M
mvpms
Maheshwari Vidya Pracharak Mandal
MAHESHWARI SCHOLAR 2025
Recognizing Excellence in Education Worldwide
APPLICATION FORM
(For Office Use Only)
Application No.
PERSONAL DETAILS
Full Name
*
Father's / Husband's Name
*
Surname
Date of Birth
*
Age
Gender
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Select
Male
Female
Other
Nationality
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Select
Indian
Other
State / Country of Residence
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Discipline / Field of Study
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Select Discipline
Engineering
Medical
Science
Ph.D.
Mobile No. (Self)
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Email ID (Self)
*
Linkedin Profile (Self)
Parent's LinkedIn Profile / Website (If any)
Google Scholar Profile (If any)
ORCID ID (If any)
ResearchGate Profile (If any)
Full Residential Address
*
City
*
District
*
State
*
PIN Code
*
Country
*
Select Country
India
Other
Parents' Mobile No.
Parents' Email ID
Correspondence Address (If Different from Above)
Same as Above
PARENT / GUARDIAN DETAILS
Father's Name
*
Mother's Name
*
Occupation
Occupation
Organization
Organization
Mobile No.
Mobile No.
Email ID
Email ID
ACADEMIC DETAILS (From SSC to Highest Degree)
Qualification
Board / University
School / College
Year
% / CGPA
Class
Merit
Action
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MAIN DEGREE FOR WHICH APPLIED
Course / Degree
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Select Course
B.Tech
M.Tech
Ph.D.
Branch / Discipline
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Institute / University
*
Year of Passing
*
% of Marks / CGPA
*
Merit Rank (If any)
Upload Marksheet / Degree Certificate
*
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(PDF - Max 5 MB)
5. SELECTION PROCEDURE
Exam
Body
Year
%
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6. AWARDS / SCHOLARSHIPS
Name
Year
Amount
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7. RESEARCH PAPERS / PUBLICATIONS / PROJECTS
Title
Journal / Magazine
Year
Co-authors
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8. EXTRA-CURRICULAR AWARDS
Name
Organized By
Year
Details
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9. IMPORTANT POSITIONS / LEADERSHIP
Position
Event
Org
Year
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UPLOAD DOCUMENTS (All in PDF Format)
Note: Max file size 5 MB per file.
6. Ph.D. SUMMARY SHEET (Only Compulsory for Ph.D. Applicants)
(This section is applicable only when applicant selects Discipline as "Ph.D.")
6.1 Title of Ph.D. Work *
6.2 University *
6.3 Abstract of Ph.D. Work (Max. 800 words) *
Word Count: 0 / 800
In National Journals *
In International Journals *
In National Conferences *
In International Conferences *
6.5 List of Top 5 Research Publications
Sr.
Title of Paper
Journal Name
Year
DOI / Link
1
2
3
4
5
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6.6 Patents / Copyrights / IPR (If any)
Type
Title / Description
Registration No.
Year
Status
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DECLARATION
I hereby declare that all the information provided in this application form is true, complete and correct to the best of my knowledge and belief. I understand that any false information may lead to disqualification and legal action.
Place
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Date
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Applicant's Full Name
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Digital Signature
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