AkbarPrint - Application
AkbarPrint - Application
AkbarPrint - Application
Department of Minority
Student Application cum Verification Report for Post-Matric Scholarship Renewal 2012-13
1. Application No: 2012 0548 8373 4. Student Name : MOHAMMAD AKBAR ALI 6. Father / Mother Name : MOHAMMAD VALLI
7. Address & Mobile No : ,Kakinada (Urban) , Ramarao Pet ,East Godavari & 9666545260 8. SSC HT No : 0236658 11.Family Annual Income (in Rs.): 48000 13. Income Certificate Details: 9. Pass Year -Pass Type : 2006-Regular 10. Date of Birth: 13-12-1990
14.College Details : GODAVARI INSTITUTE OF ENGINEERING AND TECHNOLOGY VELUGUBANDA , Rajanagaram,East Godavari , Private College ,JNT UNIVERSITY KAKINADA
15. Course Name /Course Year /Duration of Course : BTECH (EEE) / III Yr / 4Yrs 16. College Admission No / Admission Date(of this year): / 14-06-2012 18. Scholarship Type : Student Managed Hostel 20. Bank Name / IFSC Code: SBHY-ZP COMPLEX KAKINADA /SBHY0020975 17. Distance (in Kms.) : 60 19. DAH Name : 21. Bank A/c No : 62031340280
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. .
Date :