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Indian Institute of Technology Indore: Bank Details

Sumit Meena, a student of Civil Engineering at IIT Indore with roll number 160004039, has applied for the Fresh MCM Scholarship for the 2016 academic year. He declares that he is not receiving any other scholarships and provides details of his father's income, bank account, and JEE Advanced rank of 354 to support his application. He agrees to refund any scholarship amount if he receives additional financial assistance in the future.

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81 views1 page

Indian Institute of Technology Indore: Bank Details

Sumit Meena, a student of Civil Engineering at IIT Indore with roll number 160004039, has applied for the Fresh MCM Scholarship for the 2016 academic year. He declares that he is not receiving any other scholarships and provides details of his father's income, bank account, and JEE Advanced rank of 354 to support his application. He agrees to refund any scholarship amount if he receives additional financial assistance in the future.

Uploaded by

deshraj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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9/14/2016 MCM Scholarship

http://academic.iiti.ac.in/index1.html 1/1

Indian Institute of Technology Indore


Application for the Fresh MCM Scholarship and Remission of Tuition Fee
Scholarship Applying: Fresh Academic Year: 2016
Roll No.: 160004039 Name: SUMIT MEENA
Department: Civil Engineering Program: B.Tech.
Name of Father: Rajveer Meena ( Father ) Category: st
Hostel Address: room no. 1, D613
Mobile No.: 8827831289 Email ID: [email protected]
Any other Scholarship: no Parental Income 519297
Year of qualifying JEE (Advanced) / JAM : 2016
All India Rank (AIR) rank in JEE (Advance) / JAM : 354
Bank Details :
Name of Bank: Bank of Baroda
Branch Address: Station road , Near Natraj cinema, kota , Rajasthan
Account No.: 42660100003614 IFCS Code: BARB0STAKOT
DECLARATION
I SUMIT MEENA Roll No. 160004039 hereby declare that I am not in receipt of any
Scholarship/Stipend/Financial Assistance. In case I am awarded any scholarship/stipend etc. in
future, I shall intimate the same to the Institute and shall refund the entire amount of the Institute
scholarship received by me, before receiving the other scholarship / stipend etc. for the year. A
copy
of latest Income Tax Return / Income certificate (in original) of my parents is attached.
Date: September 14, 2016 (Signature of Applicant)
Full Name: SUMIT MEENA
Enclosures :
1. Parental Income Certificate in Attested or original.
2. Certificate of Rank in JEE (Advanced) / JAM.
3. Bank Pass Book (Photocopy for account details).

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