APPLICATION FOR GRANT OF FINANCIAL ASSISTANCE FROM. STUDENTS WELFARE FUND 22. cOURSE/YEAR ROLLNO, see 13, naMBOP Paras) GAUREIAN ms 17. WHETHER ANY OTHER SCHOLARSHIP AVAMLED LAST YEAR (7/9) VES, DETAILS THERE OF AMEOF SCHOLARSHIP avout 9, EDUCATIONAL QUALIFICATION s.mo.| cuass | mAME OP BoaRD/umversiTy | YEAR | % OF MARKS a x B xm C | Graduation 10, DETAILS OF FEES PAID IN CURRENT ACADEANC SESSION: DATE ae fone fone AMOUNT. 1) DATE fo fn AMOUNT. DECLARATION Isis hey delred that te inrmaton given above re ad oreo the Dest fy nowledge an bee 5 DATE son foo fone MOBILE NUMBER (SIGNATURE OF FATHER/ OALEDIAN) . _ DATE a fn fe MOBILE NOMI aa (stoNaTuR oF arPucayn,PART IL RECOMMENDATION OF THE DEAN DATE a fase SIGNATURE OF DEAN PART IIT STUDENT’S PERFORMANCE RECORD (To be verified by Exam Cell) 1. COPA 2. SGPA of LAST SEMESTER 9. ATTENDANCE RECORD DATE ve we SIONATURE OF Dy, REGISTRAR (ACADEMICS)