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Student Name
Please enter the student name.
Father's Name
Please enter the father's name.
Mother's Name
Please enter the mother's name.
Studying Class
(Which class will you study in 2025-26)
Choose...
Class 3rd
Class 4th
Class 5th
Please select the class you are studying in
Date of Birth
Please enter the date of birth.
Date of Birth (in Words)
Date of birth in words is required.
Gender
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Male
Female
Other
Please select a gender.
Cast/Category
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General
OBC
SC
ST
Other
Please select a category.
Nature of Disability
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None
Physical Disability
Vision Impairment
Hearing Impairment
Please select a disability type.
Aadhar Number
Please enter a valid 12-digit Aadhar number.
Email
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Address
Please enter the address.
Mobile Number
Please enter a valid 10-digit mobile number.
Other Mobile Number
Please enter a valid 10-digit other mobile number.
Medium of Examination
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English
Hindi
Please select an examination medium.
School Name
Please enter the school name.
School Location
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Rural
Urban
Please select the school location.
School Address
Please enter the school address.
State Name
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Rajasthan
Please select a state.
District Name
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Please select a district.
Block Name
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Please select a block.
Upload Student Image
Please upload a student image.
Upload Signature
Please upload a student signature.
Upload Guardian Signature
Please upload a guardian signature.
I hereby declare that the information provided by me in this application form is true and correct to the best of my knowledge and belief. I have carefully read the relevant guidelines before filling out this application form. I agree to abide by all the terms and conditions related to this application..
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