Deen Dayal SPARSH Scheme (Philately Scholarship) 2022-23 – Telangana Postal Circle

APPLICATION FORM
1. Name of the Student : __________________________________________ Passport size
photograph
2. Mother’s Name : __________________________________________
3. Father’s Name :__________________________________________
4. Date of Birth : _ _ /_ _ /_ _ _ _
5. Class : ______________ 6. Academic Year : _________________
7. Name of School : _____________________________________________________
8. % of marks (in final examination of the last academic year) : _________________
9. Whether belongs to SC/ST : Yes/No
10. PDA Account (Yes/No) : ________ If yes, PDA A/c no. : ________________________
11. PDA A/c holder since : ________________
12. Member in School
Philatelic Club (Yes/No) : ________ Club Membership No.: _______________________
13. Address : _____________________________________________________
___________________________________ PIN_______________
14. Contact No. Mobile : _____________________ Landline : ___________________
15. Email Id : _____________________________________________________
16. Aadhar No (Candidate/Parent) : __________________________________________________

Date: Place: Signature of candidate

Attestation by School in lieu of verification & confirmation of above information

Signature of the Principal/Authorized Signatory

with School Stamp & Seal

For Office Use

Name of the Division : Roll No Allotted:

Name of the Region :
Recommended : YES/NO

Signature of the SPOs/SSPOs