Registration & Application Form - Scholarships to Study in India

Step 1: Registration
All Sections in this form are Compulsory. All information need to be filled.

Please fill in your details to register

First Name (As per Passport / Identity Card): KUNDAI JOYCE

Last Name / Surname (As per Passport / Identity Card):MUNYORO

Country: ZIMBABWE

Country Code: +263 Mobile Number: 0712059983

Email Address: munyorokundai1@ gmail.com

Enter Confirm Email Address: munyorokundai1@gmail.com

Date of Birth (DD / MM / YYYY): 04 11 2001

Step 2: Application
All Sections in this form are Compulsory. All information need to be filled.

Basic Information:
*: Is Compulsory
First Name (As per Passport / Identity Card) *: KUNDAI

Middle Name (As per Passport / Identity Card): JOYCE

Last Name / Surname (As per Passport / Identity Card) *: MUNYORO

Date of Birth (DD / MM / YYYY) *: 04/11/2001

Gender *: Male Ye Female

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 Registration & Application Form - Scholarships to Study in India
Email Address *:munyorokundai1@gmail.com

Country (Nationality) *: ZIMBABWEAN

Contact Details:

Country Code*: +263 Mobile Number: 0712059983

Address:

Residential *: 2371. ZBS VENGERE RUSAPE , ZIMBABWE

Country *: ZIMBABWE

State *:MANICALAND

City *: RUSAPE

Zip *: +263

Background Information:
*: Is Compulsory

Question 1:

Do you have a Passport? * Ye Yes No

If Yes, please provide Passport information below:

Name as per Passport *:KUNDAI JOYCE MUNYORO

Passport Number *: FN973839

Issuing Authority *: ZIMBABWE GOVERNMENT

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 Registration & Application Form - Scholarships to Study in India

Passport Expiry Date *: 07 11 2029

Date Month Year

Passport Issue Country *: ZIMBABWE

Question 2:

Have you applied for the Passport? * Yes No

If Yes, please provide Passport File Reference Number *:

Question 3:

Do you have a Citizenship Number? * Yes No

If Yes, Citizenship Number *:

Reference Details (Father and Mother Details):

Father:
Name *: MUNYORO ALFRED

Email Address *: munyoroalfred@gmail.com

Contact Number *:+2630773299936

Address *: 2371 ZBS VENGERE RUSAPE, ZIMBABWE

Country *: ZIMBABWE

State *: MANICALAND

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 Registration & Application Form - Scholarships to Study in India
City *: RUSAPE

Area *: VENGERE

Mother:
Name *:MUNYORO THERESA

Email Address *:munyorotheresa@gmail.com

Contact Number *:+2630773927917

Address *: 2371 ZBS VENGERE RUSAPE , ZIMBABWE

Country *:ZIMBABWE

State *:MANICALAND

City *:RUSAPE

Area *: VENGERE

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 Registration & Application Form - Scholarships to Study in India
Academic Information (Part 1):
Please Tick your qualification and write percentage obtained below:
(To Calculate the Percentage Obtained, please refer to the attachment Grade Conversion in the email).

Qualification Total Percentage

✅ Secondary School / Class X / O Level /
Equivalent Qualification Score. “ O LEVEL” Percentage Obtained: 9 A’s , 2 B’s , C & D

Higher Secondary / Class XII / A Level /

Equivalent Qualification Score (In case of result awaited, fill Class XI
score). “A LEVEL”
Yes
No Percentage Obtained: 15 POINTS
Result Awaited

Diploma Score
Yes
No Percentage Obtained:
Result Awaited

Graduation Score
Yes
No Percentage Obtained:
Result Awaited

Post Graduate Score

Yes
No Percentage Obtained:
Result Awaited

M. Phil. Score
Yes
No Percentage Obtained:
Result Awaited

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 Registration & Application Form - Scholarships to Study in India
Academic Information (Part 2):
Please Tick your qualification and write percentage obtained below:
(In case of appearing, result awaited, please fill your expected scores)
Exam Score
Do you have GRE Score?
Yes
No Score:
Appearing, Results Awaited

Do you have GRE Score?

Yes
No Score:
Appearing, Results Awaited

Do you have GMAT Score?

Yes
No Score:
Appearing, Results Awaited

Do you have SAT Level 1 Score?

Yes
No Score:
Appearing, Results Awaited

Do you have SAT Level II Score? (3 Subjects Score)

Yes
No Score:
Appearing, Results Awaited

Do you have TOEFL Score?

Yes
No Score:
Appearing, Results Awaited

Do you have IELTS Score?

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 Registration & Application Form - Scholarships to Study in India
Yes
No Score:
Appearing, Results Awaited

Do you have GATE Score?

Yes
No Score:
Appearing, Results Awaited

Do you have JEE Advanced Score?

Yes
No Score:
Appearing, Results Awaited

Do you have JEE Main Score?

Yes
No Score:
Appearing, Results Awaited

Do you have NATA Score?

Yes
No Score:
Appearing, Results Awaited

Do you have DAT Prelims Score?

Yes
No Score:
Appearing, Results Awaited

Do you have DAT Mains Score?

Yes
No Score:
Appearing, Results Awaited

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 Registration & Application Form - Scholarships to Study in India
Select the Program you want to apply:

1st Preference
Program Level Program (Choose the Program from the
Discipline (Choose One)
(Choose One) Program List in Appendix 1)
Arts Commerce Engineering Y Under
Architecture Graduate (UG)

Optometry Allied Health Science MEDICAL , UG

2nd Preference
Program Level Program (Choose the Program from the
Discipline (Choose One)
(Choose One) Program List in Appendix 1)
Arts Commerce Engineering Under
Architecture Graduate (UG)

Humanities Law Management Medical Post graduate MEDICAL , UG

(PG)
Pharmacy Science Dental Design PhD

Optometry Allied Health Science

3rd Preference
Program Level Program (Choose the Program from the
Discipline (Choose One)
(Choose One) Program List in Appendix 1)

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 Registration & Application Form - Scholarships to Study in India
Arts Commerce Engineering Under
Architecture Graduate (UG) MEDICAL , UG

Humanities Law Management Medical Post graduate

(PG)
Pharmacy Science Dental Design PhD

Optometry Allied Health Science

Declaration:
I agree that all the above information are true.
Specimen signature of applicant to be shown on the pre-application form. (Failure to comply with instruction to Keep within inner border lines of the
box below will invalidate this application).

Signature: (Please sign in the square below)

KUNDAI JOYCE MUNYORO

R. Robinson
Signature of Applicant Specimen Signature

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