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    Sam Apl PDF

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    Varun Kumar
    This document is an application for a post-matric scholarship submitted by Mudigonda Samayelu, a male student from the BC-A caste studying for a M.Tech in computer science. Key details include his name, caste, family income of 48,000 rupees, bank account and Aadhaar details. He declares that he has not received any other scholarships and will abide by the terms of this scholarship.

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    © All Rights Reserved
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    Sam Apl PDF

    Uploaded by

    Varun Kumar
    39 views1 page
    This document is an application for a post-matric scholarship submitted by Mudigonda Samayelu, a male student from the BC-A caste studying for a M.Tech in computer science. Key details include his name, caste, family income of 48,000 rupees, bank account and Aadhaar details. He declares that he has not received any other scholarships and will abide by the terms of this scholarship.

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    This document is an application for a post-matric scholarship submitted by Mudigonda Samayelu, a male student from the BC-A caste studying for a M.Tech in computer science. Key details include his name, caste, family income of 48,000 rupees, bank account and Aadhaar details. He declares that he has not received any other scholarships and will abide by the terms of this scholarship.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views1 page

    Sam Apl PDF

    Uploaded by

    Varun Kumar
    This document is an application for a post-matric scholarship submitted by Mudigonda Samayelu, a male student from the BC-A caste studying for a M.Tech in computer science. Key details include his name, caste, family income of 48,000 rupees, bank account and Aadhaar details. He declares that he has not received any other scholarships and will abide by the terms of this scholarship.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    GovernmentofAndhraPradesh

    DepartmentofBackwardClasses
    StudentcopyofApplicationfor
    PostMatricScholarshipFresh201415

    1.ApplicationNo:201400076915

    2.ApplicationDate:02122014

    4.StudentName:MUDIGONDASAMAYELU

    3.Caste/SubCaste:BCA/Rajaka(Sl.No.5)
    5.Gender:Male

    6.Father/MotherName:MUDIGONDAVEERASWAMY
    7.Address&MobileNo:166,Penamaluru,Ganguru,Krishna&9642255078
    8.SSCHTNo:1303468

    9.PassYearPassType:2006Regular

    11.FamilyAnnualIncome(inRs.):48000

    10.DateofBirth:03071990

    12.CasteCertificateNo:CGC011400375210

    13.IncomeCertificateDetails:IC011400451900,,

    14.CollegeDetails:S.R.K.INSTITUTEOFTECHNOLOGYENIKEPADU(X4),VijayawadaRural,Krishna,PrivateCollege,JNTUNIVERSITY
    KAKINADA
    15.CourseName/CourseYear/DurationofCourse:M.TECH(COMPUTERSCIENCE)/IYr/2Yrs
    16.CollegeAdmissionNo/AdmissionDate(ofthisyear):14X41D5805/17112014

    17.Distance(inKms.):20

    18.ScholarshipType:DayScholar

    19.DAHName:

    20.BankName/IFSCCode:SBINPORANKI/SBIN0011101

    21.BankA/cNo:20132143393

    22.StudentUID(aadhar):335654141636

    23.FatherUID(aadhar):308438207538

    24.MotherUID(aadhar):435921637757

    25.StudentPANCardNo:No

    26.FatherPANCardNo:No

    27.MotherPANCardNo:No

    I.Declaration
    Iherebycertifythatthataboveinformationfurnishedistrue.Ihavenotavailedanyotherscholarshipforthispurposefromanyothersources.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
    scholarshipamountsclaimedandalsoamliableforactionbytheDepartment..

    Date:

    SignatureoftheStudent

    December2,201408:27:20PM

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