGL ;\DlT VF5] K]P H[GF DF8[ R[S AM1FDF\ sS,LSf SZJFG] ZC[X[P VF Sg;[g8 NZ[S lJWFYL" 5F;[YL ,[J] OZlHIFT K[P
I Voluntarily give my consent to use my Adhaar details 8126******63
VCL\ TDFZM VFWFZG\AZ VF5 D[/[ VFJX[
TDFZM VFWFZ G\AZ VG[ A[\S V[SFpg8 G\AZ A[\S ;FY[ l;0L\U s,L\Sf YI[, K[ S[ GCL VG[ S. A[\S ;FY[ YI[, K[ T[GL VMG ,F.G ;lJ"; VF5[, K[ T[ DF8[ VCL\ lS,S SZJFG] ZC[X[P
p5ZMST A8G 5Z lS,S SZTF TDFZF VFWFZ G\AZ VG[ A[\S V[SFpg8 G\AZG] ,LSL\U :8[:8; DF8[ V[G5L;LVF.GF\ ;J"Z 5ZYL V[ 0[8F O[R SZJFDF\sD[/JJFDF\f VFJ[ K[ p5ZMST A8G 5Z lS,S SZTF T[ 0[8F V[G5L;LVF.GF\ ;J"Z 5ZYL D[/JJF DF8[ V[S SZTF JWFZ[ VFXZ[ NM- DLGL8 ,FUTL CMJFYL tIF\ ;]WL J[.8 SZJF lJG\TLP ZLO|[X A8G NAFJJ] GCL\ HM 5 lDGL8 SZTF JWFZ[ ;DI ,FU[TM ACFZ GLS/L HJ]P H[ A[\S HM0[ TDFZM VFWFZ G\AZ l;0L\U YI[, CX[ T[ A[\SG]\ GFD VG[ SIF VFWFZG\AZ HM0[ l;0L\U K[ T[ RSF;L G[ 8126******63 VFJX[ T[G] :8[8; V[S8LJ K[ S[ GCL TYF J[ZLOFI TFZLB VG[ ;DI ATFJX[P State Bank Of India Active
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C] DFZF VFWFZG\AZ ;FY[ ,L\S sl;0L\Uf SZ[, A[\S V[SFpg8 G\AZDF\ DFZL :SM,ZXL5GL ZSD HDF YFI T[ DF8[GL ;\DlT VF5] K]P H[GF DF8[ p5ZMST R[S AM1FDF\ sS,LSf SZJFG] ZC[X[P I am giving my consent for payment of scholarship amount in my bank account linked with Aadhar IFSC Code DF\ !! VF\SGM VF
VCL TDFZ[ H[ A[\SGM VF.V[OV[;;L SM0 5;\N SZJFGM CMI T[ A[\S SIF 5|SFZGL K[ T[ D]HA 5;\N SZJFGL ZC[X[P HM G[xG,F.h A[\S CMITM A[\S HM SM VM5Z[8LJ A[\S CMITM SM VM5Z[8LJ A[S VGP N[GF U]HZFT AZM0F U]HZFT S[ ;F{ZFQ8= U|FDL6 A[\S C MITM U|FDL6A[\S l;,[S8 SZJ]P TDFZF A[\SG]\ BFT] H[ lH<,FDF(District)\ CMI T[ lH<,M 5;\N SZJFGM ZC[X[P TDFZF A[\SG]\ BFT] H[ A[\SDF\ CMI T[ A[\S(Bank)\ 5;\N SZJFGL ZC[X[P tIFZAFN XM (Show)\ A8G 5Z lS,S SZJFG] ZC[X[P
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H[D S[ VCL\\ VDNFJFN lH<,M 5;\N SZTF VG[ T[DF\ A[\S VMO .g0LVF 5;\N SZTF VDNFJFN lH<,FGL TDFD A[\S VMO .g0LVFGL A|F\gR N[BFX[P T[DF\ T[GM VF.V[OV[;;L SM0 N[BFX[P T[GL SM5L 5[:8 SZL XSXM
HM TDFZL A[\S GJL A|F\gR K[ VYJF TDFZL A[\SGM VF.V[OV[;;L SM0 GYL VG[ TD[ T[ SM0 HF6M KM TM TD[ T[DF\ pD[ZL XSM KMP
TDFZF A[\SG]\ BFT] H[ lH<,FDF\ CMI T[ lH<,M 5;\N SZJFGM ZC[X[P TDFZF A[\SG]\ BFT] H[ A[\SDF\ CMI T[ A[\S 5;\N SZJFGL ZC[X[P Branch NameDF\ TDFZF A[\SGL A|F\gRG] GFD ,BJFG] ZC[X[P Branch AddressDF\ TDFZF A[\SGL A|F\gRG] ;ZGFD] ,BJFG] ZC[X[P IFSC Code DF\ VF.V[OV[;;L SM0 ,BJFGM ZC[X[P CityDF\ TDFZ[ XC[ZG]\ GFD ,BJFG] ZC[X[P tIFZ AFN ;ADL8 A8G 5Z lS,S SZTF VF.V[OV[;;L SM0 NFB, Y. HX[P
IFSC SM0DF\ TDFZL A[\SGM VF.V[OV[;;L SM0 GFBTF GLR[ TDFZL A[\SG]\ GFD VG[ A|F\gRG] GFD VFJL HX[P Bank Name DF\ VF.V[OV[;;L SM0 GFBTF TDFZL A[\SG]\ GFD VFJL HX[P
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Bank Branch Name DF\ VF.V[OV[;;L SM0 GFBTF\ A[\S XFBFG]\ GFD VFJL HX[P Bank Account Number DF\ TDFZ] BFT] H[ A[\SDF\ CMI T[ BFTF G\AZ ,BJFGM ZC[X[P Bank Account Number DF\ TDFZ] BFT] H[ A[\SDF\ CMI T[GM T[H BFTF G\AZ OZLYL ,BJFGM ZC[X[P
A[\SDFsA[\S 5F;A]SGF\ 5|YD 5FGFDF\f TDFZ] GFD H[ D]HA CMI T[ D]HA ,BJFG] ZC[X[P HM TDFZ] A[\SDF\ ZC[, GFD TDFZF 5|MOF.,DF\ ZC[, GFD D]HA H CMI TM H V[h 5Z 5|MOF., R[1F AMS; 5Z lS,S SZJFG] ZC[X[P VCL\ TDFZF A[\SDF\ H[ GFD CMI sA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIfT[ D]HA OST 5|YD GFD H ,BJFG] ZC[X[P H[D S[ 5F;A]SDF\ 5|YD V8S ,B[, CMITM VCL O:8 G[DDF\ V8S ,BJL VG[ 5|YD GFD ,B[, CMI TM GFD ,BJ] VCL\ TDFZF A[\SDF\ H[ GFD CMIsA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIf T[ D]HA OST DwI GFD H ,BJFG] ZC[X[P VCL\ TDFZF A[\SDF\ H[ GFD CMIsA[S 5F;A]SGF\ 5|YD 5FGFDF\ H[ 5|DF6[ ,B[, CMIf T[ D]HA OST K[<,] GFD H ,BJFG] ZC[X[P
A[\S 0L8[.<; EZF. UIF 5KL ;[J V[g0 G[S;8 A8G 5Z lS,S SZJFG] ZC[X[P
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5FK,F lJEFUDF\ 5FKF HJ] CMI TM l5|lJI; 5Z lS,S SZJFG] ZC[X[P
A[\S 0L8[.<;G[ ,UTL DFlCTL ;[J Y. HTF A[\S 0L8[.<; 5Z 0G(Done) Y. UI[, ATFJX[P
A[\S 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M !P VFWFZGL 0L8[.<; p5IMU SZJFGL D\H]ZL DF8[ Sg;[g8 VF5[, K[ S[ GCL R[S SZL ,MP ZP TDFZM VFWFZG\AZ A[\S V[SFpg8 G\AZ ;FY[ ,L\S YI[, K[ S[ GCL R[S SZL ,MP ,L\S G CMI TM H[ A|F\gRDF\ BFT] CMI tIF\ H.G[ ,L\S SZFJL NMP #P TDFZ] V[SFpg8 WZFJTL A[\SGL XFBFGM VF.V[OV[;;L SM0DF\ E], YI[, K[ S[ GCL T[ R[S SZL ,MP $P TDFZM A[\S V[SFpg8 G\AZ ,BJFDF\ SM. E], YI[, GYL R[S SZL ,MP 5P VFWFZ G\AZ ;FY[ ,L\S SZ[, V[SFpg8DF\ :SM,ZXL5GL ZSD T[GL ;\DlT VF5[, K[ S[ GCL R[S SZL ,MP &P G[D V[h 5Z A[\SDF\ A[\SGL 5F;A]SGF\ 5|YD 5FGFDF\ NXF"J[, D]HA GFD ,B[, K[ S[ GCL\ R[S SZL ,MP p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
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EFUo# V[S[0[DLS 0L8[.<; (Academic Details) Select Your Admission Type DF\ HM TDFZM 5|J[X ;ZSFZL Z[uI],Z ;L8 s;ZSFZL ;L8f 5Z YI[, CMI TM Regular Seat(Government Quota) 5;\N SZJFG]\ ZC[X[P HM TDFZM 5|J[X D[G[HD[g8 SM8FGL ;L8 5Z YI[, CMI TM Management Quota 5;\N SZJFG]\ ZC[X[P HM TDFZM V[GVFZVF. SM8FGL ;L8 5Z YI[, CMI TM NRI Quota 5;\N SZJFG]\ ZC[X[P HM TDFZM 5|J[X Z[uI]],Z 5Z\T] ;[
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Select Your Present Course/Class/Trade Name DF\ TD[ 5;\N SZ[, 1F[+ D]HA CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ H[D S[ ALV[4ALSMD4 ALV[;;L4 AL.4V[D.4 V[DALALV[; JU[Z[ 5;\N SZJFG] ZC[X[P
Select Your Present Course/Class /Trade NameDF\ TD[ CF,DF\ H[ JQF"DF\ VeIF; SZTF CMJT[ VeIF;G]\ JQF" 5;\N SZJFG] ZC[X[P
Present Institute District DF\ CF,DF\ TD[ H[ lH<,FGL SM,[HqI]lGJ;L8L q ;\:YF S[ XF/FDF\ VeIF; SZTF CMI T[ lH<,M 5;\N SZJFGM ZC[X[P
Select Your Present Institute DF\ TD[ H[ lH<,M 5;\N SZ[, CX[ T[ lH<,FGL TDFD DFgI ;\:YFVM N[BFX[ T[ D]HA TDFZF CF,GF\ VeIF;GL ;\:YF 5;\N SZJFGL ZC[X[P
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Select Your Present Branch CourseDF\ TD[ H[ SMQF"DF\ VeIF; SZTF CMI T[GL H[ A|F\gRDF\ VeIF; SZTF CMI T[ A|F\gR slJQFIf ,BJFGL ZC[X[P H[DS[ .HG[ZLDF\ VeIF; SZTF CMJ TM V[ D]HA A|F\gR slJQFIf5;\N SZJFGL ZC[X[P H[D S[ TDM AL. SMd%I]8ZDF\ VeIF; SZTF CMJTM Computer 5;\N SZJFG]\ ZC[X[P Present Class Start DateDF\ TDFZF VeIF;S|DG]\ CF,G]\ X~ YI[, TFZLB ,BJFGL ZC[X[P Present Course/Class/Trade Likely Completion DateDF\ TDFZF VeIF;S|DG] CF,G] JQF" 5}6" YJFGL V\NFlHT TFZLB ,BJFGL ZC[X[P
TD[ WMZ6 !_ 5KL SIF SIF VeIF;S|D SZ[, K[ T[GL S|D 5|DF6[ DFlCTL VF5JFGL K[P DFlCTL S[JL ZLT[ VF5XMs0[8F V[g8=L S[JL ZLT[ SZXMfP NFPT CF,DF\ TD[ Z_!*v!(DF\ 0LU|L .HG[ZLGF\ +LHF JQF"DF\ VeIF; SZL ZCIF KM TM ;M 5|YD JQF" Z_!#DF\ WMZ6 !_5F;GL 0[8F V[g8=L SZXMP JQF" Z_!5DF\ WMZ6 !ZGL 5F;GL 0[8F V[g8=L SZXMP JQF" Z_!&DF\ V[O JFI AL.s5|YD JQF" 0LU|L .HG[ZLf5F;GL 0[8F V[g8=L SZXMP JQF" Z_!*DF\ V[; JFI AL. sALH] JQF" 0LU|L .HG[ZLf 5F;GL 0[8F V[g8=L SZXMP
NFPT CF,DF\ TD[ Z_!*v!(DF\ V[DV[GF\ ALHF JQF"DF\ VeIF; SZL ZCIF KM TM ;M 5|YD JQF" Z_!!DF\ WMZ6 !_5F;GL 0[8F V[g8=L SZXMP JQF" Z_!#DF\ WMZ6 !Z 5F;GL 0[8F V[g8=L SZXMP JQF" Z_!&DF\ ALV[ 5F;GL 0[8F V[g8=L SZXMP JQF" Z_!*DF\ V[O JFI V[DV[ 5F;GL 0[8F V[g8=L SZXMP
p5ZMST pNFCZ6 ;DH]TL DF8[ K[ P 29
Select Your Course/ Class / Trade Type DF\ TD[ WMZ6 !_ ;lCT H[ 1F[+DF\ 0LU|L D[/J[, CMI T[ TDFD D[/J[, 0LU|LG[ ,UTF 1F[+G[ 5;\N SZJFG]\ ZC[X[P sV[S 5KL V[S pD[ZJFG]\ ZC[X[Pf Select Your Course/ Class/Trade Name DF\ TD[ WMZ6 !_ ;lCT H[ 0LU|L D[/J[, CMI T[ TDFD D[/J[, 0LU|LG[ 5;\N SZJFGL ZC[X[P sV[S 5KL V[S pD[ZJFGL ZC[X[Pf Stream/ Branch NameDF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL D[/J[, lJQFIDF\ 0LU|L D[/J[, CMI T[ lJQFIG] GFD ,BJFG]\ ZC[X[P sV[S 5KL V[S pD[ZJFG]\ ZC[X[Pf Seat No NameDF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[GL JFlQF"SsOF.G, f5ZL1FFGM A[9S S|DF\S sSeat No. f G\AZ ,BJFGM ZC[X[P Passing Year DF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[ SIF JQF"DF\ 5F; SZL K[ T[ JQF" ,BJFG]\ K[P Passing Percentage(Convert CGPA/ Grades in terms of Percentage DF\ TD[ WMZ6 !_ ;lCT CF,GF\ VeIF;S|D ;]WL H[ 56 0LU|L D[/J[, K[ T[DF\ D[/J[, 8SF ,BJFGF ZC[X[P GM\Wo VCL\ TD[ D[/J[, ;LHL5LV[ S[ U|[0G[ 8SF DF\ SgJ8" SZJFGF ZC[X[P TD[ D[/J[, V[S 0LU|L S[ JQF"GL DFlCTL ;\5}6" EZF. UIF AFN V[0 A8G 5Z lS,S SZTF GLR[ D]HA TD[ SZ[, 0[8F V[g8=LGL DFlCTL N[BFX[ HM T[DF\ TDG[ O[ZOFZ ,FUX[ TM TD[ V[0L8 56 SZL XSXMP
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HM TD[ 5F; K[<,[ 5F; SZ[, 5ZL1FF AFN VeIF;DF\ V[S JQF" SZTF JWFZ[ JQF"GM U[5 CMITM CF(Yes) 5;\N SZJ] HM U[5 G CMITM GM (No)5;\N SZJ]P VF DF8[ TDFZ[ VF JQF" NZdIFG VgI SM. VeIF; S[ VgI SM. lXQIJ'lT S[ :8F.5[g0 S[ ;ZSFZL ;CFI D[/J[, GYL T[ V\U[G]\ V[OL0[JL8 SZJFG] ZC[X[P
;F{YL VUtIGM 5M.g8 OL S[JL ZLT[ ,BJL sOL GL 0[8F V[g8=L S[JL ZLT[ SZJLf Admission Fees DF\ TD[ EZ[, 5|J[X OL ,BJFGL ZC[X[PTDFZL OL lZl;%8DF\ NXF"jIF D]HA ,BJFGL
ZC[X[P Tuition Fee DF\ TD[ EZ[, lX1F6 OL ,BJFGL ZC[X[P lX1F6 OL ZFHI ;ZSFZGL OL Z[uI],[8ZL SlD8L wJFZF GSSL SZ[, VYJF ZFHI ;ZSFZ S[ EFZT ;ZSFZGM SM. lJEFU wJFZF GSSL SZ[, CMI T[ H OL D/JF 5F+ YX[PTDFZL OL
lZl;%8DF\ NXF"jIF D]HA ,BJFGL ZC[X[P Misc Fee DF\ TD[ EZ[, 5FKL G D/JF5F+ p5ZMST A\G[ OL l;JFIGL VgI OL ,BJFGL ZC[X[P GM\W o ZFHI ;ZSFZGL OL Z[uI],[8ZL SlD8L wJFZF GSSL SZ[, VYJF ZFHI ;ZSFZ S[ EFZT ;ZSFZGM SM. lJEFU wJFZF GSSL SZ[, OL DF\ VgI H[ OL GM ;DFJ[X YTM CMI T[ OL OZLYL VCL\ V[g8=L SZJFGL ZC[X[ GCL\P T[ l;JFIGL AFSL OL H[DS[ Registration/Enrollment Fee Medical Fee Library Fee Games(Sport) Fee Magazine Fee Student Union Fee Practical Fee/Laboratory Fee
p5ZMST H[ VgI OLGM OL Z[uI],[8ZL SlD8Lq ;ZSFZ wJFZF GSSL SZ[, OLDF\ ;DFJ[X YTM G CMI T[ H OLGL 0[8F V[g8=L SZJL VG[ T[ D]HA H D/JF5F+ YX[P Examination Fee DF\ TD[ EZ[, 5ZL1FF OL ,BJFGL ZC[X[P
I]GL"Jl;8L" OL TYF .g8ZG, V[ShFD OL A\G[ ,BJFGL ZC[X[P
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HM TD[ SM. ;\:YF S[ DF\ ALG5UFZL GMSZL SZTF CMJ TM VG[ VeIF; SZTF CMJTM CF (Yes) 5;\N SZJ] HM TD[ SM. ;\:YF S[ DF\ GMSZL SZTF CMJ VG[ 5UFZ S[ VgI EyYF D[/JTF CMJTM GF( No) 5;\N SZJ] HM TD[ SM. ;\:YF S[ DF\ SIF\I GMSZL SZTF GF CMJ VG[ OST VeIF; SZTF CMJTM GM8 V[%,LS[A, (Note Applicable) 5;\N SZJFG] ZC[X[P
V[S[0[DLS, 0L8[<;DF\ SIF\ E],M Y. XS[ K[ OZLYL R[S SZL ,M !P TDFZM V[0DLXG GM 5|SFZ AZFAZ K[ S[ GCL\ R[S SZL ,MP ZP TD[ H[ 1F[+DF\ VeIF; SZTF CMJ T[ 1F[+ AZFAZ 5;\N SZ[, K[ S[ GCL R[S SZL ,M #P TD[ 5|J[X D[/J[, ;\:YFGM lH<,M AZFAZ 5;\N SZ[, K[ S[ GCL\ R[S SZL ,MP $P TD[ 5|J[X VeIF;S|D GM lJQFI AZFAZ K[ S[ GCL R[S SZL ,MP 5P TDFZF CF,GF\ VeIF;S|DGF\ X{1F6LS JQF" X~ YIFGL TFZLB VG[ 5}6" YJFGL V\NFlHT TFZLB AZFAZ K[ S[ GCL\ R[S SZL ,MP &P WMZ6 !_ 5KLYL CF,GF\ VeIF;S|D ;]WL D[/J[, TDFD 0LU|LGL DFlCTL DFlCTL AZFAZ EZ[, K[ S[ GCL R[S SZL ,MP *P;F{YL VUtIGM 5M.g8 TD[ V[g8Z SZ[, OL AZFAZ K[ S[ GCL\ T[ R[S SZL ,MP p5ZMST AFATM 0FIZ[S8 lJlJW IMHGFGL GF6F\SLI AFATM :5X"TL CMJFYL R[S SZJ] VFJxIS K[P
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EFU $ 0L;V[AL,L8L 0L8[.<; (Disability Details) lNjIF\U lJWFYL"VM DF8[GL DFlCTL HM TDMG[ SM. XFlZZLS BM0BF\56 CMI TM H Yes GCL TM No 5;\N SZJFG]\ ZC[X[P AFI 0LOM<8 No VM%XG HMJF D/X[P
VCL TDMG[ H[ 5|SFZGL XFlZZLS BM0BF\56 CMITM T[G[ 5;\N SZJFGL ZC[X[P;1FD D[0LS, VMOL;Z wJFZF VF5JFDF\ VFJ[, ;l8"OLS[8DF\ NXF"jIF D]HA H ,BJFG]\ ZC[X[
VCL TDMG[ H[ 5|SFZGL XFlZZLS BM0BF\56 CMITM T[ S[8,F 8SF K[ T[ ,BJFGL ZC[X[P;1FD D[0LS, VMOL;Z wJFZF VF5JFDF\ VFJ[, ;l8"OLS[8DF\ NXF"jIF D]HA H ,BJFG]\ ZC[X[
HM TD[ lNjIF\U CMJ VG[ T[G[ ,UTL DFlCTL ;[J Y. HTF 0L;V[AL,L8L 0L8[.<; 5Z 0G(Done) Y. UI[, ATFJX[P
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0MSI]D[g8; V5,M0 SZJF TDFD 0MSI]D[g8; TYF TFH[TZDF\ 50FJ[,M OM8M :S[G SZL V5,M0 SZJFGM ZC[X[P TDFD 0MSI]D[g8; TYF OM8M .jpeg OMZD[8DF\ V5,M0 SZJFGM ZC[X[P DCTD ;F.h Z__
kb ZFBJFGL ZC[X[P
GM\Wo :S[G SZ[,F TDFD 0MSI]D[g8;GL OF., TYF OM8M TDFZF desktop 5Z ;[J SZL ZFBM P
H[ 0MSI]D[g8; V5,M0 SZJFGF CMI T[G[ A|Fph 5Z lS,S SZJFG] ZC[X[P A|Fph 5Z lS,S SIF" AFN 0[:S8M5 5Z :S[G SZ[,L OF.,G[ l;,[S8 SZL V5,M0 SZJFGL ZC[X[P TD[ SIFZ[ V5,M0 SZL T[GL DFlCTL TDG[ HMJF D/X[P
TDFD DFlCTL TYF 0MSI]D[g8; V5,M0 YIF AFN ;[J V[h 0=FO8 (Save As Draft) A8G 5Z lS,S SZMP
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;[J V[h 0=FO8 (Save As Draft) A8G 5Z lS,S SZJFYL TDFD DFlCTL TYF V5,M0 SZ[, 0MSI]D[g8; ;[J Y. HX[PtIFZAFN GLR[GF\ R[S AM1F 5Z lS,S SZJFG]\ ZC[X[P
OZLYL TDFD 0MSI]D[g8;GL RSF;6L SZM 4 TDFD 0[8FV[g8=LGL RSF;6L SZM4 TDFD V5,M0 0MSI]D[g8;GL RSF;6L SZM TDFD AFATMGL RSF;6L SIF"AFN K[<,[ SgOD" V[g0 OF.G, ;ADL8 A8G 5Z lS,S SZJFG]\ ZC[X[P
K[<,[ l5|g8 A8G 5Z lS,S SZL l5|g8 SF-LG[ TDFD 0MSI]D[g8; ;FY[ HM0L TDFZL ;\:YFDF\ HDF SZFJJFG]\ ZC[X[P . Date : 09/25/2017 Verify Mobile Number: Yes 25/09/2017
Signature of the applicant
GM\Wo V[%,LS[XG l5|g8 SF-IF AFN lJWFYL"V[ ;CL VR]S SZJLP ;CL JUZGL V[%,LS[XG DFgI U6FX[ GCLP 35
ZP5_ ,FBYL JW] VFJS WZFJTL SgIFVM DF8[ 5M:8 D[l8=S :SM,ZXL5 DF8[ JLS[JFI !5& (VKY156 Post Matric Scholarship for ST Girls
Students having annual family income more than 2.50 Lakh) VCL\ H[g0ZDF\ OST OLD[, H VFJX[P
VCL S]8]dAGL JFlQF"S VFJS ZP5_ ,FBYL p5Z GFBJFGL ZC[X[P JLS[JFI !5& DF\ OST A[ H OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[ O|L XL5 SF0" TYF V[DALALV[;DF\ ,MG ,[GFZ[ V,UYL O|L XL5 SF0"GL IMHGFDF\ VMG,F.G OMD" EZJFG] ZC[X[ TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
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JLS[JFI !5* SM,[H ;\,uG KF+F,IDF\ ZC[TF lJWFYL"VM DF8[ O]0AL, IMHGF\ VKY-157 Food Bill Assistance in College Attached Hostels VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P VCL\ OZlHIFT CM:8[,Z VFJX[P
HM TDFZL CM:8[, EFZT ;ZSFZ S[ ZFHI ;ZSFZGF\ SM. lJEFU wJFZF R,FJJFDF\ VFJ[ K[ TM T[G[(Yes) sCFf 5;\N SZJFG] CMI K[ HM EFZT ;ZSFZ S[ ZFHI ;ZSFZGF\ SM. lJEFU wJFZF R,FJJFDF\ G VFJTL CMI TM (No) sGFf 5;\N SZJFG]\ ZC[X[P HM TDFZL CM:8[, SM,[H HM0[ HM0FI[, K[ DT,A SM,[H ;FY[ ;\,uG K[ TM T[G[(Yes) sCFf 5;\N SZJFG] CMI K[PHM CM:8[, SM,[H ;FY[ ;\,uG G CMITM GM 5;\N SZJFG]\ ZC[X[P HM TDFZL CM:8[,DF\ DOT HDJFG] D/[ TM I;sCFf 5;\N SZJFG] CMI K[P DOT EMHG G D/T] CMITM (No) sGFf 5;\N SZJFG]\ ZC[X[P
CM:8[,ZG]\ ;8L"OLS[8 V5,M0 SZJFG]\ ZC[X[P TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP 37
JLS[JFI !&$ 5|YD JQF" 0LU|L .HG[ZL 40L%,MDF\ .HG[ZL TYF V[DALALV[;DF\ VeIF; SZTF lJWFYL"VM DF8[ ;FWG ;CFI IMHGF
VKY 164 Instrumental Assistance for First Year Students of Medical, Engineering, Diploma Courses VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P Select Your Present Course/Class/Trade Type DF\ TD[ H[ 1F[+DF\ 5|J[X D[/J[, CMI T[ 1F[+G[ 5;\N SZJFG]\ ZC[X[P NFT HM TD[ 0LU|L .HG[ZL S[ l0%,MDF\ .HG[ZL JU[Z[ H[JF VeIF;S|DMDF\ VeIF; SZTF CMJTM Engineering & Technology 5;\N SZJFG] ZC[X[P HM TD[ V[DALALV[; VeIF;S|DMDF\ VeIF; SZTF CMJTM Medical 5;\N SZJFG] ZC[X[P Select Your Present Course/Class/Trade Name DF\ TD[ CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ H[D S[ A[R,Z VMO V[lgHGIZL\U4 l0%,MDF\ V[lgHGIZL\U4 V[DALALV[; JU[Z[ 5;\N SZJFG] ZC[X[P
Select Your Present Course/Class /Trade NameDF\ VCL\ AFI0LOM<8 5|YD JQF" H VFJX[P
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5|YD JQF" .HG[ZL 0LU|L VYJF 0L%,MDF\ 5;\N SZTF D/JF5F+ TDFD ;FWGMG]\ l,:8 N[BFX[ T[DF\YL TD[ BZLN[, ;FWGM ;FD[ R[S AM1FDF\ S,LS SZJFGL ZC[X[P GM\W TD[ BZLN[, AL,DF\ ;DFlJ:8 ;FWGM ;FD[ H S,LS SZJFGL ZC[X[P 8[1FA]S; S[ Z[OZg; A]S;GM ;DFJ[X YX[ GCL\
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5|YD JQF" V[DALALV[; 5;\N SZTF D/JF5F+ TDFD ;FWGMG]\ l,:8 N[BFX[ T[DF\YL TD[ BZLN[, ;FWGM ;FD[ R[S AM1FDF\ S,LS SZJFGL ZC[X[P GM\W TD[ BZLN[, AL,DF\ ;DFlJ:8 ;FWGM ;FD[ H S,LS SZJFGL ZC[X[P 8[1FA]S; S[ Z[OZg; A]S;GM ;DFJ[X YX[ GCL\
G
JWFZFGF\ V5,M0DF\ ;FWG BZLNLG] AL, V5,M0 SZJFG] ZC[X[P TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
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ITI VKY 158 Swami Vivekanand Stipend Scheme for
ITI Student (diploma technical professional and industrial courses) VCL GLR[ D]HAGF\ OL<0DF\ O[ZOFZ VFJX[P AFSL TDFD OL<0 SMDG ZC[X[P Habitation Type DF\ TDFZM J;JF8 U|FdI CMI TM Rural 5;\N SZJFG] ZC[X[ VG[ XC[ZL CMITM Urban 5;\N SZJFG] ZC[X[P VCL\ Rural 5;\N SZTF TDFZF S]8]dAGL JFlQF"S VFJS $*4___ SZTF VMKL CMJL HM.V[P VCL\ Urban 5;\N SZTF TDFZF S]8]dAGL JFlQF"S VFJS &(4___ SZTF VMKL CMJL HM.V[P Select Your Present Course/Class/Trade Type DF\ AFI 0LOM<8 VF.8LVF. H VFJX[P
Select Your Present Course/Class/Trade Name DF\ TD[ CF,DF\ H[ VeIF;S|DDF\ VeIF; SZTF CMI T[G] GFD 5;\N SZJFG] ZC[X[ VCL\ AFI 0LOM<8 VF.8LVF. 5|YD JQF" 4ALH] JQF" +LH] JQF" VFJX[P
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Select Your Present Course/ Class /Trade NameDF\ VCL\ TD[
VF.8LVF. 5|YD JQF" 4ALH] JQF" +LH] JQF" VFJX[P H[ JQF"DF\ VeIF; SZTF CMJ T[ 5;\N SZJFGM ZC[X[P
Course Duration in Years DF TDFZM 8[0= S[8,F JQF"GM K[ T[ 5;\N SZJFGM ZC[X[P
Select Your Present Branch CourseDF\ TD[ VF.8LVF.DF\ H[ 8[=0DF\ E6TF CMJ T[ 8[0=G] GFD 5;\N SZJFG]\ ZC[X[P
TD[ TDFD 0MSI]D[g8; HM0IF K[ R[S SZL ,MP V[%,LS[XGGL l5|g8 VFp8 ,.G[ T[DF\ ;CL SZL K[ S[ GCL\ R[S SZL ,MP
VCL lJWFYL" ;Z/TFYL ;DHL XS[ T[ ZLTGM 5|ItG SZJFDF\ VFJ[, K[PKTF\I 5M8," 5|YD JBT ,M\R SZ[, CM. CH] JW] ;Z/ AGL XS[ T[ DF8[ HM SM. ;]RG SZJFDF\ VFJX[ TM T[ :JLSFZJFDF\ VFJX[P ZFS[X 5L 9FSZ
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