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Dr. B.C. Rathi Memorial Medical Scholarship

Please fill the follwing details -

Name *

Contact Number *

College Name *

College Admission Letter (only jpg or jpeg format)*

Year*

XII certificate (only jpg or jpeg format)*

Father's Occupation: *

Mother's Occupation:*

Average household income (per month in INR): *

How will this scholarship help you?*

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If not a doctor, what alternate career would you have pursued? *

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