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Scholarship Details
Name of the student
*
Admission No
*
Branch
*
(B.Tech/B.Arch/ M.Tech, (LET) - Civil, etc)
Mobile No
*
Email ID
*
Scholarship Name
*
Account Holder Name
*
(The Bank Account must be of the Student's Name)
Bank Account No
*
(Enter carefully)
Name of Bank
*
Branch of Bank
*
IFSC Code
*
Bill Details (published in college Website)
Sl No
Bill No
Bill Date
Total Bill Amount
Bill Cashed On Date
Scholarship Sanctioned Year
Period - From
Period - To
Received Scholarship Amount
1
-
I
II
III
IV
V
2
-
I
II
III
IV
V
3
-
I
II
III
IV
V
4
-
I
II
III
IV
V
5
-
I
II
III
IV
V
6
-
I
II
III
IV
V
Bank Passbook
*
(Upload Image Files Only)
I hereby affirm that i am not in receipt of any stipend, scholarship, or any other financial assistance for my studies other than this scholarship. also declare that excess amount, if credited to my account will be refunded to the institution, on intimation.
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