11/17/21, 7:23 PM

Government of Telangana

Department of Backward Classes

Student Application cum Verification Report for

Post-Matric Scholarship
Fresh
2021-22

1. Application No:
2021 1168 0043 2. Application Date:
17-11-2021 3. Caste / Sub Caste:
BC-D / Mudiraj(Sl.No.-19)  
4. Student Name :
NEELA DURGA PRASAD 5. Gender :
Male
6. Father / Mother Name :
NEELA SAILU
7. Address & Mobile No :
1-94 ,Nizamsagar , Komalancha ,KAMAREDDY & xxxxxx8077
8. SSC HT No :
1805112361 9. Pass Year -Pass Type :
2018-Regular 10. Date of Birth:
12-02-2003
11.Family Annual Income (in Rs.):
95000 12. UID(aadhar) :
xxxxxxxx3233
13. Income Certificate Details: IC022127451612
,,
14.College Details :
NIZAM DEGREE COLLEGE (Autonomous)OU BASHEERBAGH , Musheerabad,Hyderabad , University College
,NIZAM COLLEGE AUTONOMUS
15. Course Name /Course Year /Duration of
Course :
B.Com(General) / II Yr / 3Yrs 
16. College Admission No / Admission
Date(of this year):
100920141008 / 04-09-2021 17. Distance (in Kms.) :
150
18. Scholarship Type :
Day Scholar 19. DAH Name :
-

I.Declaration
                I hereby
certify that that above information furnished is true. I have
not availed any other scholarship for this purpose from any
other
sources. I shall abide by the terms and conditions of
the sanction of the scholarship. If any discrepancies are
found later, I hereby abide for refund
of the scholarship
amounts claimedand also am liable for action by the
Department. .
   
Signature of the Student
    Date :
            
 

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