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Prime Minister Scholarship Scheme Academic Year 2013-14 Serial Candidate Name No Gender D.O.

B RSB Name House Street No., Colony Name/Hous and Village e No . Tehsil , Mandal District & Post

XYZ

19.10.1987 Kerala

217

Gali No-4, Zebra Street

Delhi Gate

East Delhi

Prime Minister Scholarship Scheme Academic Year 2013-14 State Pin Code Candidate Candidate Contact No. Email ID Cate Name of gory ESM Service Rank Type of Name of No. Service Course / MEQ % of Pursuing Marks Course in MEQ

FOR EXAMPLE
Delhi 110006 9898989898 arshit@gmaii.com 6 ABC ******** Hav Army 12th 81.90% B Tech

Prime Minister Scholarship Scheme Academic Year 2013-14 Course Duration (In year) Course Name of College Commence ment College Address College Recog. Bank Name Account Number ESM Certificate Attach (Yes/No)

2013

Army Institute of Technology

Dighi Hill, Pune-410065

AICTE

SBI

3232323666

Yes

Prime Minister Scholarship Scheme Academic Year 2013-14 Bonafide Certificate from College Attach (Yes/No) Remarks

Yes

Eligible

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