SCHOLARSHIP FOR HIGHER EDUCATION APPLICATION FORM

Application Status: Submitted

Advertisement No: SHE-2016
Application Ref. #: DST/INSPIRE/02/2016/002926
IVR No: 201600010088

Personal Particulars
Salutation: Mr.

First Name: SUVRAT Middle Name: Last Name: SHARMA

Date Of Birth: 2/22/1999 Gender: Male Father's Name/Male Guardian

Name: SHASHI KANT SHARMA

Mother's Name/Female Guardian Name: SANTOSH SHARMA

10th Class Certificate or Marksheet as Proof of Date of Birth: Attached Place of Birth: Rural
Below

Email Address: SUVRATSHRM7@GMAIL.COM

Social Community: General

Differently Abled: No Other:

Enrollment Information (B.Sc. / Integrated M.Sc. Level)

Program Enrolled: BSc Honors

Course Enrolled: Maths

Enrollment/Admission Year: 2016 Admission No: 1041

State (In which college is located): CHANDIGARH

University Type: University University Name: Punjab University

University Address:Chandigarh,Pincode:160014

College Name: Panjab University, Chandigarh

District (In which college is located): Chandigarh

Endorsement Certificate: Attached Below

Senior Secondary Performance Information (12th Standard)

Name of the Board: Himachal Pradesh Board of School Education

Passing Year: 2016 Rank in Class 12th: 1 Board Roll Number: 1641573091

Eligibility Note: Attached Below 12th Marksheet: Attached Below

Marks Information

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Subjects Marks Obtained Maximum Marks Grade

CHEMISTRY 100 100

COMPUTER SCIENCE 99 100

MATHEMATICS 100 100

ENGLISH 93 100

PHYSICS 100 100

Total Marks Obtained: 492 Maximum Marks: 500 Overall Percentage(%): 98.4

School Name: HIM ACADEMY PUBLIC SCHOOL HIRANAGAR

School Address: HIM ACADEMY PUBLIC SCHOOL, HIRANAGAR, HAMIRPUR (H.P. ) HAMIRPUR PIN : 177001

State (In which school is located): HIMACHAL PRADESH

District (In which school is located): Hamirpur

PinCode: 177001

National Level Competitive Examinations

Rank
Examination Year Rank
Certificate/Certificate

Other Details
Year of Passing Class X:2014 Parents Annual Income: 600000

Have you attended INSPIRE If Yes, please provide details. IT WAS HELD AT SHOOLINI UNIVERSITY,
Science Camps:Yes SOLAN. IT PROVED TO BE OF MOMENTOUS SIGNIFICANCE .

Contact Information
Permanent Address
Address: VILL PALASON P.O. NALTI TEH. + DISTT. HAMIRPUR

Town/City: Hamirpur State: HIMACHAL PRADESH Pincode: 177001

Telephone Number (with STD Mobile Number: 9418045706

code): 01972247804

Communication Address
Address: VILL PALASON P.O. NALTI TEH. + DISTT. HAMIRPUR

Town/City: Hamirpur State: HIMACHAL PRADESH Pincode: 177001

Telephone Number (with STD Mobile Number: 9418045706

code): 01972247804

Are you availing any other scholarships: N/A

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Identification Proof : Aadhaar Card No :
Aadhaar Card 6721 3810 1774

Declaration: It is certified that all particulars given by me in columns above are true to the best of my
knowledge. If any particulars are found false, I am aware that my application for scholarship are liable for
cancellation.

Place: CHANDIGARH Submitted Date: 1/9/2017 State: CHANDIGARH

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