Annexure-I
DECLARATION OF MINORITY STATUS.
(TO be attached in original)
1 YEO Tevee®.P.BAKEE... Declare that | belong to ... W422... Minority
community declared as Minority Community by Government of Maharashtra,
General Administrative Department Notification Community by Government of
Maharashtra, General Administrative Department Notification No.
RRA/2005/89/C.R.19/2005/35, dtd 9" October, 2006 & NO.SAC.2015/C.R.177/D-
9, dtd 2-july-2016.
If any stage, it is found that the information given by me is false/not true, all
benefit given to the student under the scheme of “scholarship Scheme for
pursuing All courses after HSC (Arts, commerce and Science etc. Studies to the
students belonging to Minority Communities” could be withdrawn and legal
action as deemed fit, may be taken against me or my ward.
fred.
Signature Student
Date: 14) 92.
Residential Address:
(tise. Legg pe
Me icdeh puctieeatgpabad,
ele