Pre Matric Scholarships
Pre Matric Scholarships
Pre Matric Scholarships
Id No:
7.Date of Birth :
(as per School Record)
b) If Yes : % of Disability
13. i) Occupation
a) Father ______________ b) Mother___________ c) Guardian________
b) Class _______________
c) Private (Recognized)
a) Widow (Yes/No)
(Certificate by Municipality/Gram Panchyat/Tahsildar)
b) Divorcee (Yes/No)
(Talaknama/Court Decree/Any Documentary evidence)
I hereby affirm that the above details are correct & true and that I will be
liable for prosecution if any information furnished above is found incorrect/False.
Signature of the Applicant. Signature of the Parent.
CERTIFICATE
Certified that the above details have been verified and found true as per
our records and if any information furnished is found wrong, we will be held
responsible and liable for action as per rules.
Income Certificate
(To be certified by Tahasildar)
This is to certify that Master / Kum. ___________________________
S/o. D/o _____________________________ Resident of _______________
Village ___________________ Mandal ________________________District.
His/Her Parent /Guardian’s income is Rs. ___________________ per annum
and belongs to __________ Community.
DMWO/E.D