Application - GP Birla

G P BIRLA SCHOLARSHIP ONLINE APPLICATION FORM

Application for 2026-2027

Last Date for receipt of application: 15-07-2026

Applicants Details

Session : 2026-2027

Applicant No.

Name of the Applicant *

Applicant Name is required

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

Applicant Photo is required

Date of Birth *

Date of Birth is required

Gender *

Male

Female

Other

Address *

Address is required

City/Town/Village *

City/Town/Village is required

State *

District *

District is required

PIN *

Pin is required

Mobile No.*

Mobile No. is required

Email *

Email is required

Father's Details

Name of Father *

Father Name is required

Contact No.*

Father Contact No is required

Earning Member *

Yes

Occupation *

Father Occupation is required

Annual Income *

Father Annual Income is required

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

Mother's Details

Name of Mother *

Mother Name is required

Contact No. *

Mother Contact No. is required

Earning Member *

Yes

Occupation

Education Details

Exam Board *

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

Class XII Results Board is required

Passing Year *

Marks Obtained (%) *

Marks Obtained Board is required

Rank Obtained

Name of Last School Attended (Class 12) *

Address *

City *

District *

State *

PIN *

School Phone Number *

School Email ID

A brief resume of the applicant including particulars of extracurricular activities

Subject of Further Studies

Course Name *

Major Subject *

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

Course Duration (in years)

Name of the Institute for Further Studies *

Address *

City *

District *

State *

PIN *

Institute Phone Number *

Institute Email ID

How did you hear about G P Birla Scholarship?

I hereby consent to the collection, storage, verification, and processing of my personal information and documents for purposes related to the scholarship programme, including evaluation, communication, disbursement, compliance, and audit requirements. Reasonable measures shall be taken to protect such data; however, the organisation shall not be held responsible for any unauthorized access or data breach occurring beyond its reasonable control and safeguards, to the extent permitted under applicable law.

I agree to the above terms and consent to processing of my personal data.

You must agree before submitting.