MmVy Guidelines For Outside State Institution S
MmVy Guidelines For Outside State Institution S
MmVy Guidelines For Outside State Institution S
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Benefit under MMVY Scheme for Students Admitted in Outside State Institutions
After verification, the institutions are required to submit essential documents listed
below for reimbursement of fee with the duly signed Recommendation cum Verification
form/Application form for Sanction for MMVY Scheme :-
regards,
Team MMVY
Appendix I
DIRECTORATE OF TECHNICAL EDUCATION, MADHYA PRADESH,
BHOPAL
MUKHYA MANTRI MEDHAVI VIDYARTHI YOJNA
REIMBURSEMENT FORM FOR FURNISHING FEE DETAILS PAID BY STUDENT IN INSTITUTIOIN
ACADEMIC YEAR………………………………. FEE PAID (SEMESTER / YEAR WISE)…………………………
1. STUDENT'S NAME ………………………………. 2. FATHER'S NAME …………………………………………………
3. APPLICANT UNIQUE ID …………………… 4. APPLICATION NUMBER ……………………………….
5. HEAD WISE FEE DETAILS OF STUDENT. (Admission fee, tuition fee, etc.)
1 Admission Fee
2 Tuition Fee
3 Registration/Enrolment
4 Campus Development
5 Examination
6 Identity Card
7 Placement Fee
10 Fan/Electric/Water Charges
13 Gymkhana Fee
14 Festival Fee
15 Medical Fee
17 Orientation Overhead
18 Institute Day/Convocation
19 Publication
20 Insurance
21 Alumni membership
22 Library Fee
24 Hostel Admission
25 Hostel Establishment
26 Caution Money
27 Development Fee
28 Sport / Creative
29 Any Other
Total
Contd………...2
Applicant Unique ID………………….
//2//
6. WHETHER THE STUDENT IS TAKING BENEFIT OF ANY OTHER GOVT. SCHEME (YES/NO)……………..
IF YES, PLEASE SPECIFY THE DETAILS.
I. Admission Fee
V. Publication
Total
7. HEAD WISE DEDUCTABLE AMOUNT PAID IN EXCESS IN PREVIOUS YEAR / SEMESTER UNDER
MUKHYA MANTRI MEDHAVI VIDYARTHI YOJNA OF GOVT. OF M.P. (if any.)
I. Admission Fee
V. Publication
Total
8. NET PAYABLE AMOUNT TO STUDENT FOR CURRENT YEAR / SEMESTER UNDER MUKHYA
MANTRI MEDHAVI VIDYARTHI YOJNA OF GOVT. OF M.P. (A-B-C)
NOTE : Please enclose the head wise fee receipt paid by the student.
Contd………...3
Applicant Unique ID………………….
//3//
Declaration
This is to certify that above information and amount mentioned under point nos. 5,6,7 and 8 is
correct and verified by me. The reimbursable amount mentioned in point no. 8 is actually payable to
student under MUKHYA MANTRI MEDHAVI VIDYARTHI YOJNA OF GOVT. OF MADHYA PRADESH.
Signature: ………………………………………………
Name of Principal / Director / Registrar of the Institution ……………………….
Seal of Institution