Application – GP Birla

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G P BIRLA SCHOLARSHIP ONLINE APPLICATION FORM

Application for 2025-2026

Last Date for receipt of application: 05-05-2025

Applicants Details

Session : 2025-2026

Applicant No.

Name of the Applicant *

Applicant Photo (under 100 KB, JPG/PNG only) *

Date of Birth *

Gender *

Male

Female

Other

Address *

City/Town/Village *

State *

PIN *

Mobile No.*

Email *

Father's Details

Name of Father *

Contact No.*

Occupation *

Annual Income *

Father's Income Certificate (under 1 MB, PDF only)

Mother's Details

Name of Mother *

Contact No. *

Occupation *

House Wife

Occupation

Occupation

Education Details

Exam Board *

Class XII Results (under 1 MB, PDF only) *

Passing Year *

Marks Obtained (%) *

Rank Obtained

Name of School Last Studied *

A brief resume of the applicant including particulars of extracurricular activities

Subject of Further Studies

Select Proof of Admission (under 1 MB, PDF only)

Course Duration (in years)

Name of the Institute where the applicant will pursue further studies.

Address of the Institute where the applicant will pursue further studies.

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