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2018-19 Request Form Dileep

This document provides details about a student named Angadala Dileep Kumar who is in the 2nd year of mechanical engineering at a university. It lists his contact information, father and mother's names, date of birth, blood group, and current address. It also lists the types of certificates existing students and ex-students can request from the Student Welfare Cell, such as study certificates, ID cards, and transcripts, along with any required enclosures. The student is requesting a study/bonafide certificate for the purpose of applying for a scholarship.

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Sai Reddy
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79 views1 page

2018-19 Request Form Dileep

This document provides details about a student named Angadala Dileep Kumar who is in the 2nd year of mechanical engineering at a university. It lists his contact information, father and mother's names, date of birth, blood group, and current address. It also lists the types of certificates existing students and ex-students can request from the Student Welfare Cell, such as study certificates, ID cards, and transcripts, along with any required enclosures. The student is requesting a study/bonafide certificate for the purpose of applying for a scholarship.

Uploaded by

Sai Reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STUDENT WELFARE CELL (Mobile No-8008570079)

Details:

Name of the Student (As per SSC) : ANGADALA DILEEP KUMAR


Year / Class / Branch / Section : 2nd year,1stsem, mechanical branch, B section
Register Number 19695A0374
Father Name (As per SSC) : ANGADALA LINGAMAIAH
Mother Name (As Per SSC) :ANGADALABHAGYALAKSHMI
Date of Birth (As per SSC) : 17-07-2001
Contact Number
(Both: Parent’s & Student’s No) : 8688465674,6302979363

E-mail Address : [email protected]


Blood Group : B - ve
Current Address : Tangutur[v],Rajupalem
___________________________________________________________
Existing Students (Please give √ mark in the required column(s)) Ex-students

1. Study / Bonafide Certificate √ 1. Course completion certificate


(Please write the PURPOSE below) (Enclosures: No Dues Xerox copy)
2. Course estimation form for Edu. Loan 2. Transfer Certificate
(Specify If Convener Payment/Reimbursement (Enclosures: PC & No Dues Xerox copy.
/Management Quota) *Stamp size photo (Hard copy) during issues.
3. New ID card 3.Original marks memos of X and Inter
(Enclosures: Rs.150/- Receipt paid at (Enclosures: Original No Dues form)
Account Section and Passport size Photo)
4. Study/Bonafide for Income Tax 4. Recommendation Letter for Higher Education
(Enclosure: Original Fee Receipt. (Enclosure: Copy of the Letter with signature
(If certificate needed on Mother’s name, from either the HOD or Professor(s)
pls write Mother’s name in place of Father’s name,)

5. Others 5. Others

Sir,
I request you to issue the above certificate for the purpose of applying scholarship

Thanking you sir,


Date: Yours faithfully,

 Please send the filled in request form with scanned copies of enclosures to [email protected]
 Original No Dues copy should be submitted at the SWO office for original marks memos during issues.
 Timing of issue of certificates will be informed through e-mail

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