Rajiv Vidya Deewena
Pre-Matric Scholarship Application Form (2012-13)
for SC Day Scholar Students
Student Particulars
Student Name :
Father's Name : Mother's Name :
Gender : MALE    FEMALE Date Of Birth : DDMMYYYY
Ration Card No. : UID (Aadhar) No.:
EID :
Caste Category : Sub Caste :


School Particulars
School District : School Mandal :
School :
Class :


Student Bank Account Details
Bank District : Bank Name :
Branch Name & IFSC Code :
Student Bank Account No :


Address
Country : India State : Andhra Pradesh
District : Mandal :
Village : Care Of :
Building : Street :
Land Mark : Locality :
PIN Code :
Mobile No : Mobile No. Belongs to :


Income Certificate Details
MEE SEVA No. :  
Applicant Name : *
Father Name : *
District : *
Mandal : *
MRO Name : *
Total Income : *
 


Caste Certificate Details
MEE SEVA No.(Caste Certificate) :
 
Applicant Name : *
Father Name : *
District : *
Mandal : *
MRO Name : *
Caste : *


Scanned Documents
Image of your Passport Photograph : *
Scanned Bank Pass Book (First page) :
Scanned UID(Aadhar) :


Please Enter the code in the image :



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