Name :

Father's Name :
Gurcharan singh Mother's Name :
Narinder kaur
Date of Birth :
06/01/1994
Gender :
Permanent
Address
Correspondance
Address
Category : Religion :
Male
SC
Sikhism
Contact Numbers :
Village Gudana P O Gige majra,
DISTRICT :- SAS Nagar , STATE :-
Punjab , PIN CODE :- 140307
Village Gudana P O Gige majra,
DISTRICT :- SAS Nagar , STATE :-
Punjab , PIN CODE :- 140307
Email Address :
pritpalsingh0606[AT]
gmail[DOT]com
Upkar Singh
Special Category : No
Institute : Tehsil / District :
Course : B.Tech / Electrical
Engineering (Leet)
First Year Academic Year :
Annual Income : Rs.108000/-
SUS college of Engg and Tech
Tangori
SAS Nagar /SAS Nagar
2014 - 2015
Hosteller : No 10th Class Details: Punjab School Education Board /2009-10
/722268
Enrollment : Admission Date : 12/08/2014
Personal Details
Academic Details
Contact Details :
Bank Details :
Bank Name
Branch Address
Branch Name
Account Number
PUNJAB NATIONAL BANK
NEFT NODAL BRANCH
PGB RRB , KAPURTHALA
NEFT CENTRALIZED PROCESSING
CENTRE FOR PUNJAB GRAMIN
BANK, JALANDHAR ROAD
KAPURTHALA PIN 144601
86291700009262
Declaration
I, Upkar Singh S/o Gurcharan singh hereby declare that the information given in the application form is true as per my
knowledge and belief. I also undertake that if, at any stage, it is found to the satisfaction of the sanctioning authority that
the information given by me is false, the entire amount of scholarship will be recovered from me, apart from such penal
action as warranted by law.

(Signature)
1423605
Adhar (UID) No : 892856907502
9781680606
No De-Notified Tribes : N.A. Tribes :
Generated by Scholarship Portal as on 9/9/2014
Government of Punjab
State Scholarship Portal
Scholarship Application Form
Application Number : 815108

Scheme : Post Matric Scholarship Scheme for SC Fresh Application
Generated by Scholarship Portal as on 9/9/2014
Government of Punjab
State Scholarship Portal
Scholarship Application Form
Application Number : 815108

Scheme : Post Matric Scholarship Scheme for SC Fresh Application