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    The document is a scholarship application form for a student named K Mounika. It provides her personal details like name, date of birth, caste, school and class details, parent and address information. It also includes her bank account details where the scholarship amount would be transferred if approved. The principal has signed at the bottom to verify the student's eligibility for the pre-matric scholarship for the year 2014-15.

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    K MOUNIKA APPLCN

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    The document is a scholarship application form for a student named K Mounika. It provides her personal details like name, date of birth, caste, school and class details, parent and address information. It also includes her bank account details where the scholarship amount would be transferred if approved. The principal has signed at the bottom to verify the student's eligibility for the pre-matric scholarship for the year 2014-15.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    32 views2 pages

    K Mounika Applcn

    Uploaded by

    sareenck
    The document is a scholarship application form for a student named K Mounika. It provides her personal details like name, date of birth, caste, school and class details, parent and address information. It also includes her bank account details where the scholarship amount would be transferred if approved. The principal has signed at the bottom to verify the student's eligibility for the pre-matric scholarship for the year 2014-15.

    Copyright:

    © All Rights Reserved
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    of 2

    6/28/2016

    Class 5 to 8 Scheme of ST Welfare
    Pre­Matric Scholarship Application Form 2015­16 
    for Students
    Student Particulars
    Application No. : 20152249964
    Student Name Name: K MOUNIKA
    Father's Name : KANAKAIAH
    Mother's Name : SHOBHA
    Gender : Female
    Date Of Birth : 15­09­2001
    Ration Card No. : YAP172203300008 UID (Aadhaar) : 223142269771
    EID :

    Parent Profession : Agriculture Labour Department ST Welfare


    Religion : Hindu Caste Category : ST
    Sub Caste : Yerukulas(Sl.No­33) Disable Status : No

    School Particulars
    School District : MEDAK School Mandal : DOULTABAD
    School : ZPHS ANAJIPUR
    Class : VIII Medium : Telugu
    Admission No : 2217 Admission Date : 12­06­2015
    Previous Class : VII Previous Class Grade : A (71% to 90%)
    Hostelar / DayScholar : Dayscholar

    Student Bank Account Details
    Bank District : MEDAK Bank Name : CENTRAL BANK OF INDIA
    Branch Name & IFSC
    Code : CBIN­RAIPOLE­(CBIN0282025)
    Student Bank Account
    No : 3277870240

    Address
    Country : India State : Telangana
    District : MEDAK Mandal : DOULTABAD
    Village : ANAJPUR Care Of : KANAKAIAH
    Building : ANAJIPUR Street : ANAJIPUR
    Land Mark : ANAJIPUR Locality : ANAJIPUR
    PIN Code : 502278
    Mobile No. Belongs to
    Mobile No : 9963317602 : FAMILY MEMBERS

     
    Declaration

    I have verified and confirmed that the above student is Eligible for sanction of prematric scholarship for the year 2014­
    15 for the above mentioned class.
     
     
     
    (signature of the Principal)    

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