Professional Documents
Culture Documents
Application Form FOR THE SESSION 2016-2017 (Use Capital Letters)
Application Form FOR THE SESSION 2016-2017 (Use Capital Letters)
Application Form FOR THE SESSION 2016-2017 (Use Capital Letters)
Applicants Signature
Basic Sciences
Management
Physics
Electronics
Textile
Chemistry
Math
Food
Medicinal and
Cosmetic Herbs
Computing
Molecular
biology/genetic
engineering
Economics
Cluster
Development
Big Data
Health Care
Community Health
Statistics
Epidemiology
engineering
Peace and Conflict
Studies
Clinical research
Biostatistics
3 Date of Admission for study program as per (2) above _______ (b)
subjects____________
4.Purpose for which the loan is required for current year of study program.
a. University Fee Rs. __________b. Boarding Fee Rs. _____________c. Text Books
______________
5. State the detail of examination passed from Matriculation and onward.
Name of
Examination
Name of
board
Passing
year
Marks
Total
Division/Grade
Obtained
I have fully read and understood the rules and regulations governing the Student
Loan Scheme, and do hereby undertake to abide by them and to repay the loan in
accordance with the terms and conditions prescribed by the competent authority
Date _______________
(SIGNATURE OF
APPLICANT)
IMPORTANT INSTRUCTIONS
i)
Application Form will not be entertained if the same is not properly & duly filled in and
found missing therewith the following documents.
ii)
iii) Attested photocopies of Fee Challan raised/demanded by the Educational Institution and
Boarding expenses (excluding meal charges)
iv) Income certificate from the employer i.e. Government/
service
f.