Under Graduate and Post Graduate levels Technical and Professional Courses under Merit-cum-Means based

Scholarship Scheme
Engineering & Technology Courses (B.Tech/B.E./M.Tech.)

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Aeronautical Engineering (AE) Agricultural Engineering (AG), Automobile Engineering (AUE), Applied Electronics & instrumentation (AEI) Automation and Robotics (ARE), Bio-Medical Engineering (BME), Bio-Technology (BT), Ceramic Engineering/Technology (CT) Chemical Engineering (CH) Civil Engineering (CE), Computer Science and Engineering (CS), Electronics Engineering or Electrical & Electronics Engineering (EEE), Electronics and Communication Engineering (ECE), Environmental Engineering (ENE), Food Technilogy (FT), Industrial Engineering and Management (IEM), Information. Technology (IT), Instrumentation and Control Engineering (ICE), Leather Technology (LT), Marine Engineering (MRE), Materials Science & Technology (MST), Metallurgical Engineering (MT), Mechanical Engineering (ME), Mining Engineering (MN), Oil & Paint Technology (OPT), Polymer Science and Rubber Technology (PSR), Printing Technology (PT), Production Engineering (PE), Pulp & Paper Technology (PPT), Sugar Technology (ST), Textile Engineering/Technology (TXT), Transportation Engineering (TE).

Cement Technology (1) Post graduate diploma in cement technology Fashion Technology (Degree from National Institute of Fashion Technology) 1. B.F Tech (Design): Fashion Design, Leather Design, Accessory Design, Textile Design, Knitwear Design, Fashion Communication. 2. B.F Tech (Apparel Production). 3. Me.F Tech: Management, Apparel Production, Design Space. Management (1) (2) (3) (4) Post Graduate Diploma in Management (PGDM), Post Graduate Certificate in Management (PGCM), Executiver Post Graduate Diploma in Management (Exec-PGDM), Mater in Business Administration (MBA).

Pharmacy (PH) (1) (2) B.Pharma M.Pharma

(4) The format of Renewal application is as follows:- . Hotel Management & Catering Technology (Under Graduate and Post Graduate level courses only) (1) Hotel Management & Catering Technology (HMCT) Applied Arts & Crafts (Under Graduate and Post Graduate level courses only) (1) (2) (3) MCA (1) Master in Computer Application (MCA) Applied Arts & Product Design (APD). Fine Arts/Applied Arts/Fine & Applied Arts (FA/AA/FAA). Students studying in other recognized institutes will be entitled for reimbursement of a maxium course fee of Rs.Architecture & Town Planning (Under Graduate and Post Graduate level courses only) (1) (2) (3) (4) Architecture (AR). Building Construction Technology (BCT). Aahamdabad) (1) (2) Graduate diploma in design Post graduate diploma programme in design Medical & Para Medical coures (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) MBBS Bachelor of Ayurvedic Medicine & Surgery (BAMS) Bachelor of Unani Medicine & Surgery (BUMS) Bachelor of Homeopathic Medicine & Surgery) Post Graduate courses Bachelor of Physical Therapy (BPT) Master of Physical Therapy (MPT) Bachelor of occupational Therapy (BOT) Master of occupational Therapy (MOT) B. (3) Students studying in institutes listed in the scheme will be entitled to reimbursement of full course fee. Design (Degree from National institute of Design. Interior Design (ID).per annum.Sc Nursing BDS MDS Ventrinary Sciences and Animal Husbandry (1) (2) B.L.Sc Nursing M. 20.M CA (Chartered Accountancy) ICWA (Institute of Cost and Work Accountancy) CS (Company Secretary). & A.H (Bachelor of Veterinary Sciences and Animal Husbandry) PG courses Chartered Accountancy/Institute of Cost and Work Accountancy/Company Secretary (1) (2) (3) Law (1) (2) L. Planning (PL).000/.VSc.L.B L. Fashion & Apparel Design (FAD).

House No.O District State Pin / Code . Mohalla/Street City/Town/Village & P. Full Name (In block letters) Surname First Name Middle Name 2. Father’s Name/husband’s Name: 3.O District State Pin / Code 6.FORMAT OF APPLICATION MERIT-CUM-MEANS SCHEME ( To be filled by the Student belonging to minority communities ) FOR OFFICIAL USE ONLY Sl. Mother’s Name: 4. Domicile State/UT ( State/UT which the student belongs to ) 5. Mohalla/Street City/Town/Village & P. of application Year Course Whether approved To be filled by applicant • FRESH / RENEWAL Paste here a passport size photograph.No. Permanent address ( Please enclose residential certificate from concerned state government authority (Certificate not required to be enclosed for renewal cases if address has not changed). 1. Self attest it with part of the signature on the photo and the photo and the application form. Address for correspondence: House No.

Nationality: 11. If so the name of authority which has recognized the institution: To which university is it affiliated/does it have deemed university status: 15. Details of course for which scholarship is being soughts: (i) (ii) (iii) Name of the technical /professional course: Duration of course: Academic year: 13. Details of educational qualifications from matriculation/SSLC/SSC onwards (Please enclose certificate attested by a gazetted officer (Certificates not required to be enclosed for renewal case) Examination passed University/Board/Institutio n/Council of Examination Main subjects Year of passing Percentage marks Division /Class/ Grade 12. Basis of admission in professional/technical course ( whether on the basis of qualifying competitive examination or on other grounds. Whether male or female: Male Female 9. 14. Religion: 10. Please give details ( Not required to be filled up for renewal cases). Detail of college/institution (i) (ii) (iii) (iv) (v) (vi) (vii) Name of the college/institution where admitted: Address of college/institution: Telephone no: Fax No: E-mail address: Is the college/institution recognized. Date of birth ( Please enclose certificate /certificate not required to be enclosed for renewal cases) D D M M Y Y Y Y 8.7. For renewal of scholarship: Year Marks obtained Full marks % of marks Promoted detained or withheld Name of examination passed .

. State _______________. /(Rupees in words) (Specimen form of declaration of annual income is given at Annexure which is to be signed by the parents/guardian of the students and enclosed along with the application. Details of bank account of students: (i) Name of the payee (as in the bank accounts) (ii) Name of the Bank (iii) Bank branch ___________________________________(full address). . income certificate from the employer may also be enclosed) 19. (Break up of course fee such as tuition fee. Annual Income of parent/guardian of the student: Rs…………………………. other than refundable deposits. Total Annual course fee./( Rupees in words)…………………………………………………………………….judicial stamp paper and income certificate from the employer Proof of permanent residence (Certificate not required to be enclosed for renewal application if address has not changed): (iv) Receipt in acknowledgement of scholarship in the previous year duly countersigned by the head of the institution. library fee. Pin____________ (iv) Branch Code number (Leave one space wherever required (iv) Bank Account Number (Leave one space wherever required) (vi) Type of bank account:____________ Saving/Current (vii) MI CR code of the Bank (Leave one space wherever required) (vii) Mode of Electronic transfer available in the Bank ECS/RTGS/NEFT/CBS/code number (if any):- 18. District__________________.16. examination fee etc. Rs……………………………………………. (Certificate not required to be enclosed for renewal application) (ii) (iii) Income declaration – affidavit on non.No 1 2 3 4 5 6 Item Annual fee Total 17.) SL. In case parents/ guardian are employed. Document enclosed with the application (i) Attested certificates of educational qualification as filled up in para 11.

He/she/is a hostler /day scholar of the college.20 Declaration: (i) (ii) (iii) I hereby declare that the information given above is correct. the scholarship sanctioned to me. Pin _______________ (iv) (iv) Bank Code number Bank Account Number (Leave one space wherever required) (vi) (vii) Type of bank account:____________ Saving/Current MI CR code of the Bank (Leave one space wherever required) (vii) Mode of Electronic transfer available in the Bank ECS/RTGS/NEFT/CBS/code number (if any):- Signature of head of the institution/college Date: Place With official seal . Details of bank account of institution/college (For deposit of course fee): (i) (ii) (iii) Name of the Payee (as in the bank accounts) Name of the Bank Bank branch ( full of address)_________________________________State ______________________. It is also certified that the student has not changed the course of study and /or the institution of the study for which the scholarship was originally awarded/has changed the course of study and/or institution with prior approval of the state government (please strike out which is not applicable ) 22.D/O.W/O Shri __________________who is admitted in______________________ course for the academic session _________________in ___________________________college is correct. apart from liability for such penal action as warranted by law. I am not availing any other scholarship for this purpose from any other sources. (iv) I undertake. that if at any stage. District _______________________. Verification /information to be furnished by the Head of institution/college: It is certified that the information filled in the above mentioned columns by Shri/Smt/Kumari_________________________________ __________S/O. may be cancelled and the entire amount of scholarship will be refunded by me or recovered from me. For renewal of scholarship: It is certified that the above mentioned student has passed the _____________________ examination for _________________ (year) and has attained -_____________________% of marks. it is found to the satisfaction of the sanctioning authority in the Ministry of Minority Affairs that the information given by me is false or if I violate the terms and conditions of the scholarship. Date: Place: Signature of the candidate 21. I shall abide by the terms and conditions for sanction of the merit-cum mean based scholarship.

However.50 lakh per annum from all sources. without facing any competitive examination. The students must submit their application to the state which he/she belongs to and not to the state where the institution where he/she is studying. such students should have not less than 50% marks at higher secondary/ graduation level. of the concerned State Govt/UT administration. UT only irrespective of his place of study. (v) A students residing in a particular State/UT will be entitled for scholarship under the quota of that State. Selection of these students will be done strictly of merit. dealing with minority welfare. . on the basis of a competitive examination. who have got admission in a recognized college to pursue technical/professional courses. (iv) The annual family income of the beneficiary/parents or guardian of the beneficiary should not exceed Rs. How to apply Application in the prescribed format maybe submitted to the Secretary of the. (iii) A scholarship holder under this scheme will not avail any other scholarship/stipend for pursuing the course. is located.Eligibility criteria (i) Students. who have got admission in a recognized college to pursue technical/professional courses. (ii) Students. deptt. through the institutions where the students are pursuing technical/professional courses. will also be eligible for scholarship. 2.

.. Signature Date: (Fathers/Mothers/Guardian) Residential Address (This is a draft format which the State government/UT administration may modify. it is found that the information given by me is false/not true. all benefits given to the student under the scheme of’ Merit cum means based scholarship to the students belonging to minority communities” could be with drawn and legal action as deemed fit. amend to suit legal requirements) .DECLARATION OF FAMILY INCOME I ………………………………………………………(Fathers/Mothers/Gurdian) of ……………………………………….(Name of the Students) who is studying in ……./……………………………………………………… in word……………………………………………………………………………… if at any stage.hereby declare that my annual income from all sources is Rs. may be taken against me or my ward.………………………………………….