Annexure-1 - Declaration by Student (Revised On 13.09.2016)

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Annexure - I

PMS SCHEME FOR SC/BC STUDENTS


Declaration by the Student
I,________________________ S/O or D/O

_________________________________, a resident of

________________________________________________________________________________________,
a

student

of

(College)

_________________________________________________________________studying

in

__________Course, Semester, Branch and Session (M/E)_________________________ , under


university Roll No. _________________and belonging to ________________________Category as
per Govt. Of Punjab.
I hereby declare that
(i)

The information given above is correct.

(ii)

I am not availing any other scholarship for this purpose from any other Central
Govt. / State Govt. sources.

(iii)

I shall abide by the terms and conditions for sanction of Post Matric Scholarship
Scheme for SC/BC students.

(iv)

I have uploaded the desired documents in support of my claim.

(v)

I am well aware that if I do not complete my course and / or leave my study in


between, I shall be liable to return the entire Scholarship amount of scholarship
availed by me.

(vi)

I am also aware that the minimum requirement of attendance to avail Post


Matric Scholarship is 75%.

(vii)

I undertake that if at any stage, it is found to the satisfaction of the sanctioning


authority that the information given by me is false or if I violate the terms and
conditions of the scholarship, the scholarship sanctioned to me, may be
cancelled and the entire amount of scholarship will be refunded by me or
recovered from me, apart from the liability for such penal action as warranted
by the law.
Date:
candidate

Name

&Signature

of

the

For 2016 Batch Students Only, Please fill the details & sign below:
(viii)

I registered myself Online on the university Web Portal for Admission in 2016-17
Session on date __________ vide Receipt no. / Application No. ___________.

Date:
candidate

Name

&Signature

of

the

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