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Annexure: Signature of VC Certificate From Student & Esm

This document contains a bona fide certificate for Prime Minister's Scholarship from a college or institute. It requests information such as the student's name, college details, course details, admission date, duration of course, affiliations, and any other financial assistance received. The certificate must be signed and stamped by authorized college officials such as the principal, vice principal, or registrar. The student also provides a signed certification confirming the accuracy of the information and understanding of the scheme's policies.

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Ashutosh Kamble
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400 views1 page

Annexure: Signature of VC Certificate From Student & Esm

This document contains a bona fide certificate for Prime Minister's Scholarship from a college or institute. It requests information such as the student's name, college details, course details, admission date, duration of course, affiliations, and any other financial assistance received. The certificate must be signed and stamped by authorized college officials such as the principal, vice principal, or registrar. The student also provides a signed certification confirming the accuracy of the information and understanding of the scheme's policies.

Uploaded by

Ashutosh Kamble
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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Annexure-2

BONAFIDE CERTIFICATE FOR PM’S SCHOLARSHIP FROM COLLEGE / INSTITUTE


(Please do not overwrite or use correction Pen/Whitener otherwise application will be rejected)
(USE BLUE INK PEN ONLY)
1 Name of Student Ms/Mr.
2 Name of College
3 Name of Course (Full Form)
4 Name of Branch/Stream of Course ( if any)
5 Roll Number / Registration Number
6 Studying in the 1st / 2nd / 3rd / 4th / 5th* year
7 (a) Total duration of Course (In years) _____________________________________
(b) Date of Admission in College & Academic Year Date___________ Academic Year_________
(c) Course will be completed in month of (approx) Month__________ Year _________________
8 (a) Course approved by (UGC/AICTE/MCI/DCI etc)
____________________________________
(b) College / Institute is affiliated to
(Full Name of the University) ____________________________________
(c) Whether College / Institute is Autonomous ?
Yes / No
9. Student is getting scholarship / stipend / any other
(a) Rs._____________ (if not getting write NIL)
financial assistance from this College / Institute / State
per month / year / semester* (* Please strike
Govt or from any other sources/agencies .
out which is not applicable, if you will not strike
Note:- NOT TO MENTION THE SCHOLARSHIP
out the option, it will be assumed as monthly)
AMOUNT 27000/- (GIRLS) & 24000/- (BOYS) OF
(b) Fee paid to College / Institute at the time of
PMSS (KSB)
admission Rs ____________.\

Round Seal / Stamp of College

Date ______________

Place ______________

(Signature)
(Rubber stamp of signing official must be affixed)

* Signature of VC/Principal/ Vice Principal/ Dean/ Associate Dean/ Registrar/ Dy Registrar/Director/Dy Director only will be
considered.
CERTIFICATE FROM STUDENT & ESM
1. I, ____________ (Student), have read and understood the check list, FAQ and instructions available on website
www.ksb.gov.in. I also certify that information provided by me is correct and true to best of my knowledge. I have not
forged or given false information, if found, my application is liable to be rejected and I will be solely responsible for that. I
am also aware that it will invite criminal proceedings.
2. I have scanned 10th class certificate, MEQ Certificate, semester wise mark sheets, bonafide certificate,
certificate from bank, examination passing certificate, bank pass book, & aadhaar card in original and uploaded.
3. I certify that I have submitted only one application. If duplicate application is found, all my applications are liable
to be rejected. I will be held responsible for the same.
4. As per existing policy on Prime Minister’s Scholarship Scheme (PMSS) the student must clear his/ her all
subjects in first attempt to get the benefit of PMSS in subsequent years. Those failed and re-appeared will not be
entertained even if they have cleared their exams in subsequent attempt.
5. USE BLUE OPEN ONLY. Do not overwrite or use correction Pen/Whitener otherwise application will be rejected.
6. Signature of Vice Chancellor/Principal/Vice Principal/Dean/Associate Dean/Registrar/Dy Registrar/Director/
Dy Director only will be considered on Bonafide Certificate otherwise application will be rejected.
7. Please carry 10th class certificate, MEQ certificate, Aadhaar Card, Bank Pass Book, proof of category &
Annexure 2 & 3 in original to avoid number of visits to ZSB while obtaining signature on Annexure-1 from ZSB.

(Signature of ESM) (Signature of Student)


Name of ESM ______________________ Name of Student ______________________

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