prime minister's scholarship scheme acknowledgement slip ...

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24PRIME MINISTER’S SCHOLARSHIP SCHEMEACKNOWLEDGEMENT SLIPOFFICE COPYYour Renewal form dated_________ has been received on__________. Theapplication will be examined for eligibility. The dak receipt number ____________ is to bementioned for further correspondence with this office.Office Seal:(Signature of RSB / Coast Guard Headquarter)Tear offTear offACKNOWLEDGEMENT SLIPSTUDENT COPYYour Renewal form dated_________ has been received on__________. Theapplication will be examined for eligibility. The dak receipt number ____________ is to bementioned for further correspondence with this office.Office Seal:(Signature of RSB / Coast Guard Headquarter)Note: This copy duly stamped and signed by RSB / Coast Guard Headquarter is to begiven to the student by hand or by post.
25Selection Serial Number......................PROFORMA FOR RENEWAL OF SCHOLARSHIP UNDER PRIME MINISTER’SSCHOLARSHIP SCHEME(To be send only if selected for <strong>scholarship</strong>)1. Name of the applicant (Ward/widow):2. Put a tick mark (√)MaleFemale3. Selection serial No. given by KSB:4. Particular of ESM / Ex-Coast Guard:Name of ESM /Ex-Coast GuardRankService Number5. Present address (where you want your letter is to be sent)(To be filled up only in case of change from previous address or write N / A)House No.Street No. & NameTehsil & PostDisttStatePin Code6. Details of Bank account of SBI or PNB for Electronic Clearing Services ((PLEASE ATTACH APHOTOCOPY OF PASS BOOK, CROSSED BLANK CHEQUE SHOWING YOUR ACCOUNT NUMBER TOBE FORWARDED, EVEN IT IS SUBMITTED EARLIER).Name of account holderBank NameLEAVE BLANK SPACE BETWEEN WORDS
Page 2 and 3: 2MINISTRY OF DEFENCEDepartment of E
Page 4 and 5: 4(d)(e)Minimum Entry Qualification
Page 7 and 8: 7IMPORTANT INSTRUCTIONS FOR PM’S
Page 9 and 10: 9IMPORTANT INSTRUCTIONS FOR RENEWAL
Page 11 and 12: 11(in figure) 1 2 0 0b. Marks obtai
Page 13 and 14: 13CHECK LIST OF DOCUMENTS TO BE ATT
Page 15 and 16: 3. Date of Birth (please attach pro
Page 17 and 18: d. Marks obtained (in words)17(in f
Page 19 and 20: 1919. Declaration: “Certified tha
Page 21 and 22: 21CERTIFICATE FOR PM SCHOLARSHIP1.
Page 23: 23IMPORTANT INSTRUCTION FOR RENEWAL
Page 27 and 28: 27Please Fill Properly Your Full Ye
Page 29 and 30: 8 DELHI9 GOA10 GUJARAT11 HARYANA121
Page 31 and 32: 23 ORISSA24PUDUCHERRY(UT)25 PUNJAB2

prime minister's scholarship scheme acknowledgement slip ...

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