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DEPARTMENT OF TECHNICAL EDUCATION ,BANGALORE

ANNEXURE -1
COLLEGE NAME :
DATED:
SCHEME NAME : 1)SC/ST Students- Fee Concession
2)Defence Students-Scholarship
S
l
.
N
o

Reg.No

Student Name
And Mob.No

Sche
me
Name

Year
/
Cour
se
Stud
ying

COLLEGE PRINCIPAL SIGN AND SEAL

3)Pratibha Purashkar

Bank Name And Full Address

Present S.B
(Activated)
Account No

Bank
I.F.S.C
No.

Bank Micr
No.

Student
s
Cancelle
d
Cheque
Or Bank
Pass
Book
Front
Page
Xerox
Should
Be
Enclose
d
(Yes/No)

Remark
s

DEPARTMENT OF TECHNICAL EDUCATION ,BANGALORE


ANNEXURE -1
COLLEGE NAME :
DATED:
SCHEME NAME : 1)SC/ST Students- Fee Concession
2)Defence Students-Scholarship

S
l
.
N
o

Reg.No

Student Name
And Mob.No

Sche
me
Name

Year
/
Cour
se
Stud
ying

COLLEGE PRINCIPAL SIGN AND SEAL

3)Pratibha Purashkar

Bank Name And Full Address

Present S.B
(Activated)
Account No

Bank
I.F.S.C
No.

Bank Micr
No.

Student
s
Cancelle
d
Cheque
Or Bank
Pass
Book

Remark
s

DEPARTMENT OF TECHNICAL EDUCATION ,BANGALORE


ANNEXURE -1
COLLEGE NAME :
DATED:
SCHEME NAME : 1)SC/ST Students- Fee Concession
2)Defence Students-Scholarship

3)Pratibha Purashkar
Front
Page
Xerox
Should
Be
Enclose
d
(Yes/No)

COLLEGE PRINCIPAL SIGN AND SEAL

DEPARTMENT OF TECHNICAL EDUCATION ,BANGALORE


ANNEXURE -1
COLLEGE NAME :
DATED:
SCHEME NAME : 1)SC/ST Students- Fee Concession
2)Defence Students-Scholarship

COLLEGE PRINCIPAL SIGN AND SEAL

3)Pratibha Purashkar

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