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Father’s Name |
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| Date of Birth |
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Permanent Address |
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Number (Residence) |
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Phone Number (Office) |
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| Student’s Mobile No |
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Father’s Mobile No |
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| Last Exam. passed |
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Name of Board |
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| State |
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Percentage of marks (Aggregate)
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Are you interested apply for Scholarship (Yes /
No)
(If yes, please enclosed the Scholarship form duly filled)
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Future Education Planning
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Where applied for Higher Education / Details
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Hobbies
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Ambition after education
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Extra Special Activities (During last 2 years
First, Second & Third position)
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Father’s Occupation
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| Email(Personal) |
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Place
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| Date |
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Conditions of application form:-
1. Student who has passed Secondary Board,
2008 (Class X) and Higher Secondary Board, 2008 (Class XII) or
its equivalent and secured 85% marks are eligible to apply.
2. Apply on prescribed form only and forms
are available at local Terapanthi Sabha.
3. Please fill column No. 1 to 15 with
correct and clear information. Please do not leave any column
blank, application liable to be rejected in case of vacant
column.
4. Please enclose necessary document for the
verification information wherever necessary.
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Essential Enclosures:-
1. Copy of Mark Sheet attested.
2. Attested copy of Rank Letter or Board /
State Level.
3. Extra Curricular Activity on All India /
State Level, regarding column 14.
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Submit the Form:-
1. Please submit the application form with
enclosures by Courier / Registered post before 30th June of
every year.
2. Form sent after the last date will not be
accepted.
3. Please submit your application form at the
address: -
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Medhavi Chhatra Protsahan Pariyojna
Anuvrat Bhavan, Ist Floor
210, Deendayal Upadhaya Marg,
New Delhi – 110 002
Phone No. – 011-46605500, Fax No. – 41619691,
26465767
Mobile No. – 9999981521, 9873355763
Email ID:-
medhavi.terapanth@yahoo.com, mcpp@terapanthinfo.com
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