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DATA CAPTURING SYSTEM FOR STATUTORY COMPLIANCES

[The data collected will be used for statutory purposes and will not be disclosed otherwise]
Reg No. :   Course :
Name : Institution:
Date of Birth :    Gender:
Religion : Caste :
Category : Sub category:
State of domicile :
Physically challenged :
Scholarship details :
If Others' Specify :   (eg. Son/Daughter of bank employee, railway employee etc.)
Fresh/Renewal :
Amount received(of prev. year) :
If Yes enter details:   Rs.           Month & year of amount received :  
Economically backward :
        (Select the Parents’ annual income - lakhs per year)
         
     Note  :  All fields are mandatory and information can not be modified once it is submitted.
    
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief.
   
 
   
   
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