Pre-Matric Scholarship Application Form (2023-24)
for SC,ST,BC,PWD Students
Student Particulars
Student Name :*
Father's Name :*
Mother's Name :*
Gender :*
MALE
FEMALE
Student Date Of Birth (DOB) :*
DATE OF BIRTH FORMAT SHOULD BE (MM / DD / YYYY)
Ration Card No. :
Type
WAP
PAP
AAP
YAP
TAP
RAP
Student UID (Aadhar) No:
Profession of Parents :*
--Select--
NOT APPLICABLE
AGRICULTURE
BUSINESS
SELF EMPLOYED
MECHANIC
FITTER
ASSISTANT
ELECTRICIAN
WATCHMAN
DRAFTSMAN
DAILY WAGES WORKER
GOLDSMITH
AUTO DRIVER
OFFICER
AGRICULTURE LABOUR
GOVERNMENT EMPLOYEE
PRIVATE EMPLOYEE
WEAVER
PENSIONERS
CARPENTOR
TAILOR
WELDER
DRIVER
ATTENDER
OTHERS
TEACHER
Whether Disabled or Not:*
Yes
No
Community / Religion :*
-- Select Religion --
Hindu
Caste Category :*
-- Select Category --
Sub Caste :*
-- Select Sub Caste --
Category of Disability :*
--Select--
BLOOD DISORDER
HEARING IMPAIRMENT
MENTALLY HANDICAPPED
NEUROLOGICAL CONDITIONS
PHYSICAL DISABILITY
VISUALLY IMPAIRMENT
Disability Name:*
SADAREM No. :*
Percentage of Disability :*
School Particulars
School District :
--Select--
ADILABAD
BHADRADRI KOTHAGUDEM
HANUMAKONDA
HYDERABAD
JAGTIAL
JANGOAN
JAYASHANKAR BHUPALPALLI
JOGULAMBA GADWAL
KAMAREDDY
KARIMNAGAR
KHAMMAM
KUMRAMBHEEM ASIFABAD
MAHABUBABAD
MAHABUBNAGAR
MANCHERIAL
MEDAK
MEDCHAL MALKAJGIRI
MULUGU
NAGARKURNOOL
NALGONDA
NARAYANPET
NIRMAL
NIZAMABAD
PEDDAPALLI
RAJANNA SIRCILLA
RANGA REDDY
SANGAREDDY
SIDDIPET
SURYAPET
VIKARABAD
WANAPARTHY
WARANGAL
YADADRI BHUVANAGIRI
School Mandal :*
-- Select Mandal --
School :*
-- Select School --
Present Studying Class :*
-- Select Class --
Medium :*
-- Select Medium --
Telugu
Hindi
English
Urdu
Admission No. :*
Admission Date :*
DATE OF BIRTH FORMAT SHOULD BE (MM / DD / YYYY)
Hostelar / DayScholar :
Hostel Name
Hostel Admission No
Previous Year (2021-22)
School District :
--Select--
ADILABAD
BHADRADRI KOTHAGUDEM
HANUMAKONDA
HYDERABAD
JAGTIAL
JANGOAN
JAYASHANKAR BHUPALPALLI
JOGULAMBA GADWAL
KAMAREDDY
KARIMNAGAR
KHAMMAM
KUMRAMBHEEM ASIFABAD
MAHABUBABAD
MAHABUBNAGAR
MANCHERIAL
MEDAK
MEDCHAL MALKAJGIRI
MULUGU
NAGARKURNOOL
NALGONDA
NARAYANPET
NIRMAL
NIZAMABAD
PEDDAPALLI
RAJANNA SIRCILLA
RANGA REDDY
SANGAREDDY
SIDDIPET
SURYAPET
VIKARABAD
WANAPARTHY
WARANGAL
YADADRI BHUVANAGIRI
Previous Year (2021-22)
School Mandal :*
-- Select Mandal --
Previous Year (2021-22) School :*
-- Select School --
Previous Class :*
-- Select Class --
Grade/Percentage of Previous Class :*
-- Select Grade --
A+ (91% to 100%)
A (71% to 90%)
B+ (51% to 70%)
B (41% to 50%)
C (0% to 40%)
Previous Class Academic Year :*
--Select ---
2022-23
2021-22
2020-21
2019-20
2018-19
2017-18
2016-17
2015-16
Student Bank Account Details
Bank District :*
--Select--
ADILABAD
HYDERABAD
KARIMNAGAR
KHAMMAM
MAHABUBNAGAR
MEDAK
NALGONDA
NIZAMABAD
RANGA REDDY
WARANGAL
Bank Name :*
--Select--
ANDHRA PRADESH GRAMEENA VIKAS BANK
BANK OF BARODA
BANK OF INDIA
BANK OF MAHARASHTRA
CANARA BANK
CENTRAL BANK OF INDIA
IDBI
INDIAN BANK
INDIAN OVERSEAS BANK
INDIA POST PAYMENTS BANK
PUNJAB AND SIND BANK
PUNJAB NATIONAL BANK
STATE BANK OF INDIA
TELANGANA GRAMEENA BANK
THE TELANGANA STATE COOPERATIVE APEX BANK LTD.
UCO BANK
UNION BANK OF INDIA
Branch Name & IFSC Code :*
Name of the Account Holder :*
Student Bank Account No :*
Re-Enter Student Bank Account No :*
Address
District :*
--Select--
ADILABAD
BHADRADRI KOTHAGUDEM
HANUMAKONDA
HYDERABAD
JAGTIAL
JANGOAN
JAYASHANKAR BHUPALPALLI
JOGULAMBA GADWAL
KAMAREDDY
KARIMNAGAR
KHAMMAM
KUMRAMBHEEM ASIFABAD
MAHABUBABAD
MAHABUBNAGAR
MANCHERIAL
MEDAK
MEDCHAL MALKAJGIRI
MULUGU
NAGARKURNOOL
NALGONDA
NARAYANPET
NIRMAL
NIZAMABAD
PEDDAPALLI
RAJANNA SIRCILLA
RANGA REDDY
SANGAREDDY
SIDDIPET
SURYAPET
VIKARABAD
WANAPARTHY
WARANGAL
YADADRI BHUVANAGIRI
Mandal :*
Village :*
Care Of :*
Building :*
Street :*
Land Mark :*
Locality :*
PIN Code :*
Mobile No :*
Re Enter Mobile No :*
Mobile No. Belongs to :*
--SELECT--
SELF
FAMILY MEMBERS
FRIENDS
OTHERS
Income Certificate Details
Your residence area type :*
--SELECT--
RURAL
URBAN
MEE SEVA No. :*
Mee Seva No. :
*
Approved Date :
*
Applicant Name :
*
Father Name :
*
District :
*
Mandal :
*
MRO Name :
*
Total Income :
*
Caste Certificate Details
MEE SEVA No.(Caste Certificate) :*
Mee Seva No. :
*
Approved Date :
*
Applicant Name :
*
Father Name :
*
District :
*
Mandal :
*
MRO Name :
*
Caste :
*
Scanned Documents
Image of your Passport Photograph :
*
only jpeg/jpg (Size Should be greater than 20kb and less than 50kb)
Scanned Bank Pass Book (First page) :
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
Scanned UID(Aadhar) :
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
Disabled Certificate :
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
Bonafide of current academic year :
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
Upload Scanned Income Certificate (obtained from MEE SEVA):
*
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
Upload Scanned Caste Certificate (obtained from MEE SEVA):
*
only jpeg/jpg (Size Should be greater than 100kb and less than 200kb)
s8iYsE
Please Enter the code in the image :*
Designed and developed by
Centre for Good Governance.