Gender:
Email:
Father’s Occupation:
Mother’s Occupation:
Name Of College/School:
Are you in class 1st to 12th?:
Class:
Session:
Admission No.:
Bank Account Number:
IFSC Code:
PAN Number:
Bank Name:
Bank Branch Address:
Passport Size Photograph
Date of Birth Certificate
Domicile Certificate
Bank Passbook (Front Page)
SC Certificate
Income Certificate
Yearly Passing Certificate
i. It is certified that the Scholarship has not been received by me on account of the above mentioned achievements earlier under this scheme.
ii. It is certified that I have not applied for sports scholarship from SAI or Central Govt. or any other Agency on account of these achievements.
iii. If Information / documents supplied by me are found to be false, incorrect or forged I shall be liable for criminal action in terms of the provisions of the Indian Penal Code.
iv. Self Attested copy of my sports achievements, Date of Birth, Bank Passbook, Domicile Certificate, SC Certificate, Parivar Pehchan Patra and Income Certificate have been enclosed. (SC Certificate & Income Certificate are to be submitted by SC Students Only).
