Scholarship Registration Form – E-Zone Education Centre ISO 9001:2015 Certified Institute | Registered under Govt. of India Act, 2013 Applicant’s Full Name *Father’s / Guardian’s Name *Mother’s NameDate of Birth *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Gender *MaleFemaleOtherAadhaar Number *0 / 12Mobile Number *Email Address *House No., Street/Village *City *State *Pin Code *Current Class / Qualification *Class 6-8Class 9-10Class 11-12Above 12thPhotoUpload File Type .jpg, .jpeg Only File Size Limit : 2MBChoose FileNo file chosenDelete uploaded fileDECLARATION *I, the undersigned student / guardian, hereby declare that: All information provided in this form is true and correct to the best of my knowledge. I have read and understood all the Terms & Conditions mentioned above. I agree to abide by the rules, regulations, and decisions of E-Zone Education Centre. I understand that submission of this form does not guarantee scholarship approval. SubmitSave as Draft
