Swadhyaya Kendra / स्वाध्यायकेन्द्रस्य नाम ( Where the candidate wants to appear for contact classes & examination )* Select Swadhyaya Kendra Swadhyaya Kendra, Mukta Swadhyaya Peetham, Ganganath Jha Campus, Allahabad, Uttar Pradesh Swadhyaya Kendra, Mukta Swadhyaya Peetham, Shree Sadashiva Campus, Puri, Orissa Swadhyaya Kendra, Mukta Swadhyaya Peetham, Shree Ranbir Campus, Jammu Swadhyaya Kendra, Mukta Swadhyaya Peetham, Guruvayoor Campus, Trichur, Kerala Swadhyaya Kendra, Mukta Swadhyaya Peetham, Jaipur Campus, Jaipur, Rajasthan Swadhyaya Kendra, Mukta Swadhyaya Peetham, Lucknow Campus, Lucknow, Uttar Pradesh Swadhyaya Kendra, Mukta Swadhyaya Peetham, Rajiv Gandhi Campus, Sringeri, Karnataka Swadhyaya Kendra, Mukta Swadhyaya Peetham, Vedvyas Campus, Kangra, Himachal Pradesh Swadhyaya Kendra, Mukta Swadhyaya Peetham, Bhopal Campus, Bhopal, Madhya Pradesh Swadhyaya Kendra, Mukta Swadhyaya Peetham, K.J.Somaiya Sanskrit Vidyapeetha, Mumbai, Maharashtra Swadhyaya Kendra, Mukta Swadhyaya Peetham, Central Sanskrit University, New Delhi Swadhyaya Kendra, Mukta Swadhyaya Peetham, Eklavya Campus, Agartala, Tripura Swadhyaya Kendra, Mukta Swadhyaya Peetham, Shri Raghunath Kirti Campus, Devprayag, Uttarakhand Sanskrit Academy (Adarsh Shodha Sansthan), Osmania University, Hyderabad - 500 007 Swadhyaya Kendra, Mukta Swadhyaya Peetham, S.G.V.P. Campus, Ahmedabad, Gujarat Programmes / पाठ्यक्रमाः* Select Programme Prak-Shastri-Bridge / Samskritavatarani / Certificate Course in Sanskrit Language Prak-Shastri-1st-Year (+2) Shastri-Bridge / Samskritavagahani / Diploma in Sanskrit Language Acharya-Bridge / Shastravagahani Optional Shastriya Subject / ऐच्छिकशास्त्रीयविषयः Select Subject Optional Modern Subject / ऐच्छिकाधुनिकविषयः Select Subject Name of the Applicant / आवेदकस्य नाम*Name of the Applicant in Devnagri unicode If you Can't type, Click here Upload Photo of the Student / छात्रस्य भावचित्रम् * Photo size should not more than 50kb Upload Signature of the Student / छात्रस्य हस्ताक्षरम्* Signature size should not more than 50kb Father's / Husband's Name पितुः / भर्तुः नाम *Father's / Husband's Name in Devnagri unicode If you Can't type, Click here --Select-- FATHER HUSBAND Mother's Name / मातुः नाम Mother's Name in Devnagri unicode (Optional) If you Can't type, Click here Date Of Birth / जन्मदिनाङ्कः* Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January Febuary March April May June July August September October November December - Year - 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 Nationality / राष्ट्रियता* --Select Nationality-- Indian Nepali Japenese Russian Other Gender / लिङ्गम्* --Select Gender-- Male Female Trans Gender Religion / धर्मः* --Select Religion-- Hindu Muslim Christian Buddhist Persian Jainism Other Area / क्षेत्रविवरणम् * --Select Area-- Rural Urban Cateogry / वर्गः* --Select Category-- General OBC S.C. S.T. P.H. Blood Group / रक्तसमूहः --Select Blood Group-- O+ O- A+ A- B+ B- AB+ AB- Mother Tongue / मातृभाषा* Martial Status / वैवाहिकस्थितिः --Select Martial Status-- Married Un-Married Aadhar Card No / आधारसंख्या Email / ई.मेल. सङ्केतः Mobile / चलदूरवाणीसंख्या* Permanent Address Details / स्थायिसङ्केतःPostal Address Details / पत्राचारसङ्केतः Permanent Address / स्थायिसङ्केतः* State / राज्यम्* ----Select State---- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal Another Country Pin code / पिनकोडसंख्या* Postal Address / पत्राचारसङ्केतः State / राज्यम् ----Select State---- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal Another Country Pin code / पिनकोडसंख्या Details of the last Examination Passed / पूर्वोत्तीर्णपरीक्षाविवरणम् * Name of last Examination Passed / पूर्वोत्तीर्णपरीक्षानाम Name of the Board/University from where the last examination passed / बोर्ड/ विश्वविद्यालयस्य नाम यतः पूर्वपरीक्षोत्तीर्णा Year of Passing / उत्तीर्णवर्षम् ----Select Year of Passing----- 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 Roll No / अनुक्रमाङ्कः Percentage/Grade / प्रतिशतता/ग्रेड IF RESULT NOT RELEASED/DECLARED, PLEASE TYPE "RESULT AWAITED" Division / प्राप्तश्रेणी * --Select Division-- Distinction First Division Second Division Third Division Pass Only Results Awaited Educational Qualifications(Starting from 10th Board) /शैक्षिकयोग्यताः (दशमकक्षातः आरभ्य) * Examination Passed Name of Board/University Year of Passing % of Marks Obtained ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Not Applicable Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 Not Applicable ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 ----------------Select Course----------------- 10th / Purvmadhyama or equivalent 12th / Prak-Shastri or equivalent B.A. / Shastri or equivalent M.A. / Acharya or equivalent B.Ed / Shiksha-Shastri or equivalent M.Ed / Shiksha-Acharya or equivalent Ph.D / VidyaVaridhi Select 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 The Status of understanding of Sanskrit/ संस्कृतज्ञानस्तरः* Know Devnagrari (Sanskrit) Script / अहं देवनागरी-लिपिं जानामि --Select -- Yes No Can Speak sanskrit / संस्कृतं वक्तुं शक्नोमि --Select -- Yes No Can understand Sanskrit, But can't speak / संस्कृतम् अवगच्छामि। किन्तु भाषितुं न शक्नोमि। --Select -- Yes No Can speak/write/read/understand Sanskrit well. I feel that gramatically i am good/not very week. संस्कृतेन भाषितुं/लेखितुं/पठितुं/संस्कृतं सम्यक् अवगन्तुं शक्नोमि। सामान्यतः शुद्धतया संस्कृतेन व्यवहर्तुं शक्नोमि। --Select -- Yes No Additional information (If any) / अतिरिक्तविवरणम् (अस्ति चेत्) Uploads (JPG, JPEG, PNG & GIF) / संलग्नकाः *Size of each upload should not more than 100kb 10th Marksheet Previous Passed Examination Mark Sheet Fee Details / शुल्क विवरण* Name of your Bank Total Fee Paid DD No./ Payment Receipt No./ Payment Reference No. Date of Fee Payment Photo of Payment Slip/Receipt (Max Upload Size 100 Kb) DISCLAIMER : Certified that the above statement are correct as per our record. Incomplete Application will be summarily rejected. Please carefully check all details filled in this Application form, After submit the Application you can't edit the details.