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12 views

FeeConcessionPage2 1

Uploaded by

jackk3585
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Application Form for Fee Concession (Session : 2022)

Application No. 451 (Form for : ) Student ID : 2020010007083 Roll No. : 302000022056

Application For : Fee Concession Applied On. 09/10/2022

Student Name : DHRUV Father's Name : RAMJI


Mother's Name : SUDESH
PRABHAL DASS

D.O.B : 25/12/2001 Mobile : 7837376131 EMail ID : [email protected]

Department : DEPARTMENT OF COMPUTER Class : B.TECH. (COMPUTER SCIENCE &


ENGINEERING AND TECHNOLOGY ENGG.)-5TH SEMESTER

Perma Add. : 2477,GURU NANAK NAGAR , MAJITHA ROAD , ASR., AMRITSAR, PUNJAB

Corres Add. : 2477,GURU NANAK NAGAR , MAJITHA ROAD , ASR., AMRITSAR, PUNJAB

Parents Alive : Both

Father's Details
Father's Occupation Self Employed
Does your father file Income Tax Return ? No
Relevant Documents Uploaded Yes
Father's PAN Number ACQPD2674M

Mother's Details
Mother's Occupation House Wife
Does you mother file Income Tax Return ? No
Relevant Documents Uploaded Yes
PAN Number of Mother AMLPR6874L

Sibling's Details
Number of Siblings : 1
Number of Siblings studying in GNDU : 0

Family Details
Total Family Annual Income (In INR) 1,80,000
Living in Own House
Does Your Family have any Agriculture
No
Land/Plot/Commercial Property
Other Details
Do you have any type of Vehicle Two Wheeler
Do you have your own personal mobile Yes
Undertaking : I hereby declare that the information filled by me in this form is correct and true as
per best of my knowledge and nothing has been concealed therin. I authorize the University to cance
my admission if the information given above is found to be incorrect or false at any stage. hidden by
me.

Signature of Candidate: Signature of Parents:


________________ _________________
Printed on : 09/10/2022

Important Note : Student must attach copy of relevant documents uploaded, and submit this form to
Head of the Department.

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