APPLICATION FORM

NATIONAL MEANS-CUM-MERIT SCHOLARSHIP EXAMINATION, 2025

(For the students studying in Class VIII)
Read the instructions carefully given on page 2 before filling up the application form.
You may take the help of your teacher/parent for filling up the application form.
• Date of Examination: Sunday, the 26th October, 2025
• Name & Address of the Agency Affix Passport size
for conducting the NMMS Examination: SCIENCE UNIT, photograph duly attested
DIRECTORATE OF EDUCATION (SCHOOLS) by the Head of the
GOVERNMENT OF MANIPUR
• Name of the State: MANIPUR Institution
(Where the candidate is studying in Class VIII as a regular student)
• Application fee, if any: NIL
State Level 12 digit Roll Number
Serial No.
Scheme Code State Code Years Centre Code (to be filled by the Officer) Class Date of Birth (DD-MM-YY) (as recorded in Aadhaar)
0 3 1 3 2 5 0 8      
1. Name of the Candidate (as recorded in Aadhaar)

2. Father's Name (Do not write Mr/Dr./Prof) (as recorded in Aadhaar)

3. Mother's Name (Do not write Mrs/Dr./Prof)

4. Sex 5. Area to which candidate resides 6. Caste Category of Candidate 7. Disability status of candidate
1 2 1 2 1 2 3 4 5 1 2 3 4
Male Female Rural Urban General SC ST OBC-M OBC-MP Orthopaedic Hearing Visually None
Impaired Impaired
(Please enclose a copy of the relevant reservation certificate in support of the information at Sl. No. 6 & 7)
8. Postal address for correspondence (Do not write father's or your name)

Pin Code
9. Name and address of the Institution in which studying at Class VIII level.

Pin Code
10. Type of the institution in which studying at Class VIII Level (See definition overleaf*) 11. Area in which the school is located
1 Govt. 2 Local Body 3 Govt. Aided Rural 1 Urban 2

12. Medium of Examination: English 13. Occupation: a) Father b) Mother 14. Education: a) b)
Father Mother
(Please refer to instructions 6 and 7 on page 2 for Sl. No. 13 and 14)
15. Annual Income (Proof of income to be enclosed compulsorily)
a) Father 1 2 3 4
Upto Rs. 50,000 Rs. 50,001 to Rs. 100,000 Rs. 100,001 to 150,000 Rs. 150,001 to Rs. 350,000
b) Mother 1 2 3 4
Upto Rs. 50,000 Rs. 50,001 to Rs. 100,000 Rs. 100,001 to 150,000 Rs. 150,001 to Rs. 350,000
c) Total income of the family 1 2 3 4
Upto Rs. 50,000 Rs. 50,001 to Rs. 100,000 Rs. 100,001 to 150,000 Rs. 150,001 to Rs. 350,000
Student's/Candidate's Aadhaar linked Number Parent/Guardian
16. Mobile No.:

17. Aadhaar No.:

Page 1
 To be filled by the Head of the Institution

Certified that :
(1) Master/Miss ................................................................................................................. is a regular student of this School/Institution and
he/she has secured % mark in the class VII annual promotion examination i.e. when he/she was promoted from Class VII to
Class VIII. He/She has secured ................................... mark out of ............................................... (Candidate must fulfill the criteria
announced by the State & enclose a photocopy of progress report)
(2) The particulars given by him/her in the application form have been verified and found in order.
(3) Master/Miss ................................................................. belongs to Scheduled Caste/Scheduled Tribe/OBC/Disability category as per the
records maintained in the Institution. (to be filled for SC/ST/OBC/PCG candidate only) (Please enclose SC/ST/OBC/Disability certificate)
(4) Master/Miss ......................................................... belongs to economically weaker section (income not exceeding Rs. 3,50,000 p.a.)
(Please enclose income certificate of parents issued by the Competent Authority)

Date
.....................................................................
Signature of the Head of the Institution
With seal

............................................................. ................................................................ ................................................................

(Signatue of the Candidate) (Signatue of the District Liaison Officer) Counter-signature of the Zonal
With seal Education Officer (with seal)

CODING PLAN
Read Instructions carefully before filling up the Application Form
1. Use only Blue or Black Ball Point Pen. WRITE IN CAPITAL LETTERS. Do not mark or write outside the boxes.
2. Leave one box blank between two words. Limit your name and / or address within the space provided for it. Please see example as given
below
EXAMPLE FOR WRITING NAME AND ADDRESS :
Father’s Name
P C H A O B A S I N G H
POSTAL ADDRESS : Do not try to write complete address in one line. Break it appropriately as shown below.
U R I P O K I M P H A L

3. Cross (X) only one of the appropriate boxes in item nos. 4, 5, 6, 7, 10, 11, 15.
4. It is the responsibility of the candidate and the Head of the Institution to deposit the filled-in Application Form to the District Liaison Officer
Concerned before the last date. No request for condoning delay in submission will be entertained whether it is due to the fault of
the candidate or the Head of the Institution concerned.
5. INCOMPLETE OR WRONG ENTRY OR DEFECTIVE APPLICATIONS ARE LIABLE TO BE REJECTED.
6.    7. Education of Father/Mother Father’s/Mother’s Occupation
(Refer to Item No. 14) (Refer to Item No. 13)
Education Code Occupation Code
Up to Primary 1
Upper Primary 2 Professional, technical and Related Worker 1
Secondary 3 Administrative, Executive and Management Worker 2
Senior Secondary 4
Graduate 5 Clerical and Related Worker 3
Post Graduate 6 Sales/Service Worker 4
Doclorate 7
Farmer, Fisherman and Related Worker 5
Professional Degree (Engineering, 8
Medicine, MCA, MBA etc) Production and Related Worker Transport 6
Any other 9 Operators and Labourer Worker not classified by the above 7
occupation
Not employed 8
 
District/Zone Code No. 0 0 1
*TYPE OF SCHOOL / INSTITUTION (refer to item No. 10)
Government : A Government school is that which is run by the State Government or Centre Government or Public Sector Undertaking or an Autonomous Organisation
completely financed by the Government.
Local Body : A Local Body School is thate which is run by panchayati Raj and local body institutions such as Zila Parishad, Municipal Corporation, Municipal Committee,
Notified Committee and Cantonment Board.
Govt. Aided : A Government Aided School is that which is run by an individual or a private organisation and receives grant from Government or local body.
Check-lists : 1. Aadhaar Xerox Copy; 2. Category Certificate (whenever applicable); 3. Income Certificate (Compulsory);
4. Class VIII reading certificate; 5. Two passport photo
Page 2
 NATIONAL MEANS-CUM-MERIT SCHOLARSHIP EXAMINATION, 2025
(For Class VIII studying students)
Name of the State : MANIPUR
(which will conduct the Examination)
Affix passport size
Photograph duly attested
ADMISSION CARD by the Head of the
Institution

To be filled in by the applicant

Master/Miss ..................................................................................................................................................................
Date of birth ..................................................................................................................................................................
S/o, D/o, Shri ................................................................................................................................................................
of (School) ....................................................................................................................................................................
of (District/Centre) ........................................................................................................................................................
is permitted to appear in the NMMS Examination, 2025
Full Postal Address .....................................................................................................................................................
.....................................................................................................................................................
PIN Code.................................................. Mobile No. ................................................................
She/He is alloted 12 digits Roll Number :

Scheme Code State Code Year Centre Code Serial No. (to be filled in the Office) Class
0 3   
1 3     
2 5             
0 8

[ First Session :
Second Session :
10.30 am to 12 noon (MAT)
12.30 am to 2.00 pm (SAT) ]
Date of Examination : Sunday, the 26 October, 2025 th

Venue of Examination Centre :

..............................................................................

..............................................................................

Signature of the District Liaison Officer, Signature of the Head of the Institution
NMMS Exam with seal with seal

Signature of the Invigilator Signature of the Candidate MAT ........................................................................

of the Examination Centre in the presence of Invigilator

SAT .........................................................................

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