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NATIONAL SCHOLARSHIP PORTAL 2.0

REGISTRATION DETAILS
APPLICATION ID KA202122000971836 REGISTRATION DATE 29/10/2021
APPLIED FOR SCHEME AICTE – PRAGATI SCHOLARSHIP SCHEME FOR GIRL STUDENTS ( TECHNICAL DEGREE)
SCHOLARSHIP POST MATRIC/TOP
STATE OF DOMICILE KARNATAKA
CATEGORY CLASS/MCM
DATE OF BIRTH
NAME OF STUDENT LIPIKA V 14/04/2002
(DD/MM/YYYY)
GENDER FEMALE RELIGION HINDU
COMMUNITY/CATEGORY GENERAL FATHERS NAME VIJAYA
ANNUAL FAMILY
MOTHERS NAME VAGDEVI NS 40000
INCOME
AADHAR NUMBER XXXXXXXX0186 MOBILE NUMBER 8147305479
DAY
EMAIL ID LIPIKAVIJAY004@GMAIL.COM DAY SCHOLAR
SCHOLAR/HOSTELER
ACADEMIC DETAILS
SAMBHRAM INSTITUTE OF TECHNOLOGY, BANGALORE (ID: C-1424) (C-1424) AMBA
PRESENT INSTITUTE BHAVANI TEMPLE ROAD, M.S.PALYA, VIDYARANYAPURA POST,BANGALORE-560097,
BANGALOREBANGALORE URBAN, KARNATAKA
BACHELOR OF
PRESENT CLASS/COURSE ENGINEERING(INFORMATION CLASS START DATE 02/09/2021
TECHNOLOGY) - 4 YEARS
ROLL NO SECTION
PRESENT YEAR 2 MODE OF STUDY REGULAR/FULL TIME
CENTRAL BOARD OF SECONDARY
PREVIOUS BOARD/UNIVERSITY NAME
EDUCATION(CBSE)
PREVIOUS HSC/INTERMEDIATE PREVIOUS PASSING
2020
CLASS/COURSE NAME [12TH]/EQUIVALENT YEAR
10TH CLASS ROLL
PREVIOUS CLASS(%) 62 4061415
NO.
CENTRAL BOARD OF
10TH CLASS PASSING 10TH CLASS BOARD
2018 SECONDARY
YEAR NAME
EDUCATION(CBSE)
12TH CLASS PASSING
12TH CLASS ROLL NO. 0
YEAR
12TH CLASS BOARD NAME
COMPETITIVE EXAM EXAM CONDUCTED
QUALIFIED BY
COMPETITIVE EXAM COMPETITIVE EXAM
0
ROLL NO YEAR
BASIC DETAILS
IS ORPHAN NO IS DISABLED NO
PERCENTAGE OF
TYPE OF DISABILITY - -
DISABILITY
PARENTS
MARITAL STATUS UN MARRIED OTHERS
PROFESSION
BANK ACCOUNT
IFSC CODE SBIN0040257 40061670272
NUMBER
CONTACT DETAILS
STATE KARNATAKA HOME DISTRICT BANGALORE URBAN
BLOCK BANGALORE NORTH
ADDRESS #60 5TH CROSS PIN CODE 560096

SIGNATURE OF CANDIDATE
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SIGNATURE OF HEAD OF
SCHOOL/INSTITUTE/COLLEGE WITH STAMP
** ACCOUNT DETAILS MUST BE ENTERED CORRECT. NO MODIFICATION WILL BE ALLOWED AFTER THE
FINAL SUBMISSION OF APPLICATION.
*** STUDENTS ARE ADVISED TO SUBMIT ONLY ONE APPLICATION FORM. IF NSP FINDS MORE THAN ONE
APPLICATION ( IN FRESH OR RENEWAL CATEGORY) OF A STUDENT, THEN ALL THE APPLICATIONS
SUBMITTED BY THE STUDENT WILL BE CONSIDERED AS DUPLICATE AND WILL BE REJECTED.
****
AADHAR NUMBER PROVIDED BY YOU, WILL BE AUTHENTICATED BY UIDAI AND MAY BE USED FOR
PAYMENT OF SCHOLARSHIP THROUGH AADHAR PAYMENT BRIDGE(APB).
***** FOR ANY QUERY/
GRIEVANCE/ RTI, PLEASE CONTACT SCHOLARSHIP MINISTRY/DEPARTMENT/STATE.

FROM ACADEMIC YEAR 2020-21, FEES OF THE STUDENTS WILL BE ENTERED DIRECTLY BY THE INSTITUTE

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