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Application Jaya

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sai teja
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43 views1 page

Application Jaya

Uploaded by

sai teja
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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Firefox https://telanganaepass.cgg.gov.in/Printepassonline.do?type=app&apno...

Government of Telangana

Department of Backward Classes

Student Application cum Verification Report for


Post-Matric Scholarship Renewal 2022-23

1. Application No: 2022 1140 5661 2. Application Date: 15-10-2022 3. Caste / Sub Caste: BC-B / Goud(Sl.No.-4)
4. Student Name : VANGA JAYASRI 5. Gender : Female
6. Father / Mother Name : VANGA SHYAM SUNDER
7. Address & Mobile No : 11-1-192 ,Warangal , Laxmipur ,WARANGAL & xxxxxx4946
8. SSC HT No : 1812114924 9. Pass Year -Pass Type : 2018-Regular 10. Date of Birth: 24-07-2002
11.Family Annual Income (in Rs.): 160000 12. UID(aadhar) : xxxxxxxx8772
13. Income Certificate Details: ,
,
14.College Details : KAKATIYA INSTITUTE OF TECHNOLOGY & SCIENCE (KITS) - 14512 , Hasanparthy,Hanamkonda , Private
College ,KAKATIYA UNIVERSITY
15. Course Name /Course Year /Duration of Course : B.TECH-CSE (IoT) / III Yr / 4Yrs
16. College Admission No / Admission Date(of this year): 107238 / 16-08-2022 17. Distance (in Kms.) : 20
18. Scholarship Type : Day Scholar 19. DAH Name : -
I.Declaration
I hereby certify that that above information furnished is true. I have not availed any other scholarship for this purpose from any other
sources. I shall abide by the terms and conditions of the sanction of the scholarship. If any discrepancies are found later, I hereby abide for refund
of the scholarship amounts claimedand also am liable for action by the Department. .

Signature of the Student


Date :

1 of 1 15-10-2022, 11:52

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