BIT-Mesra Class of 92-96 Scholarship Application Form-2023-24
Personal Details
Applicant Full Name
*
Father's/Husband's Name
*
Father's/Husband's Profession
*
Please Select
Domestic help/Housekeeping/Unskilled labour
Blue Collared Worker
Security
Driver
Vendor
Supervisor
Farmer
White collar jobs
Business
Service
Homemaker
Unemployeed
Mother's Profession
*
Please Select
Domestic help/Housekeeping/Unskilled labour
Blue Collared Worker
Security
Driver
Vendor
Supervisor
Farmer
White collar jobs
Business
Service
Homemaker
Unemployeed
Total number of Family Members
*
Total Annual Family Income (INR)
*
Please Select
Upto 2 Lakhs
2+ to 3 Lakhs
3+ to 4 Lakhs
4+ to 5 Lakhs
5+ to 8 Lakhs
Date of Birth
*
-
Month
-
Day
Year
Marital Status
*
Married
Unmarried
Religion
*
Please Select
Hindu
Muslim
Sikh
Christian
Others
Category
*
Please Select
General
OBC
SC
ST
Others
Gender
*
Male
Female
Nationality
*
INDIAN
Applicant Email
*
example@example.com
Applicant Phone Number
*
Please enter a valid phone number.
Present Address
*
Street Address
Street Address Line 2
City
State / UT
Pin code
Permanent Address
*
Street Address
Street Address Line 2
City
State / UT
Pin code
Educational Details
Roll Number
*
Current CGPA
*
Course for which you are seeking a scholarship
*
Please Select
B.Pharm
B.Tech in Biotechnology
B.Tech in Mechanic
B.Arch
B.Tech (ECE)
B.Tech (EEE)
B.Tech (PRODUCTION AND INDUSTRIAL ENGINEERING)
B.Tech in Computer Science & Engg
B.Tech in Chemical Engg
B.Tech. in Chemical Engineering-Plastics and Polymer
B.Tech in Civil Engg
B.Tech in Information Technology
BHMCT
Admission Year
*
Please Select
2018-19
2019-20
2020-21
2021-22
2022-23
Class 12th Details
Please mention class 12th details in the fields below
Passed/Appeared
*
Passed
Appeared
Year of Passing/Appeared
*
Please Select
2018
2019
2020
2021
2022
School Name
*
Other Details
Board Name
*
Please Select
CBSE
ICSE
State Board
Other
Are you availing any other scholarship at the moment?
*
Please Select
Yes
No
Name of the Scholarship
*
Amount of the Scholarship
*
Status at the time of Application
*
Please Select
I am a First Year Student
I am a Second Year Student
I am a Third Year Student
I am a Fourth Year Student
Percentage
*
Please Select
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Documents Upload
Maximum size of each document should not exceed 2MB
Applicant Photograph
*
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Upload Aadhaar Card
*
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Combined Family Income (Latest ITR/Income certificate)
*
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Mark sheet of Previous Semester
*
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Mark sheet of Class 12th
*
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Admission Confirmation Letter / Fee Receipt for applied course
*
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of
Disclaimer
*
I hereby certify that the statement made in the application are correct and if any of them is found to be incorrect at the point of time during the course by the authority whose decision will be final and binding on me. I undertake to refund to the said authority on demand, the entire amount of the scholarship received by me.
All the original documents need to be presented by the students at the time of interview.
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