feeeft favafaerert UNIVERSITY OF DELHI (araafet 9416S SCHOLARSHIP CELL) . vert Pre ort Bq order APPLICATION FORM FOR THE AWARD OF: are FOR THE EAR: ie 1. ara(ere wert H ) Name (in Block Letters) 2. wetfterra College 3. "aT Class 4, favacit) eae ‘Subject (s) of study 5. Ravisrftraras ar ara (siftreran A feat, sider afta) Name of Fatherfguardion (als eatones eseat guaran 6. cea wd dart err Designation and pace of posting 7. Rravefirarere cat Adcress of Father/Guardian 8, eave rovrgcare sa (aft aE) Local AderessTeloptione No. fan) 9. rrr arr rere er Bt alt aA at ees gee TAR sr Parent's(Guardian’s occupation & Monthly income indicating all deducto.s from salary. :___ 10. Rretianfirareraverrda ae sifiat ot sear (anPirtt arr eer aa) 'No. of dependents on Father/Guardian/Supporter (give the relationship of the dependents) 11. tern area Stat are areca Pear et cer Aiea Bee ere ate cae art At adeart seftoh #7 et Educational Institution attended and examination passed from Senior Se mndary School and onwards, sefitatere | Rraraamaitteraa’ | af] at | araie | aatar Examination Passed favafterea start | Year | Division | Marks after Name of Obtained | % oF Marks SchoolColleye! University dita thet are 7 St. S06. School Ba ca a att 8.A/B.Sc B.Com Sta tea Any Other Qualification 12. Fret ot arena her farrrefera ar air ret ome ea a a <2 eiorate ae ere gene zat) Details of any Scholarship/Sizarship Which you have held previously (giv . Duration and ‘amount ete)43, a ait Pah sear ltr NE erga referer gra Te BCE ‘et at cen frac ¢ aatq sear ae, aah serait eerie) ‘Ae you in receipt of any Scholarship/Sizarship/FreeshipiFinancial Assistance! From any other source (Ifs0, give deals Viz. yar of award, duration, amount otc. 14. eat are a aE arf Rega ort Fae srg Ba TEA eI CaAS oe sata aT SAT eT B ofte ores aE @ ‘Any addtional information which you have to offer about yours (i te space isnot sufcient,attach a separate shoot serach @ Re a Prenat ae arg see Pe TP eet ce eater eer 0c rr ae ePe | certy thatthe above statements ae true and tha | undertake to abjde by the rules governing the award ofthe scholarships. ‘qa eH % FATA Signature of the Applicant ‘feaiwDate: sortie recite 9 14 10 ee AR ape rer fee Frere weet . Certified thatthe statement made by my son/daughtervard, under the columns 9 & 10, above is correct. fav arses gree Signature of Father/Guardian featw Date aq CONFIDENTIAL } seal grer ta tz rarer FORWARDING NOTE BY THE PRINCIPAL HEAD OF THE DEPARTMENT saree Pater gree (referer af) SIGNATURE OF THE PRINCIPALIHEAD (OF THE DEPARTMENT/EMPLOYER (With Office Stamp) 1. SE recreate se ae a et eee [tested copies ofthe Certificates, Marks Sheets and Income Certificate shld be attached with this foe, 2, ang ene frare oe re Incomplete application form will not be considred. RENT A aft eer ‘Allah copy of car, ores ornomn ere