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0% found this document useful (0 votes)
17 views1 page

Print Application Forms

Uploaded by

sarabjot kaur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Government of Punjab State Scholars Portal 848750

Scholarship Application Forms


848750

Renewal Post Matric Scholarship Scheme


Application Number 239880 Application Type Scheme Name
Application for SC
Personal Details
Student Name TONY KUMAR Gender Male
Father's Name RATAN LAL Mother's Name BASANTI RANI
Annual Income 60000 Date of Birth 20/11/2000
Category SC Religion Hindu
Special Categoty NA Aadhar (UID) No XXXXXXXXXXXX
De-Notified Tribes No Tribes NA
Academic Details
Institute Govt Nursing College Tehsil Patiala
Graduate of Medical /
Course Academic Year 2023-24
B.Sc.Nursing/2Year
Punjab School Education Board/2015 - 16
Hosteller No 10th Class Details
/1016711017
Enrollment 38 Admission Date 04/08/2022
Attendence 99.00 Admit Card 2118481981
Examination Year 2017-18 Promoted Yes
Contact Details
mc wali gali ward no 10 bareta, mc wali gali ward no 10 bareta,Mansa,
Correspondance Address Permanent Address
Mansa,Punjab, PIN: 151501 Punjab, PIN: 151501
[email protected]
Contact Numbers 6283055115 Email Address

Bank Details
Account Number XXXXXXXX265 Bank Name STATE BANK OF INDIA
IFSC Code SBIN0050049 Bank Address GRAIN MARKET BARETTA
Bank Branch Name BARETTA

Declaration
I, TONY KUMAR S/o RATAN LAL hereby declare that the information given in the application form is true as per my knowledge and belief. I
also undertake that if, at any stage, it is found to the satisfaction of the sanctioning authority that the information given by me is false, the entire
amount of scholarship will be recovered from me, apart from such penal action as warranted by law.

(Signature)

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