Professional Documents
Culture Documents
1. Designation Department
______
___________________________________________________
3. Present Post or Post last held by Father/Mother: Gazetted (B- ) or Non-Gazetted (B-
).
4. Class / Examination passed ____________ Date of Admission to the Present Class _________________
____________________________
Signature & Name of Student
I do solemnly affirm and verify that the contents of the above application are true to the best of my knowledge and belief
and that I have concealed nothing. It is further solemnly affirmed that my child is not receiving scholarship from any other
source.
____________________________
Dated: Signature & Name of Father/Mother
Certified that the applicant is a regular student of class _________Academic year ______ in this institution. He/She
has passed the last Examination from ________________________________School/Institution and Obtained
_________Marks out of Total__________Marks. He/She is in my opinion, therefore, a fit person for the grant of
scholarship.
It is further certified that the applicant is not availing any other scholarship/ fund/ stipend from the institute.
____________________________
Signature & Designation with
Official Seal of the Head of Institution
Ph:No.________________________
Certified that the details furnished above are correct according to the record of this Department and, therefore,
the case is strongly recommended for consideration.
____________________________
Signature & Designation with
Official Seal of the Head of Office
Note :-
1. Attested copy of the Result Card of the Examination last passed may be enclosed.
2. A copy of attested computerized pay slip previous month / Pension Book.
3. Scholarship will be sanctioned on yearly basis and arrears of previous years will not be considered.
4.All the applications must be forwarded through Administrative Departments.