Maddirala Sivaiah Memorial
Educational Society

(Under Running by Ministry of social justice and Empowerment , New Delhi , India.)

Name of the student*

Student Addhar Number*

Name of the father*

Father Addhar Number*

Name of the mother*

Mother Addhar Number*

Date of Birth*

Gender*

Caste*

Sub caste

SSC (10th) Details

Hall Ticket Number*

School Name*

Medium of study*

Residential Address*

Phone Number1*

Phone Number2

Required Documents

SSC Hall Ticket*

Caste Certificate*

Student Addhar*

photo*

Income Certificate/Ration Card*