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Shiv Chhatrapati Shikshan Sanstha, Latur

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(Only Student's First Name Without Surname)

(Only Father's Name Without Surname)

(Only Student's Surname)

(Only Mother's Name Without Surname)

(Date of Birth)

(Please select your gender)

(Enter 12 digit Aadhar number without any space or dash)

Confirm Aadhar number

(Caste and Category)

(PWD)

(PCB/PCM = ₹ 200, PCM+PCB = ₹ 400)

(Enter Your Correct Email ID. You will get payment receipt on this ID.)

(You may get a SMS/WhatsApp on this number after payment)
(This mobile number is your Username)

(10^th School District)

( Student's School Name With address)

(10^th School Board)

(10^th School Medium)

( Student's address)

Please upload student's clear photograph (ONLY JPG / PNG FORMAT) (FILE SIZE MUST BE LESS THAN 2 MB) *

Please upload student's clear signature (ONLY JPG / PNG FORMAT) (FILE SIZE MUST BE LESS THAN 2MB) *

Declaration

I, hereby, declare that, the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records.

I agree to the above declaration.