Application of Fee Concession: Particulars of The Applicant

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APPLICATION OF FEE CONCESSION

PARTICULARS OF THE APPLICANT

 Name: ________________________________
 Contact No (PTCL) : ________________________ Mobile No: _______________________
 Father/Guardian’s Name: ______________________________________________________
 Degree/Class:_______________ Session:
Discipline/Department:__________________________ Faculty: ______________________
 Present Address:
 Permanent Address:
 Monthly Income of Father/Guardian Rs. _______________ Occupation _____________
 Other Source of Income( If any): ___________________________________________
 Residence: Owned/ Hired: _______________ Rent( per month):
 Total No of Family Members: No of Siblings studying:
 Any Scholarship received Previously: Yes/ No: ___If Yes Detail:
 % Of Marks Obtained:Metric:_____________FA/F.Sc:___________ BA/B.Sc/BS ___________
 Reason of Applying Fee Concession:

Signature of Student

Dated:

For Office Use only

 It is hereby certified that Ms.___________________


D/O ___________________________Interviewed by on
and found deserving/ Non deserving % fee concession is recommended subject following the
rules.

______________________________
Signature of Incharge Fee Concession
________________________________
Signature & Stamp
Chairman/Head/Incharge of Department

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