Gayathri Scheme : for Academic Excellence (2016-17)
Please register if you are topper of the recognised and reputed School / College / Institute
for the academic year 2016-17 only.
Have you registered earlier
with AP Brahmin Welfare Corporation
 
Surname
Applicant's Name
(without surname)
Gender  
Date of Birth  
Languages known  
Gothram  
Father / Guardian's Details:    
Guardian's Name  
Guardian's Profession  
Guardian's Annual Income  
Ration Card No  (optional)  
Do you have any Disability  
Status of Parents  
Address for Communication    
a) Present Address    
Door No  
Street Name  
Land mark  
District  
Mandal  
Village  
PIN Code  
b) Permanent Address  
Door No  
Street Name  
Land mark  
District  
Mandal  
Village  
PIN Code  
STD Code  
Land line No  
Mobile No  
e-Mail ID  
Applicant's Bank details     
IFS CODE  
Branch Name  
Branch Address  
SB A/c No.  
  AP Brahmin Co-operative
Credit Society
Membership Number
AADHAAR
Applicant's
Father / Guardian
Mother
Uploads
1) Applicant's Photo .jpeg Max 50 KB
2) Residence, Income & Caste Certificates .pdf Max 500 KB
3) SB A/c Pass Book .pdf Max 250 KB
4) Aadhaar Card of the student
and parents / guardian
.pdf Max 250 KB
5) Marks Memo / Provisional Certificate .pdf Max 250 KB
6) Certificate from Head of the School / College / Institute .pdf Max 250 KB
   
Online Registration closed on : 31/08/2017