Www.aicte-India.org_downloads_Format for PRAGATI and PH Scholarship-26 09 2014

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  ALL INDIA COUNCIL FOR TECHNICAL EDUCATION (7 th  Floor, Chandralok Building, Janpath, New Delhi, 110 001) Application Format Scholarship for Girls under PRAGATI scheme and Scholarship for Differently abled students FOR OFFICE USE ONLY:   Sr No of Application Year Course Whether Institute is Approved by AICTE (Y/N) To be filled by the student: Application for Girls Scholarship (Yes/No) Paste here a  passport size  photograph self attest it with part of the signature on the  photo and the application form. Application for differently abled scholarship (Yes/No) 1.   Full Name (In Block Letter) Surname First Name Middle Name Father’s Name   Mother’s Name  Student unique id 1 - 2.   Address for correspondence  Name House Number  Mohalla/Street City/Town/Village District State Pin Code Telephone/Mobile number, if any e-mail ID, if any 3.   Parents Address  Name House Number Mohalla/Street City/Town/Village District State Pin Code Telephone/Mobile number, if any e-mail ID, if any 4.   Permanent Address  Name House Number Mohalla / Street City/Town/Village District State Pin Code Telephone/Mobile number, if any 5.   Date of Birth D D M M Y Y Y Y 6.   Gender Male Female 7.   Other details Religion  Nationality  Category(Open / SC / ST / OBC) Whether  belonging to Minority community (Yes / no)  Name of Minority (if applicable) Whether differently abled (PH) (Yes / No) Category of disability (if applicable) % Disability (if applicable) Disability Certificate issuing authority (if applicable) 8.   Parent ’ s Details (Mother / Father / Guardian (Tick appropriate) Occupation Government service (Yes /No) Semi Government service (Yes /No) Private service (Yes /No) Business (Yes /No) Agriculture (Yes /No) Other (Please specify) Post / Designation (if applicable)  Name of the office with full address (in which employed, if applicable) 9.   Details of educational qualifications from std. Xth onwards  Sr.  No Examination Passed University / Board/ Institution / Council of Examination Year of Passing Marks obtained Marks out of % marks obtained in Board / University Division / Class / Grade 1 Std Xth 2 Std XIIth 3 10.   Details of course in which the student is admitted and scholarship is being sought 1 Name of Course 2 Duration of Course 3 Part Time/Full Time 4 First Shift / Second Shift 5 Academic year 6 Date of admission to first year course in the current academic year 7 Class last attended (Xth / XIIth / any other ) Academic Year 11.   Details of the Institution to which the student is admitted for the current academic year 1 Permanent id of the Institute (PID) 1- 2 Name of the Institute 3 Address of the Institute 4 District 5 State 6 Pin Code 7 Name of the Principal / Director / Head of the Institute 12.   Total Annual Tution Fee Sr  No Item Annual tuition Fee Paid (Rs) Rupees (In words) 1 Tuition Fee     Note: Please enter the “Tuition Fee” details and not the other fee like development / Library / Laboratory etc.
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