APPLICATION FORM FOR MERIT BASED JEE

MAINS SCHOLARSHIP (FOR ENGINEERING)

(SESSION 2020-2021)

Student UID/Account No …………………………… Date: ………………………….

Student Name _______________________________________

Course _______________________________________
Student
Fathers Name ______________________________________
Photograph
Mother Name ______________________________________

Address _______________________________________

Contact No:- (Student) _________________(Parents) ___________________

Email ID (Student) _________________________________________________

S.No. All India Rank (AIR) Scholarship on Semester Fee

(Tick in Relevant Box)
1
Upto 25000 100%
2
25001 to 50000 75%
3
50001 to 75000 50%
4
75001 to 100000 20%
5
100001 to 125000 10%
**ATTACHED PROOF SCORE CARD OF JEE MAINS.

Condition for Continuation of Scholarship: - It is mandatory that the student admitted under
the above scheme shall have to maintain a minimum of 7.5 CGPA with no E (Exposed), F (Poor)
or I (Incomplete) grades.
(Signature of Student /Parents)
OFFICE USE ONLY

Remarks: - ______________________________________________________________________

Dealing Hand Asst Registrar Deputy Registrar/ Registrar