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Dr. S. K. Mukherjee Memorial Scholarship - Online Application

Personal Details 

First Name

*

Last Name

*

ID No

* (Your GBPUAT ID number)

Gender

Male     Female*

Date of Birth

   (eg. 1972)*

Home Address
*

Email Address

*

Phone Number

  

Family Details

Father's Name

*

 Mother's Name *

Profession

*

 Profession

Annual Income (in Rs.)

*

Annual Income (in Rs.)

Family Members

No. of Brothers

 Sisters  

  

Academic Details

University Address
*

Achievements at GBPUAT

Academic

OGPA including 1st and 2nd semester of 1st year BSc Agriculture * 

Extra Curricular

Cultural

 

Sports

 

University Representation

 

State/Country Representation

Please write 10 sentences on 'Why you think you deserve to be a Dr. S K Mukherjee Scholar'
*

Please write a few words about your vision & mission in life after Pantnagar

*

Note: * denotes  required fields