Annexure-:1 (Revised 2027-23)

BONAFIDE CERTIEIGATE FORRENEWAL OF SCHOLARSHIP

USE BLUF INK PEN ONLYY
1. Name of Student Ms/M AKSHAT NEGL
2 Name of College CDLLEGE of fORESTRY RANSCHAT
Name of Course (Full Form)
Name of Branch/Stream of Course (if any)
_bse LHona) AGRICULTURE
5.1Total Duration of Course (In years) O4Yea
College/lnstitute Joined on (Academic Year) Month AUGUS_Year 0
Course will complete In Month UNE_Year UNg
8. He/She is continuing the course in 2nd/3rd/ 4th 5th year. (Tick out)
Whethor Studentls getting any other scholarship/ stipend/ (a)Write YES/NONO-
financial assistance from College/ Institute/State Govt or from (b) If YES, then mention total getting amount of
Rs. per month/year/ semester
any other sources/agencles. (Tick appropriate)
Note:- EXCLUDING PM SCHOLARSHIP AMOUNT) (c) Source l Agency of Scholarship
10 Student has successfully completed his/her 1st/ 2nd / 3rd/4th ((Tick out) and scored the following marks in each
semesters/year without RA/Falls (Student to upload conversion formula where grades converted to marks)
Year Exam Held Result Mark sheet Maximum| Marks Percentage
on (Month & Declared on issued byy Marks Obtained
Year) (Month& university on
Year (Month &Year)
1st Year(1st&
2nd sem)

2nd Yoar(3rd &4thsem)

RO aph02 0 OUPULN0O635
3rd Year (5th &6th sem) RO
SOy 2022 |UOh
Sebt 2022 Sept 2022240 0D 20%:030 866t
4th Year (7th &8th sem)
in FIRST ATTEMPT, Scored 50% and above marks in
It is certified that above student has cleared all subjects
FAIL/RA/REPEAT in any subject.
each semester/academic year, did not

Date 12 1022 Round Stamp o

Place Kanichawu CCollege/nstitutsir
(Signature}#
Raniche Tahsrhwai (Rubber Stamp of signing official must be affixed)
Dean/Registrar/Dy Registrar/Director/Dy Director only
#Signature of VC/Principal/Vice Principal/Dean/Associate DEAN
wll be considered. For' signature will not be accepted.
Instructions Cum Certificate from students Coilege of Forestry
use correction pen / whitener and LEAVE ANYCOLUMN BLANK hwa
1 Use Blue ink pen only. Do not overwrite or
otherwlse application will be rejected.
Registrar/Director/Dy
2. Signature of Vice Chancellor/Principal/Vice Principal/Dean/Associate Dean/Registrar/Dy
Director only will be considered on bonafide cerificate, otherwise application will be rejected.
semesters/academic year in FIRST ATTEMPT, uninterrupted to qualify for
3. Student must clear each subject in all
OF DECLARATION OF RESULT.
renewal of scholarshlp. Any instalment can be clalmed within ONE YEAR
and Instructions available on website www.ksb.gov.in. I also certify
4. Ihave read and understood the Check List, FAQ
true to best of my knowledge. I have not forged or given any wrong
that information provided by me is corect and
and I will be solely responsible for the same.
information, i{ found, my application is liable to be rejected
5. 1 am also iable to refund the earlier scholarship
amount already paid to me erroneously due to clerical error and will
for wrong selection.
not clalras a matter of right once detected subsequently
AKKA
.
(SignatureESM)
(Sighature of Student)
AkCHAT NI
Named of EM/Widow DEVEN DRA CJNGH Ne
Name of Student

Date 12lo 22 Date 12lD 22