MCC Manna Scheme Application Form

Register Number:

Name:

Sex:

Male

Female

Transgender

Stream:

Aided

SFS

Degree:

UG

PG

Research Programme

Class & Department:

Address:

Mobile Number:

Email ID:

Father's Name:

Occupation:

Mother's Name:

Occupation:

Guardian's Name:

Occupation:

Siblings:

Monthly Income (Family):

Contact Number (Father/Mother/Guardian):

Reason for Availing Manna Scheme:

Upload Photo:

Only PNG, JPEG, or JPG files are allowed. Max size: 500KB.

Upload Income Certificate:
(current income certificate)

Only PDF file is allowed. Max size: 5MB.

Community:

Upload Community Certificate:

Only PDF file is allowed. Max size: 5MB.

In case of discrepancy in the details furnished appropriate action will be taken.

I hereby declare that the above information is true to the best of my knowledge.