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    IPMApplication Form

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    Akshay_Naik_1275
    This document is an application form for the All India Open Mathematics Scholarship Examination that has been held since 1996 for students from Standard 3 to Standard 9. It requests information such as the candidate's name, address, date of birth, school details, and payment details. The candidate and parent/guardian must sign to agree to the rules and regulations in the brochure. The form is to be submitted by November 30th along with a 200 rupee payment in the form of a cheque or draft made out to the Institute for Promotion of Mathematics.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    IPMApplication Form

    Uploaded by

    Akshay_Naik_1275
    14 views1 page
    This document is an application form for the All India Open Mathematics Scholarship Examination that has been held since 1996 for students from Standard 3 to Standard 9. It requests information such as the candidate's name, address, date of birth, school details, and payment details. The candidate and parent/guardian must sign to agree to the rules and regulations in the brochure. The form is to be submitted by November 30th along with a 200 rupee payment in the form of a cheque or draft made out to the Institute for Promotion of Mathematics.

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    IPMApplicationForm

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    This document is an application form for the All India Open Mathematics Scholarship Examination that has been held since 1996 for students from Standard 3 to Standard 9. It requests information such as the candidate's name, address, date of birth, school details, and payment details. The candidate and parent/guardian must sign to agree to the rules and regulations in the brochure. The form is to be submitted by November 30th along with a 200 rupee payment in the form of a cheque or draft made out to the Institute for Promotion of Mathematics.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views1 page

    IPMApplication Form

    Uploaded by

    Akshay_Naik_1275
    This document is an application form for the All India Open Mathematics Scholarship Examination that has been held since 1996 for students from Standard 3 to Standard 9. It requests information such as the candidate's name, address, date of birth, school details, and payment details. The candidate and parent/guardian must sign to agree to the rules and regulations in the brochure. The form is to be submitted by November 30th along with a 200 rupee payment in the form of a cheque or draft made out to the Institute for Promotion of Mathematics.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    APPLICATION FORM

    ALL INDIA OPEN

    MATHEMATICS SCHOLARSHIP EXAMINATION

    SINCE-1996

    STD.

    III:

    IV:

    V:

    VI:

    VII:

    VIII:

    IX:

    Notes:
    1. Fill all the information in English Capital Letters using Blue Ink only. STD:
    2. Write only one letter in one box wherever provided.
    3. Use a tick mark (
    ) wherever necessary.
    Medium:
    1.

    Name of the Candidate:


    Surname:
    First name:
    Father's name:

    2.

    Residential Address: ________________________________________________________


    _________________________________________________________________________
    _______________________________________________Pin Code:
    E-mail:___________________________________________________________________
    Telephone No.
    Mobile No.

    3.

    Date of Birth: In figures:


    (Date)
    Male:

    Female:

    (Month)
    5.

    I.P.Ms

    (Year)
    If appeared in 2008-09.

    4.

    Sex:

    P.R.No

    6.

    School's Name and Address:__________________________________________________

    (See mark sheet)

    _______________________________________________Pin Code:
    School Telephone No.
    School E-mail:_____________________________________________________________
    7.

    Medium of Examination:

    English

    8.

    Details of Payment: Cheque

    Marathi
    Draft:

    Amount: 200/- (Rs.Two Hundred Only)

    Cheque/Draft no. ___________________ Name of the Bank: ________________________


    ( Payments only by Cheque/ D.D.for Pune & Mumbai.out station students pay by D.D.only,
    Drawn on Institute for Promotion of Mathematics. Last date of submission of application form 30 Nov.)
    (Write the students name,schools name, standard and Phone No behind the Cheque/ D.D.)
    9.
    10.

    I have read all the rules and regulations in the brochure and will abide by them.
    Please keep a xerox copy of the Application form and the Brochure for your record.
    Signature of the Candidate: ___________________________________________________
    Date:_________________Signature of the Parent/Guardian: ________________________

    Seal /Stamp of the School

    Signature of the Principal

    Institute for Promotion of Mathematics 46/C,Aundh Road, 103-Prerna Building, Opp. HDFC Bank.
    Khadki, Pune - 411020.Phone No: (020) 2581 8606, 2581 0540 Visit vs at www.ipmindia.in

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