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Application Form for Pre and Post Matric Scholarship

A.P.STATE MINORITIES FINANCE CORPORATION LIMITED

5-4-454/A, LATEEF COMPLEX, NAMPALLY STATION ROAD , HYD.

APPLICATION FOR PRE-MATRIC/POST MATRIC SCHOLORSHIP

FOR MINORITIES

 

1.   Name of the Student                                :__________________________________

      (as entered in SSC Certificate or equivalent examination/School Records)

2.   Father / Guardian’s Name                       :__________________________________

      (if Father is not alive)

3.   Date of Birth                                            :_________________________________

      (as for S.S.C/ equivalent Examination Certificate/School Records)

4.   Registered No. of S.S.C or Lower Class:

      a) Equivalent Examination                      : _________________________________

      b) Month & Year of Passing                   : ________________________________

      S.S.C & Lower Class

5.   Sex (M/F)                                                :__________________________________

6.   Religion                                                    :__________________________________

7.   Group                                                        :__________________________________

8.   Present postal address of the Student

      a) House No.                                            :__________________________________

      b) Village / street                                     :__________________________________

      c) Town/Mandal                                       :__________________________________

      d) District                                                 :__________________________________

9.   Previous course of Study                         :__________________________________

10. Percentage of Marks obtained in           :__________________________________

      previous year (Class)

11. Name of the Educational Institution       :__________________________________

      where He / She studied Last

12. Present Course of Study Class/Year      :__________________________________

13. Name of the Educational Institution       :__________________________________

      Where He/She is admitted

14. Date of Admission in the College/          :__________________________________

      School

15. Distance between the place of                :__________________________________

      residence and place of study


 

 

16. Annual Tuition Fee                                  :Rs________________________________

17. Annual Special Fee                                  :Rs________________________________

18. Examination Fee                                      :Rs________________________________

19. Other Non-refundable Fee                      : Rs________________________________

20. Total Fee                                                  : Rs ________________________________

21. Date of admission in the attached           :__________________________________

      Hostel

22. Date of admission in student Managed  :__________________________________

      Hostel

23. Residing in Town                                     :__________________________________

24. Mention details of any other

      Scholarship being received

 

I hereby affirm that the above details are correct and true and that I will be liable for prosecution if any information furnished above is found incorrect/false.

 

Signature of the Applicant.

 

 

 

 

Signature of Parent/Guardian.

 

Certified that the above details have been verified and found true as per our record and if any information furnished is found wrong, we will be held responsible and liable for action as per rules.

 

 

 

Signature of the Warden of the

Hostel with Stamp.

 

 

 

 

 

Signature of the Head of the

Institution And seal

of the Institution.