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Nk=@Nk=k ,oa vfHkHkkod dh ?kksk.

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Declaration of the student & Guardian
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eSa ,rn~ }kjk ?kksk.kk djrk@djrh gw fd Jh ----------------------------------------------------------------------
esjs iq=@iq=h muls lacaf/kr vkosnu i= esa nh xbZ lwpuk esjh tkudkjh ds
vuqlkj lR; vkSj lgh gS vkSj eq>s ;g Hkh Kkr gS fd xyr lwpuk nsus ij esjs
fo:) dh tkusokyh dkuwuh dkjZokbZ ds fy, vkSj Nk=o`fk jkfk dh olwyh ds
fy, eSa gh ftEesokj gksmxk@ gksmxhA
I do hereby declare that Sri....................................................................................
is my son/daughter the information given in his/her application is true as per my
knowledge and belief and I also know that I shall be responsible for legal action against
me and for the recovery of the scholarship, if the given statements found false.
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Date :-
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Place :-

Nk=@Nk=k dk gLrk{kj firk@vfHkHkkod dk gLrk{kj


Signature of the applicant Signature of father/guardian

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