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Scholarship - Department of Higher Education

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<strong>Department</strong> <strong>of</strong> School <strong>Education</strong> and Literacy Secondary <strong>Scholarship</strong> Division, New Delhi.The Scheme is being implemented through Principal, SCERT, SolanNote :- The rates/income ceiling etc. are subject to change and will be notified accordingly.Common Application Form For all Kinds <strong>of</strong> <strong>Scholarship</strong>(Incomplete form will not be accepted by the <strong>of</strong>fice)Name <strong>of</strong> the <strong>Scholarship</strong> Scheme …………...................................……………….Fresh/Renewal ………….........................………Year …….…………..................…..Attested Photo1. Name <strong>of</strong> the student ( in capital letters)………………..............…......………2. Date <strong>of</strong> Birth ………........…..Sex(Male/Female)…….........……..........……..3. Father’s / Husband’s / Guardian’s Name(Sh. / Smt.)…..............…….Mother’s Name…….............…4. Father/Mother/Guardian Occupation............................…………......……………............……………5. Category to which student belongs/General/IRDP/BPL/SC/ST/OBC/Balmiki/ Family in Uncleanpr<strong>of</strong>ession….…………................................................…..(Caste/Himachali Bonafide Certificate beattached*) Religion…………………................…........... Nationality……............…................………6. Permanent Home Address. …………..………............………………………..............………………Telephone/Mobile No.………………….........….......................................................................………7. Correspondence Address…………….………………..............................…………………………......8. Previous Class/Semester attended………………....………………..Group/stream……..............…….Total marks…………………………………..................................................................................……Marks obtained ………………………..Percentage…………..................(Mark sheet be attached **)9. Class/Course in which admitted……………………..…….……………..........…………………….…Duration <strong>of</strong> Class/Course …………… Date <strong>of</strong> Admission ……….....……..Year……………………10. Name <strong>of</strong> the Institution in which admitted /where studying (Full Address)……………............……..11. Aadhar Card/Aadhar Registration No....................................................................................................12. Registration No. <strong>of</strong> the student..……………………………………............................................……13. Name <strong>of</strong> the Bank …Acc. No.(Latest Bank Statement attached ***)…………........…………IFSCCode **** …………………………………………............………………………………..…………14. Whether student is admitted against regular seat /paid Seat ….........................................…………….15. Income <strong>of</strong> the Parents/Guardian from all sources (Certificate be attached) PA…...............….……….16. Day Scholar/Hosteller*****……………………………………………………...................…………(Sr. No. 17 to 19 to be filled by the Directorate <strong>of</strong> Hr. Edu.)17. Amount <strong>of</strong> <strong>Scholarship</strong> (Maintenance allowance for PMSS)…………………................…………….18. Amount <strong>of</strong> non-refundable Fees only (Recommended by the competentauthority******)…………………………………………………………………...………………….

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