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NATIONAL SCHOLARSHIP PORTAL 2.0

REGISTRATION DETAILS
APPLICATION ID UP201920007684992 RENEWAL DATE 26/11/2021
APPLIED FOR SCHEME MERIT-CUM-MEANS SCHOLARSHIP FOR PROFESSIONAL AND TECHNICAL COURSES CS
SCHOLARSHIP POST MATRIC/TOP
STATE OF DOMICILE UTTAR PRADESH
CATEGORY CLASS/MCM
DATE OF BIRTH
NAME OF STUDENT ANNAJMUSSAQUIB KHAN 21/11/1998
(DD/MM/YYYY)
GENDER MALE RELIGION MUSLIM
COMMUNITY/CATEGORY GENERAL FATHERS NAME MOHD IBRAR KHAN
ANNUAL FAMILY
MOTHERS NAME JUBAIDA KAUSAR FALAHI 36000
INCOME
AADHAR NUMBER XXXXXXXX4811 MOBILE NUMBER 7880539033
DAY
EMAIL ID ANNAJMUSSAQUIB123@GMAIL.COM HOSTELER
SCHOLAR/HOSTELER
ACADEMIC DETAILS
SECAB INSTITUTE OF ENGG. TECHNOLOGY, BIJAPUR (C-1397) NAURASPUR, BAGALKOT
PRESENT INSTITUTE
ROAD, BIJAPUR-586101, BIJAPUR-KARNATAKABIJAPUR, KARNATAKA
BACHELOR OF
PRESENT CLASS/COURSE ENGINEERING(COMPUTER SCIENCE CLASS START DATE 01/10/2021
& ENGINEERING)
ROLL NO 6 SECTION A
PRESENT YEAR 3 MODE OF STUDY REGULAR/FULL TIME
PREVIOUS BOARD/UNIVERSITY NAME
BACHELOR OF
PREVIOUS PREVIOUS PASSING
ENGINEERING(COMPUTER SCIENCE 2
CLASS/COURSE NAME YEAR
& ENGINEERING)
10TH CLASS ROLL
PREVIOUS CLASS(%) PASSED 0494848P
NO.
BOARD OF HIGH SCHOOL
10TH CLASS PASSING 10TH CLASS BOARD AND INTERMEDIATE
2015
YEAR NAME EDUCATION UTTAR
PRADESH , ALLAHABAD
12TH CLASS PASSING
12TH CLASS ROLL NO. 1671852 2017
YEAR
BOARD OF HIGH SCHOOL AND INTERMEDIATE
12TH CLASS BOARD NAME
EDUCATION UTTAR PRADESH , ALLAHABAD
BASIC DETAILS
IS ORPHAN NO IS DISABLED NO
PERCENTAGE OF
TYPE OF DISABILITY - -
DISABILITY
MARITAL STATUS UN MARRIED
BANK ACCOUNT
IFSC CODE SBIN0002521 38230150010
NUMBER
CONTACT DETAILS
STATE UTTAR PRADESH DISTRICT SIDDHARTH NAGAR
BLOCK SHOHRATGARH
AT GRAM MISHRAULIYA POST
ADDRESS DHEKHARI TQ SHOHRATGARH DIST PIN CODE 272201
SIDDHARTH NAGAR

SIGNATURE OF HEAD OF
SIGNATURE OF CANDIDATE
SCHOOL/INSTITUTE/COLLEGE WITH STAMP
FROM ACADEMIC YEAR 2020-21, FEES OF THE STUDENTS WILL BE ENTERED DIRECTLY BY THE INSTITUTE
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