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Registration Form for Scholarship
* Indicates required question
Email
*
Your email
Name of Candidate
*
Your answer
Contact Number
*
Your answer
Communication Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other
Required
Name of Diploma Engineering College/ Institute
*
Your answer
Percentage marks in 10th standard
*
Your answer
Percentage marks in 12th standard
Your answer
A copy of your responses will be emailed to the address you provided.
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