Name of University: College Name: Address: Landline No.: Fax No.: Email ID: Website: Institute Code: Ref. No. Date: Fees Concession / Freeship information (Following information should be filled by College) 1) This is to certify that Mr. /Ms. is a bonafide student of this institute /college. He /She belong to category OPEN /SC/ST/VJ (A) NT (B)/NT(C)NT(Dy/SBC/OBC. (Mention his /her category in the box) 2) He /She has taken admission for the course in year. He /She is studying in I/II/ II IV/ V year of the academic course. This student is eligible for getting concession/ freeship as per the following (Mention his/her class/category in the box) Economically Backward class Other Backward Class Scheduled Caste Scheduled Tribe Remark if any (ifhe/she is getting any fee concession / scholarship from any other source ) aleln]— 3) Mention the actual amount of concession / freeship received! may be received to the student as per his/her class/eategory 4) If, this student is not eligible for getting any above Concession/freeship, please mention the reason in the box / Signature of Principle: - —______ Round Stamp Name of the Principal:~ of a, - Stamp of Principal: - —_