13/9/2014 PostMatric

http://117.239.22.109:9001/PostMatricScholarship_Online/FinalView/?keyid=235028&pdf=0# 1/2
Application form for Post Matric Scholarship
Applicant Detail Applicant No.: PM151423502476190 (Session: )
Correspondence Address
Permanent Address
Education Detail (Description of the previous examination)
Name and Description of the present Institution
Name of the class/Course for which the scholarship is demanded
Scholarship Details
Fees Details
Details of compulsory fees and other respective expences of the present session
Description of the Bank of the College
Description of the Bank of the Student
Certificate Upload
BACKWARD CLASSES AND EXTREMELY BACKWARD CLASSES WELFARE DEPARTMENT
(GOVERNMENT OF BIHAR)
(New/Renewal) : New Applicant Name : NIKHIL KUMAR
Date Of Birth : 16-Jan-1997 Name of father/Guardian: ARUN PRASAD MANDAL
Age: 17 Marital Status : Unmarried
Nationality : Indian Gender : Male
Email Id : Mobile No. : 8873353667
Caste Category : Extremely Backward Class Sub Caste : Gangota
Guardian Annual Income : 60000
Address : VILLAGE-PARBATTA,PO-SAHU PARBATTA,PS-ISMILPUR,DIST-BHAGALPUR.BIHAR
Pincode No : 853204
Rural/Urban : Rural State : Bihar
District : Bhagalpur Circle / Block : Ismilpur
Address : VILLAGE-PARBATTA,PO-SAHU PARBATTA,PS-ISMILPUR,DIST-BHAGALPUR.BIHAR
Pincode No : 853204
# Course Name University Name/Recognized By Passing Year Total Marks Marks Obtained Division Mark(%)
1 Diploma Sri ganganager polytechnic collage 2014 1350 757 2 56.07
State : Rajasthan District : Ganganagar
University Name/Recognized By: TANTIA UNIVERSITY Institute/College Name: sri ganganagar polytechnic college
Address:
SRI GANGANAGAR POLYTECHNIC
COLLEGE,RIICO,SRI GANGANAGAR
Institute Type: Private
Pincode: 335002
Institute Contact No: 1542494124 Institute Email id: spc.sgnr@gmail.com
Date of Admission : 08/12/2014
Name of the course : diploma Period of the Course : 3
Session of class/Course: 2014 Present Year of Study: 2nd Year
Has the applicant got scholarship in previous year under this scheme : No
If yes, the year of sanction of the scholarship :
Amount of the Scholarship :
Name of the office/officer who sanctioned the scholarship :
Address of the office/officer who sanctioned the scholarship :
Is applicant getting any other scholarship ? : No
Is applicant`s brother/sister getting any other scholarship ? : No
If Yes, How many brother/sister getting scholarship ? :
Name of the Institute who is providing scholarship ? :
# Particular Rate Amount paid Remarks
1 Tution fees 38000 38000 tution fee
2 Non Refundable Compulsory fees 41500 41500 examination,hostel fee
Total: 79500
Name of the Bank : Oriental Bank Of Commerce IFSC Code of the Bank : ORBC0100070
Account Number: 00705011001458 Name of the Account Holder: sriganganagar polytechnic college
Name of the Bank : Oriental Bank Of Commerce IFSC Code of the Bank : ORBC0100070
Account Number: 20152191000759 Name of the Account Holder: Nikhil kumar
# Document Type Issue/Sr. Number Issuing Authority Date Of Issue
1 Cast Certificate 511 bdo 03/09/2011
2 Certificate Of Fee Structure spc/2014/2056 tantia university 09/10/2014
3 Declaration of parent na parent 08/30/2014
4 Hostel Accomodation Certificate 407 shri nath boys hostel 08/01/2014
5 Income Certificate 040276221031400033 bdo 05/25/2014
6 Institution's Recognisation Certificate 1-201728284/2014/eoa aicte 03/11/2014
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13/9/2014 PostMatric
http://117.239.22.109:9001/PostMatricScholarship_Online/FinalView/?keyid=235028&pdf=0# 2/2
9/14/2014 7:29:06 AM
7 Last Passed Examination Marksheet 11007me1395 tantia university 07/07/2014
8 Resident Certificate 476 bdo 03/09/2011
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Applicant No.: PM151423502476190
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