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UDYAM

An initiative by Samagra Shiksha, Subarnapur
GUIDELINES APPLICATION FORM PRINT FORM
(Entitlement under Samagra Shiksha, Subarnapur for Session 2024-25)
Personal Details:
Applicant Name :
Guardian Name:
Relationship: Father Mother Guardian
Caste:
Gender:
Date of Birth:
Mobile No.:
UDID No.(if available):
Category of Disability:
% of Disability:
Address:
Are you a citizen of India: YES NO
District:
Block:
Municipality/NAC/GP:
Village/ Locality:
Bank Account Details:
A/C Holder Name:
Bank Name:
Branch Name:
IFSC Code:
Account Number:
School/College Details:
District* :
Block* :
Cluster* :
School Name* :
Class:
Roll No. :
Scholarship Details:
Eligible Scholarship Level:
Eligible Allowances : ESCORT ALLOWANCE
TRANSPORT ALLOWANCE
 STIPEND TO GIRLS CWSN
 READERS ALLOWANCE
Documents & Photographs:
Upload Passport Photo:
(Not more than 200KB)
(Only jpg/jpeg/gif/png Files)
*
Upload Signature/Left Thumb Impression:
(Not more than 200KB)
(Only jpg/jpeg/gif/png Files)
*
Upload Bank Passbook First Page
(Only jpg/jpeg Files and Less than 400KB)
Upload Disability Certificate
(Only jpg/jpeg Files and Less than 400KB)

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