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Government of __________________ Deptt.

of_________________________ SCHEME OF MERIT-CUM-MEANS BASED SCHOLARSHIPS FOR STUDENTS BELONGING TO THE MINORITY COMMUNITIES 1. Applications, in the prescribed format, are invited from the students belonging to minority communities, pursuing technical or professional courses at under graduate/post graduate level in an institution recognized by an appropriate authority, for merit-cum means based scholarship for the year 2008-09 to be awarded by the Ministry of Minority Affairs, Govt. of India. 2. The list of such courses for which scholarships could be sanctioned under this scheme are as follows:Engineering & TechnologyCourses (B.Tech/B.E./M.Tech.) (1) Aeronautical Engineering (AE) (2) Agricultural Engineering (AG), (3) Automobile Engineering (AUE), (4) Applied Electronics & Instrumentation (AEI), (5) Automation and Robotics (ARE), (6) Bio-Medical Engineering (BME), (7) Bio-Technology (BT), (8) Ceramic Engineering/Technology (CT), (9) Chemical Engineering (CH), (10) Civil Engineering (CE), (11) Computer Science and Engineering (CS), (12) Electrical Engineering or Electrical & Electronics Engineering (EEE), (13) Electronics and Communication Engineering (ECE), (14) Environmental Engineering (ENE), (15) Food Technology (FT), (16) Industrial Engineering and Management (IEM), (17) Information Technology (IT), (18) Instrumentation and Control Engineering (ICE), (19) Leather Technology (LT), (20) Marine Engineering (MRE), (21) Materials Science & Technology (MST), (22) Metallurgical Engineering (MT), (23) Mechanical Engineering (ME), (24) Mining Engineering (MN), (25) Oil & Paint Technology (OPT), (26) Polymer Science and Rubber Technology (PSR), (27) Printing Technology (PT), (28) Production Engineering (PE), (29) Pulp & Paper Technology (PPT),

Pharma (2) M.Pharma. Fashion Communication. Cement Technology (1) Post graduate diploma in cement technology Fashion Technology (Degree from National Institute of Fashion Technology) 1. (3) Executive Post Graduate Diploma in Management (Exec-PGDM). 3. . Design Space. (4) Master in Business Administration (MBA). (31) Textile Engineering/Technology (TXT). Leather Dsign. 2. Management (1) Post Graduate Diploma in Management (PGDM).FTech (Design): Fashion Design. (4) Planning (PL). Pharmacy (1) B. (2) Interior Design (ID).FTech: Management. (3) Building Construction Technology (BCT). (3) Fashion & Apparel Design (FAD). Knitwear Design. (2) Post Graduate Certificate in Management (PGCM). Me. Apparel Production. B.FTech (Apparel Production). Architecture & Town Planning (Under Graduate and Post Graduate level courses only) (1) Architecture (AR). B. (2) Fine Arts/Applied Arts/Fine & Applied Arts (FA/AA/FAA). Textile Design. (32) Transportation Engineering (TE).(30) Sugar Technology (ST). Accessory Design. Hotel Management & Catering Technology (Under Graduate and Post Graduate level courses only) (1) Hotel Management & Catering Technology (HMCT) Applied Arts & Crafts (Under Graduate and Post Graduate level courses only) (1) Applied Arts & Product Design (APD).

4.Sc.per annum. The format of application is as follows:- . (2) L.D. Students studying in institutes listed in the scheme (70 institutes) will be entitled to reimbursement of full course fee. 3.000/. Law (1) L.MCA (1) Master in Computer Application (MCA) Design (Degree from National Institute of Design. Nursing (11) M. Students studying in other recognized institutes will be entitled for reimbursement of a maximum course fee of Rs.VSc.Sc.B.L.M.S.L.20.H. Ahamdabad) (1) Graduate diploma in design (2) Post graduate diploma programme in design Medical & Para Medical courses (1) MBBS (2) Bachelor of Ayurvedic Medicine & Surgery (BAMS) (3) Bachelor of Unani Medicine & Surgery (BUMS) (4) Bachelor of Homeopathic Medicine & Surgery) (5) Post Graduate courses (6) Bachelor of Physical Therapy (BPT) (7) Master of Physical Therapy (MPT) (8) Bachelor of occupational Therapy (BOT) (9) Master of occupational Therapy (MOT) (10) B.D. Veterinary Sciences and Animal Husbandry (1) B. Nursing (12) B. & A.S. (13) M. (Bachelor of Veterinary Sciences and Animal Husbandry) (2) PG courses Chartered Accountancy/Institute of Cost and Work Accountancy/Company Secretary (1) CA (Chartered Accountancy) (2) ICWA (Institute of Cost and Work Accountancy) (3) CS (Company Secretary).

of application Year Course Whether approved Paste here a passport size photograph. Mother’s name: . Father’s name/husband’s name: 3.No. 1. Self attest it with part of the signature on the photo and the application form. Full name (in block letters) Surname First Name Middle Name 2.FORMAT OF APPLICATION FOR OFFICIAL USE ONLY Sl.

Religion: Female . Permanent address [Please enclose residential certificate from concerned state government authority (Certificate not required to be enclosed for renewal cases if address has not changed)]: House No. Domicile State/UT (State/UT which the student belongs to) 5. Whether male or female: Male 9. District State Pin Code 6.O.4. Address for correspondence: House No. Mohalla/Street City/Town/village & P.O. Mohalla/Street City/Town/village & P. Date of birth (Please enclose certificate/certificate not required to be enclosed for renewal cases) D D M M Y Y Y Y 8. District State Pin Code 7.

Basis of admission in professional/technical course [whether on the basis of qualifying competitive examination or on other grounds.10. Details of educational qualifications from matriculation/SSLC/SSC onwards [Please enclose certificates attested by a gazetted officer (Certificates not required to be enclosed for renewal case)] Examination passed University/Board/ Main Institution/Council subjects of Examination Year of Percentage passing marks Division /Class/ Grade 12. Nationality: 11. Please give details (Not required to be filled up for renewal cases)]: 14. Details of course for which scholarship is being sought: (i) (ii) (iii) Name of the technical/professional course: Duration of course: Academic year: 13. (i) (ii) (iii) (iv) Details of college/institution Name of the college/institution where admitted: Address of college/institution: Telephone no: Fax no: .

which has recognized the institution: If so the name of authority (vii) To which university is it affiliated/does it have deemed university status: 15.(Rupees in words) (Break up of course fee such as tuition fee. (i) (ii) (iii) (iv) Details of bank account of student: Name of the payee (as in the bank accounts) Name of the Bank Bank branch _________________________________ (full address). 1 2 3 4 5 6 Item Annual fee Total 17. Total Annual course fee: Rs…………/.(v) (vi) E-mail address: Is the college/institution recognized. examination fee etc. other than refundable deposits) Sl. District________________. Pin_________ Branch Code number (Leave one space wherever required) . State________________. library fee. For renewal of scholarship: Year Marks obtained Full marks % of Promoted.No. marks detained withheld Name of examination passed or 16.

(iii) I shall abide by the terms and conditions for sanction of the merit-cum-means based scholarship. Documents enclosed with the application (i) Attested certificates of educational qualification as filled up in para 11. Declaration : (i) I hereby declare that the information given above is correct.affidavit on non-judicial stamp paper and income certificate from the employer (iv) Proof of permanent residence (Certificate not required to be enclosed for renewal application if address has not changed)]: (v) Receipt in acknowledgment of scholarship in the previous year duly countersigned by the head of the institution 20.- in the Bank – 18. Annual Income of parent/guardian of the student: Rs…………/(Rupees in words) (Specimen form of declaration of annual income is given at Annexure which is to be signed by the parent/guardian of the student and enclosed along with the application. (ii) I am not availing any other scholarship for this purpose from any other sources. (iv) I undertake. (Certificate not required to be enclosed for renewal application) (ii) Income declaration . income certificate from the employer may also be enclosed) 19. that if at any stage. it is found to the satisfaction of the sanctioning authority in the Ministry of Minority Affairs that . In case parent/guardian are employed.(v) Bank Account Number (Leave one space wherever required) (vi) Type of bank account:_____Saving/Current (vii) MICR code of the Bank (Leave one space wherever required) (viii) Mode of Electronic transfer available ECS/RTGS/NEFT/CBS/code number (if any).

D/O.W/O Shri_____________________________________ who is admitted in_______________ course for the academic session________________in_______________________college is correct. passed for It is also certified that the student has not changed the course of study and/or the institution of the study for which the scholarship was originally awarded/has changed the course of study and/or institution with prior approval of the state government (please strike out which is not applicable) . Verification/information to be furnished by the Head of institution/college: It is certified that the information filled in the above mentioned columns by Shri/Smt/Kumari__________________________ S/O. He/she/is a hostler/day scholar of the college. may be cancelled and the entire amount of scholarship will be refunded by me or recovered from me. the scholarship sanctioned to me. apart from liability for such penal action as warranted by law. For Renewal of scholarship: It is certified that the above mentioned student has the_______________________________________examination ___________ (year) and has attained ________ % of marks.the information given by me is false or if I violate the terms and conditions of the scholarship. Signature of the candidate Date: Place: 21.

- the Bank – Signature of head of the institution/college With official seal Date: Place: . State________________.Details of bank account of institution/college (For deposit of course fee): (i) (ii) (iii) Name of the payee (as in the bank accounts) Name of the Bank Bank branch _________________________________ (full address). District________________. Pin_________ Branch Code number (Leave one space wherever required) (iv) (v) Bank Account Number (Leave one space wherever required) (vi) Type of bank account:_____Saving/Current (vii) MICR code of the Bank (Leave one space wherever required) (viii) Mode of Electronic transfer available in ECS/RTGS/NEFT/CBS/code number (if any).

on the basis of a competitive examination. The student must submit their applications to the state which he/she belongs to and not to the state where the institution where he/she is studying. iv) The annual family income of the beneficiary/parent or guardian of the beneficiary should not exceed Rs. who have got admission in a recognized college to pursue technical/professional courses. who have got admission in a recognized college to pursue technical/professional courses. Selection of these students will be done strictly of merit. ii) Students. However. How to apply Applications in the prescribed format may be submitted to the Secretary of the. will also be eligible for scholarship. through the institutions where the students are pursuing technical/professional courses. v) A student residing in a particular State/UT will be entitled for scholarship under place of study.Eligibility criteria i) Students. is located. the quota of that State/UT only irrespective of his . such students should have not less than 50% marks at higher secondary/graduation level. dealing with minority welfare.50 lakh per annum from all sources. of the concerned State Govt/UT administration.2. iii) A scholarship holder under this scheme will not avail any other scholarship/stipend for pursuing the course. deptt. without facing any competitive examination.

all benefits given to the student under the scheme of” Merit cum means based scholarship to the student belonging to minority communities” could be with drawn and legal action as deemed fit. may be taken against me or my ward. it is found that the information given by me is false/not true.Annexure DECLARATION OF FAMILY INCOME I……………………………………………………(Father/Mother/Guardian) of…………………………………………(Name of Student) who is studying in…………………………………….hereby declare that my annual income from all sources is Rs.……………in words …………………………………………………………………………… if at any stage. Signature Date: (Father/Mother/Guardian) Residential Address [This is a draft format which the State government/UT administration may modify/amend to suit legal requirements] ..

(15) Food Technology (FT). (25) Oil & Paint Technology (OPT). (29) Pulp & Paper Technology (PPT).Under graduate and post graduate levels technical and professional courses under merit cum means based scholarship scheme Engineering & TechnologyCourses (B. (20) Marine Engineering (MRE). (8) Ceramic Engineering/Technology (CT)./ M. (4) Applied Electronics & Instrumentation (AEI). (11) Computer Science and Engineering (CS). (30) Sugar Technology (ST). (28) Production Engineering (PE). (14) Environmental Engineering (ENE). (21) Materials Science & Technology (MST).) (1) Aeronautical Engineering (AE) (2) Agricultural Engineering (AG). (26) Polymer Science and Rubber Technology (PSR). (19) Leather Technology (LT). (10) Civil Engineering (CE). (7) Bio-Technology (BT). (22) Metallurgical Engineering (MT).Tech/B. (18) Instrumentation and Control Engineering (ICE). (32) Transportation Engineering (TE). (6) Bio-Medical Engineering (BME). (17) Information Technology (IT). (3) Automobile Engineering (AUE). (5) Automation and Robotics (ARE). (31) Textile Engineering/Technology (TXT).Tech. (16) Industrial Engineering and Management (IEM). (24) Mining Engineering (MN). Cement Technology (1) Post graduate diploma in cement technology . (12) Electrical Engineering or Electrical & Electronics Engineering (EEE). (9) Chemical Engineering (CH). (23) Mechanical Engineering (ME). (13) Electronics and Communication Engineering (ECE).E. (27) Printing Technology (PT).

2. (4) Master in Business Administration (MBA). Leather Dsign. (4) Planning (PL).FTech (Apparel Production). B. Architecture & Town Planning (Under Graduate and Post Graduate level courses only) (1) Architecture (AR). (2) Interior Design (ID).FTech: Management. (2) Post Graduate Certificate in Management (PGCM). (3) Building Construction Technology (BCT). Textile Design.FTech (Design): Fashion Design. Knitwear Design. Fashion Communication. Hotel Management & Catering Technology (Under Graduate and Post Graduate level courses only) (1) Hotel Management & Catering Technology (HMCT) Applied Arts & Crafts (Under Graduate and Post Graduate level courses only) (1) Applied Arts & Product Design (APD). Accessory Design.Fashion Technology (Degree from National Institute of Fashion Technology) 1. MCA (1) Master in Computer Application (MCA) . Me. (3) Fashion & Apparel Design (FAD). B. Design Space.Pharma (2) M. Pharmacy (1) B. (3) Executive Post Graduate Diploma in Management (Exec-PGDM). Management (1) Post Graduate Diploma in Management (PGDM). (2) Fine Arts/Applied Arts/Fine & Applied Arts (FA/AA/FAA). 3. Apparel Production.Pharma (PH).

Law (1) L.Design (Degree from National Institute of Design.L. (Bachelor of Veterinary Sciences and Animal Husbandry) (2) PG courses Chartered Accountancy/Institute of Cost and Work Accountancy/Company Secretary (1) CA (Chartered Accountancy) (2) ICWA (Institute of Cost and Work Accountancy) (3) CS (Company Secretary).B. (2) L.S.M.L.Sc.D. Ahamdabad) (1) Graduate diploma in design (2) Post graduate diploma programme in design Medical & Para Medical courses (1) MBBS (2) Bachelor of Ayurvedic Medicine & Surgery (BAMS) (3) Bachelor of Unani Medicine & Surgery (BUMS) (4) Bachelor of Homeopathic Medicine & Surgery) (5) Post Graduate courses (6) Bachelor of Physical Therapy (BPT) (7) Master of Physical Therapy (MPT) (8) Bachelor of occupational Therapy (BOT) (9) Master of occupational Therapy (MOT) (10) B. & A. . Nursing (11) M.D. (13) M.S. Veterinary Sciences and Animal Husbandry (1) B.H.Sc.VSc. Nursing (12) B.

(IIT). Kerala. National Institute of Technology. Hauz Khas. Pigdamber. Vastapur. P. Indian Institute of Technology.(IIT).(IIT). IIT. Calicut-673601.V. P.O.List of institutions eligible for reimbursement of full course fee under merit cum means based scholarship scheme for the students belonging to minority communities. Allahabad – 211004. Powai. (Haryana) National Institute of Technology . Kharagpur. National Institute of Technology. Tiruchirapalli-620015 National Institute of Technology. National Institute of Technology. Kanpur – 208076 Indian Institute of Technology. Diamond Harbour Road. Surat – 395607 (Gujarat). Motilal Nehru National Institute of Technology. P. Bannerghat Road.(IIT). (Jharkhand). IIT. Indian Institute of Management. Bhopal-462007 National Institute of Technology. P. Sitapur Road. New Delhi – 110016. (Assam) . Kozhikode 673571. Indian Institute of Management.(IIT). Indor. S. Indian Institute of Technology. Kozhikode. Kunnamangalam. Rourkela – 769008. National Institute of Technology. Jamshedpur – 831014. Indian Institute of Management. Prabandh Nagar. (UP) National Institute of Technology.(AP). Indian Institute of Technology. Srinivasanagar. (Orissa). (Rajasthan) National Institute of Technology. Indian Institute of Technology. Hazaratbal Srinagar – 190006. Warangal – 506004. National Institute of Technology. Lucknow226013. Malaviya National Institute of Technology. J&K.. Guwahati – 781039. Madhya Pradesh453331. Indian Institute ofManagement.(West Bengal). Maulana Azad National Institute of Technology. Surthakal – 574157. Rau.O. North Guwahati. Bangalore-560076. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) Indian Institute of Technology. Nagpur – 440001. Indian Institute of Management.O. Indian Institute of Management. Kurukshetra – 132119.(IIT).. Silchar – 788010.O. Roorkee – 247667. Off. Durgapur-713209. Joka. Mumbai – 400076. Jaipur – 302017. – 721302. Kolkata-700104.(IIT). Visvesvaraya National Institute of Technology. National Institute of Technology. Chennai – 600036. Indian Institute of Technology. Ahmedabad-380015.

Indian Institute of Information Technology and Managaement. Arunachal Pradesh. New Delhi National Institute of Design. Estate. Indian Institute of Information Technology. Vihar Lake. Agartalla. Tripura ABV. All India Institute of Medical Sciences. Ranjhi. MITS Campus. Sant Longowal Institute of Engineering and Technology (SLIET). Jawaharlal Institute of Post-graduate Medical Education & Research. Nirjuli79110 (Itanagar). Haryana Indian Institute of Foreign Trade. National Institute of Technology. New Delhi – 110002 North Eastern Regional Institute of Science and Technology (NERIST). Design & Manufacturing (IIITDM).P.O. Post Graduate Institute of Medical Education & Research (PGIMER). New Delhi. Indian Institute of Science.-NITIE. Lady Hardinge Medical College. Distt. Mumbai400087. Ambedkar National Institute of Technology.O. Chhattisgarh. Raipur. Dhanbad – 826004. B. Bihar Dr. P. Vardhman Mahavir Medical College & Safdarjung Hospital New Delhi. Punjab. Indian School of Mines. National Institute of Foundry and Forge Technology (NIFFT). VillageLongowal.. IT Bhavan. Ballabhgarh. Hatia. Post-Graduate Institute of Medical Education & Research. I. Madhya Pradesh. Jallandhar. (Himachal Pradesh) National Institute of Technology.T. Bangalore. Punjab-148106. Ram Manohar Lohia Hospital.(29) (30) (31) (32) (33) (34) (35) (36) National Institute of Technology. P. Ahemdabad National Council for Cement and Building Material. National Institute of Mental Health & Neuro Sciences. G. Pandit Dwarka Prasad Mishra Indian Institute of Information Technology.R. Gwalior – 474075. National Institute of Technology. Ranchi – 834003. Puducherry. Nehru Science Centre. Bye Pass. Jharkhand National Institute of Industrial Engineering. New Delhi (37) (38) (39) (40) (41) (42) (43) (44) (45) (46) (47) (48) (49) (50) (51) (52) (53) (54) . Kamla Nehru Road. Campus. Jharkhand.144004. Tamilnadu. Chandigarh. (ABVIIITM). New Delhi. Allahabad – 211002. Road. Indian Institute of Information Technology (IIIT). Hamirpur – 177001. Kancheepuram. School of Planning & Architecture. Jabalpur – 482011. Patna. Design & Manufacturing (IIITDM).Sangrur. Jabalpur Engg. Bangalore – 560012.

Chennai. Raibareli National Institute of Fashion Technology. Bhopal National Institute of Fashion Technology. National Institute of Fashion Technology. Kolkata National Institute of Fashion Technology. Hyderabad. Gandhinagar. Mumbai National Institute of Fashion Technology. Kannur (Kerala) National Institute of Fashion Technology. National Institute of Fashion Technology. New Delhi.(55) (56) (57) (58) (59) (60) (61) (62) (63) (64) (65) (66) (67) (68) (69) (70) Indian Institute of Foreign Trade. National Institute of Fashion Technology. Kolkata. National Institute of Fashion Technology. Shillong National Institute of Fashion Technology. Bangalore. National Institute of Fashion Technology. Goa . Gwalior Indian Institute of Tourism & Travel Management. Bhubaneshwar Indian Institute of Tourism & Travel Management. National Institute of Fashion Technology. Patna Indian Institute of Tourism & Travel Management.