Preliminary Application

Preliminary Application Form For FFE Scholarships

General Information

First Name:*

This is required.  

Last Name:*

This is required.  

Gender:*

This is required.  

Email:*

This is required. Invalid email address  

Mobile No:*

This is required.  

Phone No:

  Phone Number length should be between 6-11 digits

Aadhar No:*

 Enter your 12 digit Aadhar number.

Date Of Birth:*

This is required.  

Referred by Facilitator?:

Facilitator ID:*

If you are not refered by facilitator, please uncheck above.  

Facilitator Name:

 

Student’s Address

Permanent Address:*

This is required.  

Permanent Pin Code:*

This is required.  

Permanent State:*

This is required.  

Permanent City:*

This is required.  

Family Information

Father's Name:*

This is required.  

Mother's Name:*

This is required.  

Father's Age:*

This is required.  

Mother's Age:*

This is required.  

Father's Education:*

This is required.  

Mother's Education:*

This is required.  

Father's Occupation:*

This is required.  

Mother's Occupation:*

This is required.  

Parent's Mobile No:*

This is required.  

Parent's Phone No:

 

Annual Family Income:*

This is required.  

About Yourself and Family

What is your ambition in life?

Who has inspired you the most until now? Why did you select this person?

Tell us some things about yourself, your strengths/weaknesses, interests/hobbies:

How would you describe your family’s income/living conditions?

When you start earning, in what ways do you think you could help others?

Other Details

Receiving Full AICTE/Fee Waiver from Gvt:

If Yes How much?(AICTE/Fee Waiver from Govt):*

This is required.  

Scholarship/Financial Asst Other Than FFE?:

If Yes How much?(Other Source):*

This is required.  

Assistance Source?:*

This is required.  

Login Information

Do you have Google login:

Yes No

Google Email Id:*

This is required. Invalid gmail address Please Enter your gmail Id

Do you have Facebook login:

Yes No

Email Id used for Facebook:*

This is required. Invalid email address

Previous Academic Record

Examination Year of Passing Marks Obtained Max Marks(Out of) Percent Medium of Instruction Type
SSLC (Class Xth)* This is required.   This is required.   This is required.   This is required.   This is required.   This is required.  
HS School / PUC / Inter (Class XIIth)* This is required.   This is required.   This is required.   This is required.   This is required.   This is required.  

Entrance Test Record

Note: a) JEE (Main & AIPMT students must enter their Overall All India Rank (Not their State or Category Rank).
b) JEE (Advanced) students must enter their General Merit Rank (Not their Category Rank).
c) Tamil Nadu students must select TNEA as their entrance test and enter their TNEA Counseling Marks & Rank.

Name of Entrance Test Exam Taken In Year Marks Obtained Maximum Marks(Out of) Rank
This is required.   This is required.   This is required.   This is required.   This is required.  

If Others Specify:

This is required.  

Course/College Particulars

Course:*

This is required.  

Year in which studying:*

This is required.  

Branch:*

This is required.  

Branch (Other):*

This is required.  

College Name:(If college is not found, type Other.)

{{college.Name}} This is required.  

College Name(Other):*

This is required.