Application of Fee Concession: Particulars of The Applicant
Application of Fee Concession: Particulars of The Applicant
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:
______________________________
Signature of Incharge Fee Concession
________________________________
Signature & Stamp
Chairman/Head/Incharge of Department