Merit Award: MERITAWARDS_2013 - Online Application

Merit Award ► MERITAWARDS_2013 ► Online Application

Merit Award-2014 Online Application

All of the form fields, except for items 27 through 34 and items 37 through 44, are required.
Although some of the form fields are optional, it is important that you provide all the applicable information.
It is imperative that you provide a correct email address and Phone Number as the identity number will be emailed to you.

1.	Applicant Name
2.	Date of Birth
3.	Category	General	OBC	SC
		ST	PH	DS
4.	Nationality	Indian	Other
5.	Gender	Male	Female
6.	Present Class
7.	Group (see instructions above)	Mathematics/Science	Mathematics	Biology
		Commerce
8.	Home Phone w/ STD Code	(e.g., 05222207917, 09999999999)
9.	Mobile	(e.g., 05222207917, 09999999999)
10.	Parent's/Guardian's Office Phone	(e.g., 05222207917, 09999999999)
11.	Present Address	(Just your street address here,
		do not include city or state)
12.	City
13.	State
14.	Pin Code
15.	Place of Residence	Village	Town	City
16.	Present Phone w/ STD Code	(e.g., 05222207917, 09999999999)
17.	Name of One Parent
18.	Relation	Mother	Father
19.	Parent's Occupation	Govt. Service	Pvt. Service	Business
		Agriculture	Medical Govt.	Medical Pvt.
		Engineering Govt.	Engineering Pvt.	Law Practice
		Defence Service	Teaching/Research	Other
20.	School Name
21.	School Address	(Just the street address here,
		do not include city or state)
22.	City
23.	State
24.	Pin Code
25.	School Phone w/ STD Code	(e.g., 05222207917, 09999999999)
26.	Place of School	Village	Town	City
27.	Year of Passing 10^th Class
28.	Percentage in 10^th Class	(nn, e.g., 75)
29.	Board of 10^th Class	CBSE	ISC	UP
		Bihar	Uttaranchal	Other
30.	Year of Passing 10+2
31.	Percentage in 10+2	(nn)
32.	Board of 10+2	CBSE	ISC	UP
		Bihar	Uttaranchal	Other
33.	Year of Joining 10+2+3
34.	Percentage in 10+2+3	(nn)
35.	Percentage in Present/Last Class	(nn, e.g., 6)
36.	Instruction Medium	English	Hindi	Assamese
	in School/College	Bengali	Gujarati	Tamil
		Telugu	Kannada	Other
37.	Name of Brother/Sister who is Studying in a School/College (1)
38.	His/Her Class Rank (1)	(nn, e.g., 6)
39.	Name of Brother/Sister who is Studying in a School/College (2)
40.	His/Her Class Rank (2)	(nn, e.g., 6)
41.	Name of Brother/Sister who is Studying in a School/College (3)
42.	His/Her Class Rank (3)	(nn, e.g., 6)
43.	Name of Brother/Sister who is Studying in a School/College (4)
44.	His/Her Class Rank (4)	(nn, e.g., 6)
45.	Email Address