Post Matric Scholarship for Haryana

Government of Haryana

Application Form for Post Matric Scholarship 2020-21

Student Name AMAN

Father Name SATYVEER

Mother Name ANITA DEVI

Caste SC

Date of Birth 17/09/2000

College Central University of Haryana, Mahendergarh, Mahendergarh

Family Id (PPP) 5FZO3704 Member ID (PPP) TQDP8017

Aadhar No 811072960909 Gender M

Mobile No. 8708692772 Email Id kumataman111@gmail.com

House No. 16 Street No.

Landmark KUNJPURA District MAHENDERGARH

PIN 123001 Family Income 25000

Is BPL Y BPL Card No. (If any) 066003590804

Course B.Tech in Electrical Engg. Course Year IV

College Roll No. 11539 University No. 11539

Admission Date 20/06/2017 Area Type Rural

Boarding Type Day Scholar Quota N/A

Is Lateral Entry No Applied On 29/04/2021

I hereby agree to the below statements:

1. I agree that my application is liable to be rejected if I have provided wrong Aadhaar number or Aadhaar number of someone
else͛s.
2. I agree that if more than one application is found to be made on-line, all my applications are liable to be rejected.
3. I agree that for any wrong entry or mis-match of the Aadhar Linking with Bank Account, I will be responsible for that.
4. I agree that as per the Item 35 of Chapter VII of Aadhaar (Targeted delivery of financial and other subsidies, benefits and
services) ACT, 2016, if a person enter Aadhaar number of any other person and attempt to impersonate another person,
dead or alive, real or imaginary, he/she shall be punishable with imprisonment for a term which may extend to three years
and shall also be liable to a fine which may extend to ten thousand rupees.
5. I have read and understood the conditions of award of Scholarship.

4/29/2021 8:56:05 PM Report Generated from: Centralized Scholarship Portal Haryana