| Std. | Student's Full Name | Resindencial Address | G.R., Cast, SubcastReligion as School Register | Parent's Income(With Allowances) | Parent's occupation/kind of work/Occupation kind in economic backward | Does student live in govt. or any other hostel? (name of hostel) | Does land of farming? If yes state simant or small farmer or farm worker | Pass or fail in last annual examination on(If fail state how many times) | Marks/percentage obtail in annual examination | Student Student Present Percentage | Ammount for compulsary fees to get | Edu. Fee | To get amount of scholarship | Total Amount of scholarship | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marks/From | Percentage | Term fee(Both term) | Entrence Fee | Exam fee with mark sheet fee | Lib. fee/Lab. fee | ||||||||||||||
| Certificate: |
This is to certify that above detail mentain from school record and documents.
This student don't get any scheme and not apply for any exeption and not apply for any scholarship. |
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| Educational facilities are granted as follows: | Eduction Fee Rs. | ||||||||||||||||||
| Exam Fee Rs. | Other Fee Rs. | ||||||||||||||||||
| Scholarship Fee Rs. | Total Rs. | ||||||||||||||||||
| PLACE: DATE: |
Principal Sign and Stamp | ||||||||||||||||||