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ONLINE SCHOLARSHIP APPLICATION FORM

Karnataka Labour Welfare Board

ಸಂಘತ ಾಕರ ಮಕಂಧ ೕತಹ ಧನ ಸಾಯಾ ಅ

ST U D E N T P E R S ONA L DET A I LS

Student Name : Rakshitha R Father Name : Ramesh N

Mother Name : Savitha R Mobile Number : 8123559453

Gender : female Graduation : Engineering & Medical

Present School Name : T John Institute of Technology,


Present class/ Course : Engineering Gottigere Bannerghatta Road Bangalore 560083,
PIN-560083

Present School Address : T John Institute of Technology, Gottigere Student Present Address : 99 Shyaubhoghanahalli
Bannerghatta Road Bangalore 560083, PIN-560083, Bengaluru Bannerghatta Road jigini hobli anekal Taluk Near A R
Dakshina, Bengaluru Urban compound Bangalore 560083

Submitted On: 22 Sep, 2024 Application Year: 2024

P R E V I O U S Y E A R CL A S S A ND M A R KS

Class Name : 1 ST YEAR Marks : 75 %

Marks card Copy: Submitted

SC H E D U L E D C A S T E / S CHEDUL ED T R I BES ? CER T IFIC ATE

Scheduled Caste / Scheduled Tribes : No Category : obc

Caste Certificate File/ Number: Not Submitted

INDUSTRY DETAIL

Parent / Guardian Name : Savitha R Who is Working : mother


Relationship between student & parent : Daughter Monthly Salary : 11927

Industry Name : Fashionline Apparels, Sy. No.180/5/D, C.K.Palya,


Hullahalli, Sakalavara Post, Bannerghatta Road, Jigai Hobli, Anekal , Taluk : Bengaluru Dakshina
Bangalore-83

District : Bengaluru Urban Pin Code : 560083

A A D H A A R C A R D DET A I L S

Aadhaar : 632983595328 Aadhaar card File : Submitted

Father's Aadhaar Number : 386136693919 Father's Aadhaar card File : Submitted

Mother's Aadhaar : 977489943107 Mother's Aadhaar card File : Submitted

BANK DETAILS

Bank name : Rakshitha R Branch name : Gen Next Bangalore

Account Type : Rakshitha R Account Holder name : Rakshitha R

Account Number : 30790100012269 IFSC Code No : BARB0BANNER

Passbook Front Page Copy : Submitted

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