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Apropos Gumption - Prime Registration

Application Fees: Rs. 2000 for APROPPOS GUMPTION scholarship

Your Full Name:

Are you planning to go to USA in Fall 2010? Yes No

Your Email ID:

We authenticate your email id. Your username/password will be sent on this email id.

Postal Address in India (Residential):

Contact Numbers:

This is the no we would use to call if you are selected.
(example: 00917122427462, 00919876543210)

City:

IP:38.107.179.238

State:

Pin code:

Country:

Academic Score (%):

Bachelor's% HSC(12th)%

Country applied:

No. of I-20 (Admission Letters) received:

Test scores
	Name of Test	Score
	IELTS
	TOEFL
Other (GRE/GMAT/SAT):
Other Eligibility Test 1:			Out of
Other Eligibility Test 2:			Out of
Have you taken institutional assistance in preparation & counseling:		Yes No
Name of institute:

Visa Details
Passport No.
Visa Status (Have you received visa?):	Yes No Applied For Date of Application:
Visa No.:
Visa validity date:	From: To:
Month/Year of session starting:

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