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ARULMIGU PALANIANDAVAR COLLEGE OF ARTS AND CULTURE, PALANI ADW/BC/ MBCIDNC Scholarship Online Application Form Fresh / Renewal Form Check List 2020-2021 ‘Course and Year (eg: [BA Tamil 2020 ~ 2021) Date of Joining Student Reg. No. Student Roll. No. Name of the Student Name of the Father ‘Name of the Mother Date of Birth Gender Male/Female Religion Community Sub-Caste First Graduate in Family Yes/No Annual Family Income Attendance Last studied Mobile No Email Id Student Bank Account No Bank Name & Branch IFSC Code MICR Code Address for Student: Taluk District Pincode Hosteller ‘Yes/No Hostel Name Date of Joining in Hostel 10™ Register Number 12" Register Number Aadhar Card Number Counselling Number Studying Course Type Regular / Self Financing Lateral Entry Yes/No Central Government/ State Government/ emo Private Employee/ Agriculture(owned)/ y Agriculture(cooliy/ Daily Wages! Others Admission Mode Government / Payment Signature of the Student with date Principal(i/e) D.8.C.1—1,75,792 Cps.—2020-G.8.P.,Poxr sip oe OPUOSSUUCCLEt / Dai DPuPppuuc@irt wogbd Fig Sent pos gop. 56068 a peilf Opens oileinemtuid Yypugs. Genjogs west Lid: Lag upGausin: asoofunsing. GwsiPlorerr usaf wpb sips Gopucr vagy) ‘Sie “2r” 1. wremresfeir Guus 2. phen / ungesrasot Guus 3. Sipps Gal (pretuongib:eugpLtb) 4. uu! 5. uneBlenib 6 web 7. Sify 8 ond) (an srenGgyp Qeromdacir Covsinid). 9%. GOLUSBHo psa somocpenp uLLgnflun? (aub srarpndd (ped peraupenp ULL gf ere Bip Denomasscrs. GeveinGid). 10, GupGpaflér / Ungaraisiflsr 246i axguoremd (srenbipyp Genera Gasindd). 1. agin sisi (p50 Bonomadacun Cousin) + 12, einamdsa60 «pasar 13, spatiGud) ein 14, wremeufien oui semis, Seer (ours) somae Upped aed Deronda Gavsingid). 2h oni wade, asin 3 siublfes: Gust B asiud) Aonenden Gut . IFSC Code 2. MICR Code D.B.c.1—1 Aisin/Guisin/apenpmb uneBensgsui. 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