Scribd Logo
Upload

Welcome to Scribd!

  • 33 views

    Jawaharlal Nehru University Admission Branch-Ii

    Uploaded by

    Supan Das
    This document is an application form for students at Jawaharlal Nehru University seeking renewal of a Merit-cum-Means scholarship. To be eligible, a student's parents or guardian must have a total annual income of Rs. 250,000 or less. The form collects information about the student such as name, registration number, program of study, as well as financial information about parents such as employment, income sources, and tax returns. The student and parents must sign declarations that the information provided is accurate and agree to notify the university of any changes in financial status. Recommendation from the student's school or center is also required on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Jawaharlal Nehru University Admission Branch-Ii

    Uploaded by

    Supan Das
    33 views1 page
    This document is an application form for students at Jawaharlal Nehru University seeking renewal of a Merit-cum-Means scholarship. To be eligible, a student's parents or guardian must have a total annual income of Rs. 250,000 or less. The form collects information about the student such as name, registration number, program of study, as well as financial information about parents such as employment, income sources, and tax returns. The student and parents must sign declarations that the information provided is accurate and agree to notify the university of any changes in financial status. Recommendation from the student's school or center is also required on the form.

    Original Title

    MCMScholarshipProforma_0

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for students at Jawaharlal Nehru University seeking renewal of a Merit-cum-Means scholarship. To be eligible, a student's parents or guardian must have a total annual income of Rs. 250,000 or less. The form collects information about the student such as name, registration number, program of study, as well as financial information about parents such as employment, income sources, and tax returns. The student and parents must sign declarations that the information provided is accurate and agree to notify the university of any changes in financial status. Recommendation from the student's school or center is also required on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    Jawaharlal Nehru University Admission Branch-Ii

    Uploaded by

    Supan Das
    This document is an application form for students at Jawaharlal Nehru University seeking renewal of a Merit-cum-Means scholarship. To be eligible, a student's parents or guardian must have a total annual income of Rs. 250,000 or less. The form collects information about the student such as name, registration number, program of study, as well as financial information about parents such as employment, income sources, and tax returns. The student and parents must sign declarations that the information provided is accurate and agree to notify the university of any changes in financial status. Recommendation from the student's school or center is also required on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    JAWAHARLAL NEHRU UNIVERSITY

    ADMISSION BRANCH-II
    NAME OF THE SCHOOL/CENTRE_____________________________________

    APPLICATION FORM FOR AWARD/RENEWAL OF MERIT-CUM-MEANS SCHOLARSHIP ONLY THOSE B.A./M.A. STUDENTS ARE ELIGIBLE
    FOR AWARD OF MCM SCHOLARSHIP WHOSE PARENT’S/GUARDIAN’S INCOME FROM ALL SOURCES IS Rs.2,50,000/- PER ANNUM OR LESS.
    (IN THE BEGINNING OF EVERY MONSOON SEMESTER)

    REGISTRATION NO. _________________ Enrolment No. ________________

    1. Name of Student (in block letters) -------------------------------------------------------------------------------------------------------


    2. Category (SC/ST/PH/VH/Gen.) -------------------------------------------------------------------------------------------------------
    3a. Mother’s Name & Address in Full -------------------------------------------------------------------------------------------------------
    -------------------------------------------------------------------------------------------------------
    3b. Father’s Name & Address in Full -------------------------------------------------------------------------------------------------------
    -------------------------------------------------------------------------------------------------------
    4. State of Domicile -------------------------------------------------------------------------------------------------------
    5. Name of Hostel/Address (with Room No.) -------------------------------------------------------------------------------------------------------
    -------------------------------------------------------------------------------------------------------
    6. Initial Year of Admission to B.A/M.A -------------------------------------------------------------------------------------------------------
    7. Date of First Award of MCM -------------------------------------------------------------------------------------------------------
    8. Presently studying in Class -------------------------------------------------------------------------------------------------------
    9. Request for renewal of the period -------------------------------------------------------------------------------------------------------
    10. Father’s/Guardians Employment/Occupation -------------------------------------------------------------------------------------------------------
    11. In case of salaried class -------------------------------------------------------------------------------------------------------
    (Enclose a valid income certificate issued -------------------------------------------------------------------------------------------------------
    by Employer along with Income tax Return)
    12. PAN No. -------------------------------------------------------------------------------------------------------
    13. Mother’s Employment/Occupation -------------------------------------------------------------------------------------------------------
    14. In case of salaried class -------------------------------------------------------------------------------------------------------
    (Enclose a valid income certificate issued -------------------------------------------------------------------------------------------------------
    by Employer along with Income Tax Return)
    15. PAN No. -------------------------------------------------------------------------------------------------------
    16. Annual income from other sources, if any, -------------------------------------------------------------------------------------------------------
    17. No of dependents in family -------------------------------------------------------------------------------------------------------

    UNDERTAKING GIVEN BY STUDENT


    1.I hereby undertake that I am not in receipt; of any other fellowship/state scholarship/remuneration.
    2. I hereby undertake that I am in employment/not employment in Govt./Private
    3. I undertake that as and when I will get any type of employment/receive any type of fellowship/or receive any type of honorarium/remuneration from any
    agency, I will immediately inform the Dean/Chairperson. I again I undertake that if I am found wrong/or furnish wrong information, Centre/School can take
    action against me.
    4. If any information furnished by me is later found to be false, I know that my admission shall be cancelled.

    Signature of the student

    DECLARATION GIVEN BY PARENTS


    We hereby declare that if any information from Sl.No. 10 to 16 & 17 and information from Sl.No. 1 to 9 declared by my ward is found to be wrong; I know that the
    admission of our ward may be cancelled.

    Date ______________
    Signature of the Mother

    Signature of the Father

    Encl: 1. Income Certificate in Original


    2. Income Tax Return

    RECOMMENDATION BY THE SCHOOL/CENTRE

    Above particulars have been verified and Mr./Ms._________________________________ is recommended for award of MCM in accordance with Ordinance
    of the University.
    His/Her Academic performance: Satisfactory/Unsatisfactory.

    His/Her CGPA was------------------------in last semester.

    Signature of the Dean/Chairperson with seal


    Date-------------------------------------

    DOCUMENTS TO BE ENCLOSED WITH THE APPLICATION:-


    1) Income certificate of father in original by employer
    2) Income certificate of mother in original by employer
    3) Latest Income Tax Return of mother
    4) Latest Income Tax Return of father

    You might also like