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Dr B R AMBEDKAR NATIONAL INSTITUTE OF TECHNOLOGY

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G T Road Bye Pass, Jalandhar-144011(Punjab) India
Ref.No./NITJ/ Dated………..

CERTIFICATE TO BE FURNISHED AT THE TIME OF RECEIPT OF SCHOLARSHIP

It is certified that:-

1. I am not in receipt of any scholarship/ financial assistance from any source other than
(Write the name of scholarship source________________________________.

2. I had stayed/ I am staying in the Institute hostel (during the year_________or the period
from_____________ to ____________) for which the scholarship is being claimed. The
above period/ duration has duly been verified by the hostel staff.

3. I am regular in my studies and maintaining satisfactory progress report.

4. I am receiving______________year’s scholarship.

(The following bank details to be filled by the student is mandatory)

(Attach photocopy of first page of bank pass book)

Student’s Bank Account

Number
IFSC Code No.

Name of the Bank

Name of Bank Branch,

District, State

Signature of student
Mobile No.

CERTIFICATE FROM HEAD OF THE DEPARTMENT

It is certified that Mr./Ms.____________________________ Roll No._________________

is a bonafide student of the Institute and is presently studying in B Tech____________

Branch________year. His/ Her attendance was above______% throught the_________

semester and his/ her conduct is good.

Head of the Department