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Government of Telangana

Department of Backward Classes

Student Application cum Verification Report for

Post-Matric Scholarship Fresh 2023-24

1. Application No: 2023 1276 8783 2. Application Date: 30-12-2023 3. Caste / Sub Caste: BC-A / Vaddelu(Sl.No.-37)
4. Student Name : GOVULA ASHOK 5. Gender : Male
G NAGAIAH
6. Father / Mother Name :
7. Address & Mobile No : SANIGINENIPALLY ,Weepanagandla , Sanginepalle ,WANAPARTHY & xxxxxx1588
8. SSC HT No : 2327600804 9. Pass Year -Pass Type : 2023-Regular 10. Date of Birth: 27-01-2008
11.Family Annual Income (in Rs.): 95000 12. UID(aadhar) : xxxxxxxx4417
13. Income Certificate Details: IC022337651492
,,
14.College Details : GOVT JR COLLEGE VEEPANA GANDLA , Weepanagandla,Wanaparthy , Government College ,BOARD OF
INTERMEDIATE EDUCATION
15. Course Name /Course Year /Duration of Course : INTER (CEC) / I Yr / 2Yrs
16. College Admission No / Admission Date(of this year): 3667 / 29-08-2023 17. Distance (in Kms.) : 5
18. Scholarship Type : Day Scholar 19. DAH Name : -
20. Bank Name / IFSC Code: -PENTLAVALLI /UBIN0804177 21. Bank A/c No : 041712010001577
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 :

1 of 1 12/30/2023, 9:09 PM