DMW Scholarship

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STUDENT ONLINE REGISTRATION

* Marked Fields are Mandatory

1. SSLC or equivalent examination passed by the applicant

a) Board of Examination*

b) Roll No of Examination*

Digits Only. Symbols and Alphabets are not allowed

c) Year of passing the examination*

2. Bio data of Applicant

REGISTRATION ID-

a) Name of Applicant *

b) Date of Birth(DD/MM/YYYY)*

Day Month Year

c) Sex*

d) Nationality*

Only INDIAN National can Apply

e) Name of Father/Mother/Guardian*

f) Relationship to the Student

g) Occupation of Father/Mother/Guardian*

3. Permanent Address

Special characters(#,',*,&,") are not allowed

a) House No/Name*

b) Street/Locality

c) City/Town/Village*

d) Post Office

e) State*

f) District*

g) Pincode

h) Whether native of Kerala?*

i) Land Phone

Code

j) Contact Mobile No*

+91

do not prefix Zero

k) Contact Email Id*

4. Communication Address( Tick if Same as Permanent Address)

a) House No/Name*

b) Street/Locality

c) Name of City/Town/Village*

d) Post Office

e) State*

f) District*

g) Pincode

h) Land Phone

Code

5. Details of Previous Institution and course based on which scholarship is being sought

a) State*

b) District*

c) Institution Type*

d) Name of the College/institution*

e) Examination Passed *

f) Stream/Course/Main*

g) Year of Passing *

6. Bank Details

a) Name of Bank*

b) State*

c) District*

d) Branch Name*

e) Branch Address*

,

f) Account Number*

f) Name of Payee (As on Bank Account )*

7. Password Settings
Enter new password for successful submission of application and getting Registration Printout Note the password for further reference !.
a) UserID(RegistrationID)
b) Enter new Password*
c) Re-enter Password*

Declaration (i) I hereby declare that the information furnished above is correct. I agree (ii) I will not avail any other scholarship except fee concession or lumpsum grand (iii) I shall abide by the terms and conditions for the scholarship scheme. (iv) I undertake that if at any stage, it is found to the satisfaction of the sanctioning authority that the information given by me is false or if I have violated the terms and conditions of the scholarship, the scholarship sanctioned to me, may be cancelled and the entire amount of scholarship will be refunded by me, or recovered from me, apart from liability for such penal action as warranted by law.

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