You are on page 1of 1

NATIONAL SCHOLARSHIP PORTAL 2.

0
REGISTRATION DETAILS
APPLICATION ID KA201819005417632 REGISTRATION DATE 20/09/2018
APPLIED FOR SCHEME POST MATRIC SCHOLARSHIP SCHEMES MINORITIES CS
SCHOLARSHIP
STATE OF DOMICILE KARNATAKA POST MATRIC/TOP CLASS/MCM
CATEGORY
DATE OF BIRTH
NAME OF STUDENT SYEDA SAADATH ARSHEEN 29/04/1996
(DD/MM/YYYY)
GENDER FEMALE RELIGION MUSLIM
COMMUNITY/CATEGORY GENERAL FATHERS NAME SYED SAJJAD ALI
ANNUAL FAMILY
MOTHERS NAME MUNEERUNNISA 200000
INCOME
AADHAR NUMBER XXXXXXXX1003 MOBILE NUMBER 8861765847
DAY
EMAIL ID DAY SCHOLAR
SCHOLAR/HOSTELER
ACADEMIC DETAILS
PRESENT INSTITUTE SUBBAIAH INSTITUTE OF MEDICAL SCIENCES, SHIMOGA
BACHELOR OF MEDICINE AND BACHELOR
PRESENT CLASS/COURSE CLASS START DATE 01/08/2017
OF SURGERY (M.B.B.S)-5 YEARS
PRESENT YEAR 2 MODE OF STUDY REGULAR/FULL TIME
PREVIOUS BOARD/UNIVERSITY NAME BANGALORE UNIVERSITY, BANGALORE
PREVIOUS DEGREE/GRADUATE/UNDER PREVIOUS PASSING
2017
CLASS/COURSE NAME GRADUATE/INTEGRATED YEAR
10TH CLASS ROLL
PREVIOUS CLASS(%) 74.8 20120843166
NO.
10TH CLASS PASSING 10TH CLASS BOARD KARNATAKA SECONDARY EDUCATION
2012
YEAR NAME EXAMINATION BORAD, BANGALORE
12TH CLASS PASSING
12TH CLASS ROLL NO. 683763 2014
YEAR
12TH CLASS BOARD NAME DEPARTMENT OF PRE-UNIVERSITY EDUCATION, BANGALORE
COMPETITIVE EXAM EXAM CONDUCTED
QUALIFIED BY
COMPETITIVE EXAM COMPETITIVE EXAM
0
ROLL NO YEAR
ADMISSION FEE 0 TUITION FEE 575000
MISC FEE 90000
BASIC DETAILS
IS ORPHAN NO IS DISABLED NO
PERCENTAGE OF
TYPE OF DISABILITY - -
DISABILITY
PARENTS
MARITAL STATUS UN MARRIED OTHERS
PROFESSION
BANK ACCOUNT
IFSC CODE SBIN0070562 67130765634
NUMBER
CONTACT DETAILS
STATE KARNATAKA DISTRICT BANGALORE URBAN
BLOCK BANGALORE NORTH
7/1 3RD MAIN 1ST CROSS ADI KABIR
ADDRESS PIN CODE 560032
ASHRAM MATTADAHALLI BANGALORE

SIGNATURE OF HEAD OF SCHOOL/INSTITUTE/COLLEGE


SIGNATURE OF CANDIDATE
WITH STAMP
** ACCOUNT DETAILS MUST BE ENTERED CORRECT. NO MODIFICATION WILL BE ALLOWED AFTER THE FINAL SUBMISSION
OF APPLICATION.
*** STUDENTS ARE ADVISED TO SUBMIT ONLY ONE APPLICATION FORM. IF NSP FINDS MORE THAN ONE APPLICATION ( IN
FRESH OR RENEWAL CATEGORY) OF A STUDENT, THEN ALL THE APPLICATIONS SUBMITTED BY THE STUDENT WILL BE
CONSIDERED AS DUPLICATE AND WILL BE REJECTED. **** AADHAR NUMBER PROVIDED BY YOU, WILL BE AUTHENTICATED
BY UIDAI AND MAY BE USED FOR PAYMENT OF SCHOLARSHIP THROUGH AADHAR PAYMENT BRIDGE(APB).

You might also like