JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Scholarship Test
Application Form
* Indicates required question
Email
*
Record my email address with my response
Student Name
*
Your answer
Student Contact Number
*
Your answer
Email ID
*
Your answer
Name the College (PU/ +2)
*
Your answer
Enter the City of your college
*
Your answer
Enter the District of your college
*
Your answer
Stream chosen in PU or Plus 2.
*
Science
Commerce
Arts
Residential Address
*
Your answer
Annual Income of the Family
*
Below ₹100,000
₹100,000 to ₹500,000
₹500,000 to ₹10,00,000
above 10,00,000
Select Your Preferred Exam Center
*
Hampankatta, Mangaluru
Pandeshwara, Mangaluru
Mukka, Suarthkal
New Campus, near BSNL office, Mangaluru
Valachil, Mangaluru
The course which you would like to join in Srinivas University.
*
Your answer
*
I acknowledge my interest in the Scholarship Test conducted by Srinivas University.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of srinivas university.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report