Application Form for Print

Student Name ( Exactly as in SSLC / Std. X Marks Card )*
Gender*						Date of Birth*
Email Address ( Write in Capital Letter )*

Recent Photograph*

Select a file

Religion*

Caste*

Annual Income*

Working Mobile Number*

Name of Present School / College Attending

Class / Standard Studying In

Address of Present School / College

Telephone No:

Name and Address of School Attended for SSLC / Std. X

Father's Name

Mobile Number

Occupation

Education

Mother's Name

Mobile Number

Occupation

Education

Home Address

State*

District*

Telephone No

For NIAS use. do not write anything here.

marks / grades obtained in sslc / std. x board examination

Class*	Max Marks*	Marks Obtained*	%	Grade





Total

Most recent prizes or awards won.

Awards/Prizes Files*

Name of the teacher who is recommending you

School / College

Subject

(you must attach the recommendation letter and a copy of the sslc / std. x marks card to this application form)

Recommendation Letter*

sslc / std. x marks List*

What are the topics you are most interested in? Describe the projects you have undertaken independently or as team member (upload project reports/ visuals/ models).*

Explain why you should be selected and how you plan to use the mentorship opportunity of the Gifted Education Programme?*

The information above is true to the best of my knowledge.

Recent Photograph*

First Name*

Gender*

Date of Birth*

Email Address ( Write in Capital Letter )*

Working Mobile Number*

Name of Present School / College Attending

Class / Standard Studying In

Address of Present School / College

Telephone No:

Name and Address of School Attended for SSLC / Std. X

Religion*

Caste*

Annual Income*

Father's Name

Mobile Number

Occupation

Education

Mother's Name

Mobile Number

Occupation

Education

Home Address

Telephone No

State*

District*

For NIAS use. do not write anything here.

marks / grades obtained in sslc / std. x board examination

Class	Max Marks	Marks Obtained	%	Grade





Total

Most recent prizes or awards won. AWARDS/PRIZES FILES*

Name of the teacher who is recommending you

School / College

Subject

Recommendation Letter*

sslc / std. x marks List*

What are the topics you are most interested in? Describe the projects you have undertaken independently or as team member (upload project reports/ visuals/ models).*

Explain why you should be selected and how you plan to use the mentorship opportunity of the Gifted Education Programme?*

The information above is true to the best of my knowledge.

NIAS-MAIYA PRODIGY FELLOWSHIP 2019-20

Application Form

Please Wait.......

Please Wait.......