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***THIS ATTESTATION WILL BE CONSIDERED VOID IF ALL DETAILS ARE NOT PROVIDED***
Note: An e-mail address and a phone number MUST be provided. If the applicant does not have a phone, please
provide us with the phone number of their closest relative.
Is a Nagarathar
I submit that the above student is in genuine need of financial assistance, and that the above information is true to
the best of my/our knowledge.
Yours sincerely,
____________________________________
Signature of: Nagarathar / Local Nagarathar Sangam / Nagara Sivan Koil