Full Name (required)
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Email Address (required)
Aadhar Number (required)
Ration Card Number (required)
Type of Help Required (required) Select Type of HelpScholarshipMedical HelpRation SupportFinancial AidStudent AssistanceDisability AssistanceWidow SupportOrphan AssistanceOld Age AssistanceEmergency ReliefNatural Disaster ReliefEducation SupportFood & Nutrition SupportHealthcare SupportDebt ReliefSewing Centre JoiningComputer ClassOther
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House/Flat No., Building Name (required)
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Identity Proof (required) Upload Aadhar Card, Passport, or Driving License (Max 2MB)
Recent Photograph (required) Upload a recent passport-size photograph (Max 2MB)
Additional Supporting Documents (optional) Upload any additional documents that support your request (Max 5MB)
Student Status Certificate (if applicable) Upload student ID card or enrollment certificate (Max 2MB)
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