igenius scholarship 2011

Child Bio-data
Registration Details
igenius Username/ID Registered Mobile No. Registered Email id

Child Details
Child First Name Child Last Name Child Date of Birth Class Category (Jr/Sr) DDMMYYYY

Parent Details
Parent First Name Parent Last Name Address City State Pin code

Academics (in previous year 2010-2011)

Class Overall Grade / Percentage Position (if any)/ Special Remark

Achievements
Activity Type
(Sports/ Extra Curricular/ Others)

Level
(School/ State/ National etc.)

Year
Year of participation

Accomplishments
(Position/performance/any special remark)

*Achievements: Mention your top 4 achievements. In case of lesser no. of achievements, you may leave the space vacant. *Please note that the points claimed on Academics & Achievements have to be supported by original certificates at the Stage-3 exam venue.

Date: Place: Signature of Parent/ Guardian