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95- Ansari Mohd Faizan Mohd Zaman

95- Ansari Mohd Faizan Mohd Zaman

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Published by zaheerbc

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Published by: zaheerbc on Aug 22, 2011
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08/22/2011

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SCHEME OF THE POST MATRIC SCHOLARSHIP FOR 
 
STUDENTS BELONGING TO THE MINORITY COMMUNITY
AnsariFull NameMohdZamanAPP11320111200000099MohdFaizan21-08-2011Application DateApplication Number PleasePastePasport SizePhotograph
FRESHAPPLICATION FORM
Sl. No of ApplicationYearCourseWhether ApprovedFOR OFFICIAL USE ONLY
YesIs State Of Domicile MaharashtraRukhsanaMother's NameMohdZamanFather's Name
 
Details Of Course for which scholarship is being soughtDetails of educational qualifications from matriculation / SSLC / SSC onwards
1182.7360.0020102011MATHS SCIENCEENGLISH URDUMATHS PHYSICSCHEMISTRYMUMBAISCHOOL BOARDSSCFYJCDivision / Class / GradePercentagePassing Year Main SubjectsUniversity / BoardExam Passed MuslimReliionIndianNationalitMaleGender 20-08-1993Birth DateN.AParent Correspondance AddressAddress : R.NO. 304 RUBY APARTMENTSALAMTPURA NAGAON 2 THANE BHIWANDI ,Nearby Location : BHIWANDI ,Address : R.NO. 304 RUBY APARTMENTSALAMTPURA NAGAON 2 THANE BHIWANDI ,Nearby Location : BHIWANDI ,Permanent AddressCorrospondance AddressAcademic Year 2011Last Course Academic Year FYJC2011-2012Last Course Attended
 
60.00Last Exam PercentageMarks Obtained420Maximum Marks700
 
Details Of School / College / Institute
Salahuddin Ayyubi Memorial Urdu Junior CollegeName of the School/College/Institutewhere admittedAddress : Maulan Azad Road Shanti Nagar ,Nearby Location : Shanti Nagar ,City : Bhiwandi District : ThanePinCode : 421302Address
 
Day Scholar or Hosteller 
Day Scholar Benificiary Category12ICourse Duration (In months)Year of the CourseXII ScienceCourseN.AN.AN.AN.AN.AN.AName Of the LandlordRent per MonthFull Postal AddressPin CodeTelephone No of the LandlordMobile No of the Landlord
 
Details Of Bank Account
MohdFaizan AnsariName of the payee (as in bank accounts)
 
Applied Fee Details
12345Admission FeeTution FeeLibrary FeeExamination FeeOther than refundable deposits350420000700Serial No.Fee TypeFee Amount
For Renewal Scholarship
i)Previous year sanction order No.ii)Serial no.in sanction list.Name of examination passedYeaMarksObtainedMaximumMarks% of Marks
 
MALSHIRASBranch NameSTATE BANK OF INDIAName of the Bank1Type of Bank AccountBank Account Number Address : DIST SOLAPURSTATE MAHARASHTRTelephone No : N.A Mobile No : N.ABranch AddressMICR Code413002369Branch ContactSBIN0011516IFSC Code
 
Annual Income of Parents/Guardian of student
40000TotalAnnualIncome in Rs
Documents enclosed with the application
Anexure -I Declaration Of Family Income and Minority StatusDocuments
Declaration
(i) I hereby declare that all the information given above is correct.(ii) I am not availing any other scholarship for this purpose from any other source.(iii) I shall abide by the terms and conditions of the Post-matric scholarship.(iv) I undertake thatif,at any stage,it is found to the satisfaction of the sanctioning authority in theconcerned State govt/Union Territory Administration that the information given by me is false or if Iviolate the terms and conditions of the scholarship,the scholarship sanctioned to me,may becancelled and the entire amount of the scholarship will be refunded by me or recovered from me,apartfrom such penal action as warranted by the law.In words in RsFourty Thousand8/21/2011DateSignature of the StudentPlace

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