Name of the Student*
Enter Student Name
Name of Father*
Enter Father Name
Your Email-ID*
your email-id
Your Mobile No.*
your mobile no.
Your AADHAR ID*
your aadhar-id
Your WhatsApp No.*
your whatsapp no.
Your Date of Birth*
your date-of-birth
Your School Name*
your school name
Category*UROBCSCST
Your Gender*FemaleMaleOthers
Have you pass 10th Board Exam ?*YesNo
Have you pass 12th ?*YesNo
Enter Your Address:*