Ganpat University Engineering Scholarship cum Aptitude Test  (GUNI-ESAT)

Name of Candidate (As per Living certificate/Marksheet)*

Date of Birth (DD/MM/YYYY)*

Email ID*

Contact No. 1*

Contact No. 2




City / Village*


Name of School/College appeared for 12th Science *

Result Declared ?*  
If yes then please mention %

Select Date of Examination (*100 INR per examination)*  

Payable Amount:

Self-Declaration: I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case of any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.