Kalyan: Welfare Department, Govt. of Jharkhand

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SUCHITRAKUJUR

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eKALYAN
Welfare Department,Govt. of Jharkhand
Post Matric(Within the State) Print Application
ApplicationNo.:

WS/1415/ST/1/207/223/128092

ScholarshipApplied:

PostMatric(WithintheState)

AcademicYear:

201415

StudentDetails:
Fresh/Renewal:
NameOfTheStudent:
Father'sName:
Mother'sName:
Category:

Fresh
SUCHITRAKUJUR
SIBUKUJUR
SHASHIKALADEVI
ST

DateOfBirth:

20021999

Gender:

Female

FatherOccupation:

NOTWORKING

MATRIC/10thDetails&AadhaarDetails:
Matric/10thHallTicketNo:

1014626

Matric/10thPassYear:

2013

Matric/10thType:

Regular

UID/EID:

995340973136

Address:

VILLPOBURHAKHUKHRAPSMANDAR

Block:

Mandar

District:

Ranchi

PINCode:

835214

PermanentAddress:

CommunicationAddress:
Address:

VILLPOBURHAKHUKHRAPSMANDAR

Block:

Mandar

District:

Ranchi

State:

Jharkhand

PINCode:

835214

Institution&CourseDetails:
Institution:

URSULINEINTERMEDIATECOLLEGE,Ranchi,Jharkhand

Course:

INTERARTSANDCOMMERCE

CourseYear:

DayScholar/Hosteller:

275

CollegeAdmissionDate: 27052013

Bank:

STATEBANKOFINDIA

BankDistrict:

RANCHI

Branch&IFSCCode:

MANDER(SBIN0014339)

AccountNo.:

32545201086

CollegeAdmissionNo.:

DayScholar

BankDetails:

Student/Guardian'sDeclaration
Idoherebydeclarethatwhatisstatedaboveistruetothebestofmyknowledgeandbelief,andifanyinformationisfoundtobeincorrect,ishallbe
liableforit.
Guardian'sSignature/Guardian

Student'sSignatureFullAddress

Print

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