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PROFORMA FOR COLLECTING DETAILS OF GIRL STUDENTS STUDYING IN GOVT. /GOVT.

AIDED/SELF FIN

Name of Community(
Name of the OC/BC/ Aadhaar
Father's Address College University
S.No the Student BCM/MBC/ Line 2 Line 3 Line 4 `Place Card
Name (Line 1) Roll No. Regn. No.
College (Initials at DNT/SC/ Number
Last) SCA/ST)
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12]

1 VETRI VI JANANI N.ELANG SC Melathenur,valluvakkudi (po),sirkali(Tk),mayiladuthurEC20003 6.233E+11 9.42E+11


GOVT. AIDED/SELF FINANCING ENGINEERING COLLEGES WHO STUDIED CLASSES 6 TO 12 IN GOVT. SCHOOLS

Plus Two Name of Account Year of


EMIS ID Mobile Email id Name of Branch IFSC Account
Regn. the Place Holder's Study Course
Number Number (optional) the Bank Name code Number
Number School Name (I/II/III Yr)

[13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25]

1.92E+09 GOVT AD Kondal 9.35E+09 elangovanjaIOB Sirkali IOBA0000 8.3E+12 JANANI 2nd year B.E
Branch

[26]

ECE

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