Maa Sharda Computer Works Rural Project Kiosk Form

Please fill out all required fields marked with a *

Personal Details

Applicant's Full Name

First Name *

Middle Name

Last Name *

Guardian Information

Father’s Name *

Mother’s Name *

Demographics & Documents

Date of Birth *

Gender *

Aadhaar Number *

Highest Qualification *

Passport Size Photo *

Max 2 MB, JPG/JPEG/PNG only.

Maa Sharda Computer Works Rural Project Kiosk Form

Please fill out all required fields marked with a *

Address Details

Location Details

Village *

Tehsil *

State *

District *

Pincode *

Contact Information

Phone Number *

Email Address *

MSCW Kiosk Registration Fees (Mandatory) ₹500/-

*This application fee includes all applicable taxes. Payment required to proceed to the final step.

Maa Sharda Computer Works Rural Project Kiosk Form

Please read and agree to the terms below to submit your application.

Payment Successful!

Application fee of **₹500/-** is successfully paid.

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Terms & Conditions

MSCW Kiosk Application - Important Notice

I hereby declare that the information provided in this application form is true and correct to the best of my knowledge and belief. I understand that any false information will lead to immediate cancellation of my application.

I authorize MSCW to verify the details provided, including my personal, address, and academic information, with the relevant authorities.

I further consent to the collection and use of my personal data for the purpose of processing this application and for future communication regarding the Kiosk program.

Document Verification Guidelines:

All uploaded documents must be clear and legible.
Original documents must be presented during the physical verification process when requested.
The passport size photo must be recent (taken within the last six months).
The photo file size must not exceed 2 MB.

I confirm that I have read and I accept the above Terms and Conditions in full. *