JAWAHARLAL NEHRU UNIVERSITY

SCHOOL OF COMPUTER AND SYSTEMS SCIENCES

NEW DELHI-110067
APPLICATION FOR AICTE PG (GATE/GPAT) SCHOLARSHIP ACADEMIC YEAR …………………..
INSTITUTE PERMANENT ID: 1-5035555391
(Note: Serial Number 1 to 19 to be filled by the student)
1. Course registered: Registration Number: Enrollment Number:
2. Name of Student:
3. Mother’s Name :
4. Father’s Name :
5. Permanent Address :
6. DOB :
7. Gender:
8. Category (Open/SC/ST/OBC/SBC/NT-DT/VJ/Other):
9. Religion:
10. Admitted under EWS Quota(Y/N): ………………………Is Physically Handicapped (Y/N):…………………
11.Mobile No:
12.Email address:
13.GATE Score:
14.GATE Score - Year Valid from………………… and GATE Score - Year Valid upto…………………
15.GATE examination paper:
16.GATE marks out of 100 ………………………….and GATE qualifying marks ……………………………………
17.Aadhar Number:
18.Bank Account Number (Aadhar linked & single operated):
19.Bank Name, Branch and IFSC code:
20.Date of Admission of 1st year PG :
21.Date of commencement of classes:
22.Date of Completion of course:
Undertaking by Student:
1. I hereby undertake that I will not leave the course midway. In case I leave the course in midway or failed/ drop out in
subsequent year, I will refund the total PG Scholarship drawn at the time of leaving the course in the form of demand draft
favouring "Member Secretary, AICTE, New Delhi" payable at New Delhi.
2. I hereby undertake that I am not in receipt of any financial assistance in shape of scholarship/any emoluments, salary,
stipend etc. from any other source.

Date: ………………………… Signature of Student

Certificate:
1. It is certified that Mr./Ms……………………………………………………………….is a regular student of the School, his/her
attendance record is maintained and he/she has fulfilled the minimum attendance and conditions attached to
the award of AICTE PG Scholarship.

Signature of the Supervisor Dealing Assistant SO/AO Dean

…………………………………………………………………………………………………………………………………………………………………………………………

AICTE Student ID (generated from AICTE portal): Institute permanent ID: 1-5035555391

Student ID generated by:

Important Instruction:
 Students need to fill the application form from Serial Number 1 to 19 and submit the form with following
documents in SC&SS office/email to scssofficejnu@gmail.com.
 All the applied students will receive an email from AICTE with login ID and password. Student need to login at
https:// pgscholarship.aicte-india.org using the received id and password for uploading the scanned copies of all
original documents.