HANS RAJ COLLEGE: DELHI

Application form for Scholarship/Fee Concession (Session: 2022-2023)

Last Date of Submission: 3rd December, 2022

Name of the Student: __________________________________________, Course: ______________________________________________

Year: _______ (I/II/III), Roll No.: ____________, Gender: ________, Father’s Name: _______________________________________
Email Id: ________________________________________________________________, Mobile: ______________________________________
Residential address: _______________________________________________________________________________________________
1. Academic Record from Higher Secondary onwards:
Sr. No. Exams. Passed University/Board Marks %age Main Subject
1. 10th
2. 12th
3. Graduation

(Note: Attach Attested Copies of the Marks-Statements)

2. Whether cleared all the papers of last Examinations: ________________________________________

3. Whether availed Fee-Concession earlier? (Mentioned Year): _________________________________
4. Whether getting any scholarship or financial assistance from any other source.
If yes, give details _________________________________________________________________
5. Provide Family Income Details:-
Sr. No. Relation to Name Age Occupation Income Highest
Candidate (Monthly) Qualification)
1. Father
2. Mother
3. Guardian
4. (i) Self
(ii) Brother
(iii) Sister
(iv)

6. Whether living in Govt. accommodation/own house/rented house.

If living in a rented house how much rent is paid (Monthly): ________________________________________________

All the above information is true to the best of my knowledge and if any information is found to be
untrue, my scholarship is liable to be cancelled.
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______________________________________________ _____________________________
Signature of Father/Mother/Guardian Signature of the Student
Note:
1. No application will be entertained after last date of submission (this is also application to students of
Sports/ECA Quota)
2. Income certified should be issued by First Class Magistrate/Parents Office for academic year 2022-23.