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    STSC92210191896884

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    vk0564397
    Liku Mahapatra is applying for renewal of the Post Matric Scholarship for the academic year 2022-23. He is currently in the 2nd year of a Plus 3 course studying Physical Science at Deogarh (Degree) College in Deogarh, Odisha. According to the application, Liku is from the OBC category, has an annual family income of Rs. 60,000, and is a day scholar. He has provided details of his educational qualifications, bank account, income certificate, caste certificate, and other required documents to determine his eligibility for the scholarship renewal.

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    STSC92210191896884

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    vk0564397
    26 views3 pages
    Liku Mahapatra is applying for renewal of the Post Matric Scholarship for the academic year 2022-23. He is currently in the 2nd year of a Plus 3 course studying Physical Science at Deogarh (Degree) College in Deogarh, Odisha. According to the application, Liku is from the OBC category, has an annual family income of Rs. 60,000, and is a day scholar. He has provided details of his educational qualifications, bank account, income certificate, caste certificate, and other required documents to determine his eligibility for the scholarship renewal.

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    Certificate of india

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    Liku Mahapatra is applying for renewal of the Post Matric Scholarship for the academic year 2022-23. He is currently in the 2nd year of a Plus 3 course studying Physical Science at Deogarh (Degree) College in Deogarh, Odisha. According to the application, Liku is from the OBC category, has an annual family income of Rs. 60,000, and is a day scholar. He has provided details of his educational qualifications, bank account, income certificate, caste certificate, and other required documents to determine his eligibility for the scholarship renewal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views3 pages

    STSC92210191896884

    Uploaded by

    vk0564397
    Liku Mahapatra is applying for renewal of the Post Matric Scholarship for the academic year 2022-23. He is currently in the 2nd year of a Plus 3 course studying Physical Science at Deogarh (Degree) College in Deogarh, Odisha. According to the application, Liku is from the OBC category, has an annual family income of Rs. 60,000, and is a day scholar. He has provided details of his educational qualifications, bank account, income certificate, caste certificate, and other required documents to determine his eligibility for the scholarship renewal.

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    of 3

    Scholarship Application Form

    ST&SC and MBC Welfare Depart ment


    Academic Year 2022-23
    STSC92210191896884
    Government of Odisha

    Basic Informat ion

    Department Scheme Academic Year Application Type


    ST &SC and MBC Welfare Post Mat ric Scholarship 2022-23 Renew in Same Course
    Depart ment

    Applicant Det ails

    Applicant Name Category Applicant Gender


    Liku Mahapat ra OBC/SEBC Male

    Religion Date of Birth Aadhaar No.


    Hindu 02 Feb 2004 (18 Year) XXXXXXXX7226
     Applicant's Aadhaar is seeded with his/her Bank Account and status is Active.

    Mobile No. Alternative Mobile No. e-Mail Id


    7894495147 7894495147 liku2mahapat ra@gmail.com

    Father's Name Father Educational Status Father Occupational Status


    Rama Kant a Mahapat ra Lit erat e Agricult ure

    Mother's Name Mother Educational Status Mother Occupational Status


    Manju Bala Mahapat ra Lit erat e House Wife

    Guardian Name Individual/ Family Information


    VIEW
    -- Beneficiary of NFSA

    Address Informat ion

    District Block/ULB GP/Ward


    Deogarh Reamal Tabada

    Village Pin Code Address


    Rengalbeda 768119 Reamal, Rengalbeda , Rengalbeda

    Educat ional Qualificat ion Det ails

    For : Mat ric-Annual

    Passing Total Secured Percentage Marksheet/


    Course Board Roll No. Year Mark/CGPA Marks/CGPA (%) Certificate

    X BSE, Odisha 030EE0058 2019 600 338 56.33 Uploaded

    Plus 2 CHSE, 354ND018 2021 600 344 57.33 Uploaded


    Odisha

    Inst it ut e / Course Informat ion (Current Educat ion Informat ion)

    Institute District Block/ULB


    Deogarh (Degree) College, Deogarh Deogarh Debagarh Mpl

    Nature of Course Course Branch/Stream/Trade


    General Plus 3 Physical Science

    Course Year (Current Year of Study) Admission/Registration No. Admission/Readmission Date


    2nd Year BSP21-085 07 Dec 2021

    Enrollment No. Enrollment Date


    BSP-21-085 07 Dec 2021

    Any Exam Conducted during current academic year? : No

    Resident ial St at us

    Whether
    Day Scholar

    Det ails of Last Exam Passed

    Course Course Year Passing Year


    Plus 2 2nd Year 2021

    Total Mark/CGPA Secured Marks/CGPA Percentage (%)


    600 344 57.33

    Certificate
    Uploaded

    Eligibilit y Informat ion

    Income Certificate No. Family Income To Whom the Certificate Issued


    E-INC/2021/540516   60000.00 Rama kant a Mahapat ra

    Issuing Authority Issue Date Income Certificate


    Revenue Officers not below t he rank of 13 Aug 2021 Uploaded
    Tahasildar / Addit ional Tahasildar

    Matriculation Certificate No. Issuing Authority Matriculation Certificate


    1901399863 BSE, Odisha (Annual) Uploaded

    Caste Certificate No. To Whom the Certificate Issued Issuing Authority


    E-OBC/2021/188672  Liku Mahapat ra Revenue Officers not below t he rank of
    Tahasildar / Addit ional Tahasildar

    Issue Date Caste Certificate


    12 Aug 2021 Uploaded

    Institute Declaration Certificate


    NA

    Bank Informat ion

    Account Holder Name IFSC Code Account No.


    LIKU MAHAPAT RA SBIN0RRUKGB 84027889083

    Whether account number tagged /seeded with


    the Aadhaar number?
    Yes

    Bank Name Branch Name


    UT KAL GRAMEEN BANK RENGAL BEDA

    Passbook front page


    Uploaded
    St udent Declarat ion

    1. I have read and understood the conditions of award of Scholarship.


    2. I am aware that my application is liable to be rejected, if it is found at any stage, that Aadhaar number provided by me is wrong or Aadhaar number
    is of someone’s else.
    3. I am aware that if more than one application is found, all my applications are liable to be rejected.
    4. I am aware that for any wrong entry or mis-match of the Bank-account details, the State Government will not be responsible for mis-credit and I
    will be held responsible for diversion of public money on this ground.

    Date ........................

    Place ........................ Full Signature of Applicant

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