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MOTILAL NEHRU COLLEGE

(University of Delhi)
Application for Fee Concession
2022-23
Name.............................................................................................................................
Class..............................................................Section....................................................
Roll Number ..................................................................................................................
Previous Year Result.....................................................Percentage..............................
SC/ST/OBC Physically or Visually Challenged..............................................................
Father's Name............................................................................................................
Occupation of Father.....................................................................................................
Mother's Name...............................................................................................................
Occupation of Mother.....................................................................................................
Annual Income of Parents.............................................................................................
Whether loss of any parent(s) due to covid-19……………………………………………
Present Address............................................................................................................
.......................................................................................................................................
......................................................................................................................................
Permanent Address.......................................................................................................
.......................................................................................................................................
.......................................................................................................................................
Student Contact No.....................................
Parent Contact No.......................................
Date...........................
Signature
Note: Last date of Submission is 10-02-2023
Enclosures:-
1. Copy of College I Card
2. Copy of Fee Receipt
3. Latest Income Certificate from Concerned Authority (2022-23)
4. One cancelled cheque
* Final decision would be taken by the committee as per the rules designed by the
committee.
MOTILAL NEHRU COLLEGE BENITO JUAREZ MARG: NEW DELHI-110021

BANK DETAILS OF STUDENT

Name of Student

College Roll No.

Course

Name of Account Holder

Relation with Account Holder

Account Number

Name of Bank

Branch Address of Bank

Bank IFSC Code

Student Contact No.

Student Signature

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