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Government of Telangana

Department of Tribal Welfare

Student Application cum Verification Report for
Post-Matric Scholarship Fresh 2022-23

1. Application No: 2022 0733 9617 2. Application Date: 19-01-2023 3. Caste / Sub Caste: ST / Lambadis(Sl.No-29)  
4. Student Name : DHANAVATH MOUNIKA 5. Gender : Female
6. Father / Mother Name : DHANAVATH KAALU
7. Address & Mobile No : JANKKUTHANDA VT PALLEM ,Miryalaguda , Venkatadri Palem ,NALGONDA & xxxxxx9339
8. SSC HT No : 1227201699 9. Pass Year -Pass Type : 2012-Regular 10. Date of Birth: 23-02-1996
11.Family Annual Income (in Rs.): 100000 12. UID(aadhar) : xxxxxxxx8697
13. Income Certificate Details: IC022230285772 , ,
14.College Details : SRI CHAKRA COLLEGE OF EDUCATION SHERIGUDA , Ibrahimpatnam,Ranga Reddy , Private College
,OSMANIA UNIVERSITY
15. Course Name /Course Year /Duration of Course : BED / I Yr / 2Yrs 
21022 / 03-12-2022
16. College Admission No / Admission Date(of this year): 17. Distance (in Kms.) : 200
18. Scholarship Type : Day Scholar 19. DAH Name : -
I.Declaration
                I hereby certify that that above information furnished is true. I have not availed any other scholarship for this purpose from any other
sources. I shall abide by the terms and conditions of the sanction of the scholarship. If any discrepancies are found later, I hereby abide for refund
of the scholarship amounts claimedand also am liable for action by the Department. .
   
Signature of the Student
    Date :
            
 

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