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Income Declaration Form AP 2015 16
Income Declaration Form AP 2015 16
2.
3.
(a)
(b)
(c)
4.
5.
6.
Regd. No.
9.
Total Family income from all sources.
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 (2014-15):____________
Course: ________ Course Year:_
College: ____________________________________
College District:______________
Mobile No:__________
___________