DATA CAPTURING SYSTEM FOR STATUTORY COMPLIANCES

[The data collected will be used for statutory purposes and will not be disclosed otherwise]
Reg No. :   Course :
Name : Institution:
Date of Birth :    Gender:
Religion : Caste :
Category : Sub category:
State of domicile :
Physically challenged :
Scholarship details :
If Others' Specify :   (eg. Son/Daughter of bank employee, railway employee etc.)
Fresh/Renewal :
Amount received(of prev. year) :
If Yes enter details:   Rs.           Month & year of amount received :  
Economically backward :
        (Select the Parents’ annual income - lakhs per year)
         
     Note  :  All fields are mandatory and information can not be modified once it is submitted.
    
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief.
   
 
   
   
Designed and Developed by Department of Digital and Information Technology, Manipal Academy of Higher Education