The document is a student's registration form for renewal of their national scholarship. It contains the student's personal details like name, date of birth, gender, community, parents' names, annual family income, contact details. It also contains academic details of the student like the name of their present and previous institutes, courses enrolled in, years of passing, scores. The format collects details required to process the scholarship renewal application for the named student.
The document is a student's registration form for renewal of their national scholarship. It contains the student's personal details like name, date of birth, gender, community, parents' names, annual family income, contact details. It also contains academic details of the student like the name of their present and previous institutes, courses enrolled in, years of passing, scores. The format collects details required to process the scholarship renewal application for the named student.
The document is a student's registration form for renewal of their national scholarship. It contains the student's personal details like name, date of birth, gender, community, parents' names, annual family income, contact details. It also contains academic details of the student like the name of their present and previous institutes, courses enrolled in, years of passing, scores. The format collects details required to process the scholarship renewal application for the named student.
REGISTRATION DETAILS APPLICATION ID CT202223005634718 RENEWAL DATE 28/12/2023 CENTRAL SECTOR SCHEME OF SCHOLARSHIPS FOR COLLEGE AND UNIVERSITY APPLIED FOR SCHEME STUDENTS SCHOLARSHIP POST MATRIC/TOP STATE OF DOMICILE CHHATTISGARH CATEGORY CLASS/MCM DATE OF BIRTH NAME OF STUDENT VARUN JOGI 31/10/2004 (DD/MM/YYYY) GENDER MALE RELIGION HINDU COMMUNITY/CATEGORY SC FATHERS NAME ASHOK JOGI ANNUAL FAMILY MOTHERS NAME VIDYA JOGI 80000 INCOME AADHAR NUMBER XXXXXXXX1443 MOBILE NUMBER 8839955683 DAY EMAIL ID VARUNN3110@GMAIL.COM DAY SCHOLAR SCHOLAR/HOSTELER ACADEMIC DETAILS PRESENT INSTITUTE PRESENT CLASS/COURSE CLASS START DATE 27/10/2023 ROLL NO 22103166 SECTION PRESENT YEAR 2 MODE OF STUDY REGULAR/FULL TIME CENTRAL BOARD OF SECONDARY PREVIOUS BOARD/UNIVERSITY NAME EDUCATION(CBSE) PREVIOUS CLASS/COURSE BACHELOR OF PREVIOUS PASSING 1 NAME SCIENCE(CHEMISTRY) YEAR PREVIOUS CLASS(%) 80 10TH CLASS ROLL NO. 12196596 CENTRAL BOARD OF 10TH CLASS PASSING 10TH CLASS BOARD 2020 SECONDARY YEAR NAME EDUCATION(CBSE) 12TH CLASS PASSING 12TH CLASS ROLL NO. 12626854 2022 YEAR CENTRAL BOARD OF SECONDARY 12TH CLASS BOARD NAME EDUCATION(CBSE) BASIC DETAILS IS ORPHAN NO IS DISABLED NO PERCENTAGE OF TYPE OF DISABILITY - - DISABILITY MARITAL STATUS UN MARRIED BANK ACCOUNT IFSC CODE PSIB0021532 15321000002379 NUMBER CONTACT DETAILS STATE CHHATTISGARH DISTRICT RAJNANDAGON BLOCK WARD NO. 43, BASANTPUR ADDRESS PIN CODE 491441 RAJNANDGAON CHHATTISGARH
SIGNATURE OF HEAD OF SCHOOL/INSTITUTE
SIGNATURE OF CANDIDATE /COLLEGE WITH STAMP FROM ACADEMIC YEAR 2020-21, FEES OF THE STUDENTS WILL BE ENTERED DIRECTLY BY THE INSTITUTE