TKM COLLEGE OF ENGINEERING Application No. - 1 ‘Application for disbursement of Scholarships {Al fel must be filled by the Student) NAME OF THE STUDENT ~ CHRISTEPITER:P ADMISSION No. - 1LO812 BRANCH ECE ‘SEMESTER/ YEAR MOBILENO.~ 6292 340625 (Name of Financial assistance / thave applied f0F nm A SAERTL. Scholarship sanctioned) and sanctioned for Rs. see (RUPCCS Only). The amount has credited to the Principal's account. Kindly take necessary action to credit the amount to my bank account mentioned below. (The Bank Account must be of the Student's Name. The copy of Bank Pass Book also attached herewi nh’) NAME- CHRISTOPHER - P BANK ACCOUNT No. - 19.7 O01 0YS [IS 3 NAME OF BANK- FEDERAL BANK BRANCH OF BANK- KAN JTIEAMKOLAM wsccove- FDRLOOOIZIY ‘Mandatory RECEIPT Received from the principal TKM College of Engineering , Kollam a sum of Rs... Only) towards payment of monetary concession sanctioned to me for the period from 988 ONG, Bl 2c. ORQ.. Sanctioned init No, .Maalets. L2020.. pated 21198 12020. tor Rs. 1213.25. cashed on ( Date) ..19.18.6.1.20.20 (Rupees to (Total Bill Amount) DECLARATION ‘ . (Name, Admission No., Year & Branch of Student) hereby affirm that | am not in receipt of any stipend, scholarship or any other financial assistance for my studies from any source other than the ASHERLES, (Name of Financial assistance/Scholarship san¢ 1ed). Also declare that excess amount, if any credited to my account will be refunded to the Institution, on intimation."ABDREVIATIONS USED THE PASSE {Sitio Abtrewation Expansion FEDERAL BANK 2 eet 4 YOUR PERFECT BANKING PARTNER [Ten | |e (Comma. ian 1 ale a a Regd. Office: Aluva, Kerala, india (foe ln Tees ectromc Clearing 5 = - 10” [Fee [Standing instruction a [reer Fonegn Curency Cheque Purchased ac inward fs for Collection oP firs Bs under. . [inst Tinstiunene zl a fi fine Tinterest | je fo fe west Outflow [ia ftce Loca cheque fo Clacton 10001214 [20 [eco Local cheque Pure ‘coe = [Pa. Paid fase EXERCISE YOUR NOMINATION FACILITY § c [ [DEPOSIT PRODUCTS aed oaats 19) Bed [Federal Savings Fund/Fedjeevan ee care: OF € [Current Deposit Account = Sear era For deta pie ‘sie cera |