Undertaking from Reserve

Category Students
For Scholarship/ Free ship

A) Undertaking from Reserve Category Students applying for

Free ship / Scholarship

I the undersigned Shri/Smt/Kum. ______________________________student of Institute of Distance

Education for ______________ Class during the academic year 2008-09 hereby declare that I belong to
SC/ST/DT/NT/OBC Category student and I am willing to apply for Government Scholarship/Free ship. I
further declared that my family annual income during the financial year 2007-2008 is Rs.
_____________________ from all income sources. In case if my scholarship/free ship application form is
not accepted and sanctioned by the Govt. authorities then I am ready to pay entire fees prescribed for the
course.

Name & Signature of the Student

________________________________________________________________

B) Undertaking only for Students not applying to Govt. Free ship / Scholarship

I the under signed Shri/Smt/Kum. ______________________________student of Institute of Distance

Education for ______________ Class during the academic year 2008-09 hereby declare that I belong to
SC/ST/DT/NT/OBC Category student and I am not willing to apply for Government Scholarship/Free ship
.I further declare that I am ready to pay fees prescribed for the course willingly and I will not claim Govt.
Scholarship/Free ship.

Name & Signature of the Student