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Scholarship Application Form: Student SSC Details

This document is a scholarship application form that collects personal details of the applicant such as name, address, family income, academic qualifications, bank account details, and contact information. It also requests details about the applicant's current or previous educational institution, hostel accommodation if applicable, and copies of relevant documents to verify information like caste, income, and university registration. The applicant and their parent or guardian must sign the form to declare that the information provided is complete and accurate.

Uploaded by

Vijay Lohar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
154 views

Scholarship Application Form: Student SSC Details

This document is a scholarship application form that collects personal details of the applicant such as name, address, family income, academic qualifications, bank account details, and contact information. It also requests details about the applicant's current or previous educational institution, hostel accommodation if applicable, and copies of relevant documents to verify information like caste, income, and university registration. The applicant and their parent or guardian must sign the form to declare that the information provided is complete and accurate.

Uploaded by

Vijay Lohar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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SCHOLARSHIP APPLICATION FORM

Academic Year Application Date College Name Course Name

Student SSC details


SSC Board Passing Year SSC Seat Number Marks Obtained

Applicant Details
Applicant Name Mothers Name Date of Birth Caste Category Caste Gender Is Applicant Salaried Applicants Annual income Marital Status YES / NO Total Annual Income Orphan Sub Caste YES / NO Disabled Is Resident of Maharashtra YES / NO

Student Prequalifying Details


Last attended School/College/Institute Last Exam Passed Last Exam Passes Year Last Exam Marks

Institution Details
Subject College Admission Number Joining Date Is Fee Paid? YES /NO Receipt Date Fee Amount Paid Is studying at night School? YES / NO Date of Admission

Fee Receipt Number Quota

Management / Government

Bank Account Details


Bank Name Account Number Branch Name

Contact Details
Telephone Number Email Address Address for Correspondence Mobile Number

Pin-code Parent /Guardian Details Name Relation with applicant Profession

Taluka

District

Annual Income

Hostel Details
Name of the Hostel Hostel Admission Date Is Mess Service Available Hostel Address YES / NO Hostel Type Rent per Month

Pin-code Hostel Contact Details Telephone Number Email Address

Taluka

District

Mobile Number

Documents
Caste Certificate Number Caste Validity Certificate Number Income Certificate Number University Registration Number Issuing Office Scrutiny Committee Date of Issue

DECLARATION
The information furnished by me is complete and correct. I bear the complete responsibility for all the above information provided.

Applicants Signature Parents Signature Principals Signature

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