Professional Documents
Culture Documents
Scholarship Income Declaration Form
Scholarship Income Declaration Form
10/-)
WAGE
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9247522633
9. Total Family income from all sources. Rs.5,000 I hereby declare that the above information given is true & correct. I will be held liable for any wrong information given which shall include cancellation of scholarship, recovery of amounts paid already if any besides criminal action. Name & Signature of the Student ePASS Application ID (2011-12):____________ Course: ________ Course Year:_ College: ____________________________________ College District:______________ Mobile No:__________ Name & Signature of the Parent Address: H.No.:____________ Village & Mandal:___________ City & District: _____________ Mobile No:_________
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