Government of Punjab

State Scholarship Portal

Scholarship Application Form

Application Number : 1272776 Fresh Application Scheme : Post Matric Scholarship Scheme for SC

Personal Details

Name : Savita Gender : Female

Father's Name : Diwan chand Mother's Name : Kulwant

Annual Income : Rs.248000/- Date of Birth : 18/05/1995

Category : SC Religion : Hindu

Special Category : No Adhar (UID) No : 723161692248
De-Notified Tribes : No Tribes : N.A.

Academic Details
Institute : GURU NANAK DEV UNIVERSITY Tehsil / District : Amritsar (1) /Amritsar
Course : Business Administration / First Year Academic Year : 2016 - 17
Master in Business
Administration (MBA)
Hosteller : No 10th Class Details: Punjab School Education Board /2009-10
/78758

Enrollment : 2016MGB1095 Admission Date : 15/07/2016

Contact Details :
Correspondance Moh sant nager railway crossing navan Permanent Moh sant nager railway crossing
Address pind qadian, DISTRICT :- Gurdaspur , Address qadian, DISTRICT :- Gurdaspur ,
STATE :- Punjab , PIN CODE :- 143516 STATE :- Punjab , PIN CODE :-
143516

Contact Numbers : 7696245766 Email Address : chalhotrasav[AT]gmail

[DOT]com

Bank Details :
Bank Name STATE BANK OF INDIA Branch Name QADIAN, GURDASPUR

Branch Address DIST GURDASPUR, PUNJAB 100 Account Number 30663852890

Declaration
I, Savita S/o Diwan chand 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)

Generated by Scholarship Portal as on 9/15/2016