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Consolidated Stipend and Free Books Scheme For

SC
Government of Haryana
Application Form for Scholarship - 2022-23
Student Name HIMANSHU

Father Name JAGDISH

Mother Name DEEPA

Caste SC

Date of Birth 16/02/2004

College NRS GC Rohtak, Rohtak

Application Reference ID 806125

Family Id (PPP) 9HNH6550 Member ID (PPP) ELJY5090

Aadhar No 581111165504 Gender M

Mobile No. 8957761342 Email Id

House No. 1134/25 Street No.

Landmark ROHTAK District ROHTAK

PIN 124001 Family Income 100000

Is BPL N BPL Card No. (If any)

Course Bachelor of Science (B.Sc.) - Course Year II


Computer Science
College Roll No. 1211271015089 University No. NA

Admission Date 10/08/2022 Area Type Rural

Boarding Type DayScholar Quota

Is Divyang N Fresh / Renewal


Course Type Course Category Group 3
Is Lateral Entry Applied On 04/11/2022

I hereby agree to the below statements:


1. I agree that my application is liable to be rejected if I have provided wrong Aadhaar number or Aadhaar number of someone
else͛s.
2. I agree that if more than one application is found to be made on-line, all my applications are liable to be rejected.
3. I agree that for any wrong entry or mis-match of the Aadhar Linking with Bank Account, I will be responsible for that.
4. I agree that as per the Item 35 of Chapter VII of Aadhaar (Targeted delivery of financial and other subsidies, benefits and
services) ACT, 2016, if a person enter Aadhaar number of any other person and attempt to impersonate another person,
dead or alive, real or imaginary, he/she shall be punishable with imprisonment for a term which may extend to three years
and shall also be liable to a fine which may extend to ten thousand rupees.
5. I have linked my Aadhar with my Bank Account Number and also it is seeded in NPCI mapper. Click here for Aadhar
Seeding Process.
6. I have read and understood the conditions of award of Scholarship.

11/4/2022 12:51:36 PM Report Generated from: Centralized Scholarship Portal Haryana

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