Application Form | PRATYASHA

Personal Details

Full Name

Date of Birth

Gender

Contact Number

Email Address

Educational Qualifications

Course Name

Institution / University

Passing Year

Percentage / CGPA

Document (PDF)

Present Occupation

Employment Status

Family Income Background

Annual Family Income

₹

Primary Source of Income

Competitive Exam Achievements

Exam Name

Year

Stage Cleared

Marks/Rank

Result Document (PDF)

Statement of Purpose

Why do you wish to join this program?

Center Selection

Preferred Centre

I hereby declare that all the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to the cancellation of my application. I agree to abide by the rules and regulations of the sponsored coaching program, if selected.

Selected aspirants under “Pratyasha” will receive full sponsorship covering the entire cost of the coaching program. In addition, a monthly stipend will be provided to the selected candidates. No other allowances shall be admissible.