GOVERNMENT OF KARNATAKA

DEPARTMENT OF SOCIAL WELFARE

ONLINE ACKNOWLEDGEMENT FOR PRIZE MONEY
APPLICANT NO. :1819P1030100692
APPLIED ON :07/07/2018
APPLICANT NAME. :BASAMMA KANNI

FATHER NAME NINGAPPA

MOTHER NAME IRAMMA
DATE OF BIRTH 07/06/2000
GENDER FEMALE
SSLC REGISTRATION NO. & PASSED YEAR 20160502958, 2016
CASTE & SUBCASTE SC: SAMAGARA
FAMILY INCOME (in Rs.) 14000
PERMANENT ADDRESS BASAMMA KANNI D/O NIGAPPA KANNI ATPOST AHERI
.DIS.BIJAPUR TQ BIJAPUR 586112

E-MAIL ADDRESS
MOBILE NO. 9972611710
SOCIAL/TRIBAL WELFARE SCHOLARSHIP ID NO.
HANDICAPPED DETAILS --
NAME AND ADDRESS OF THE COLLEGE BDE`S GIRLS PU COLLEGE BIJAPUR

EXAM ROLL/REG. COMBINATION/SUBJECTS/ ACADEMIC TOTAL OBTAINED

COURSE %
NO. SPECIALIZATION YEAR MARKS MARKS
P.U.C 230457 ARTS 1718 600 419.00 69.83

CANDIDATE BANK DETAILS

ACCOUNT HOLDER NAME BASAMMA NIGAPPA KANNI
ACCOUNT NO. 103401111003322
BANK NAME VIJAYA BANK
BRANCH NAME BIJAPUR,KARNATAKA
IFSC CODE VIJB0001034
11-Oct-2018 10:42 AM
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details of the above student are correct according to the college records and the need for the first time to
pass the first rank, the required document (the course final year marksheet and caste certificate) are
sent to District Social Welfare Officers,BIJAPUR

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(Head of signatures and sealed)