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Inter R.

No:_______________________ Group :___________,Marks: _____

RENEWAL

APPLICATION
- 20 (CSSS for College & University students) % of Attendance Remarks Regarding discipline of the student, including ragging, etc.,

Name of Degree / PG Course:.. II Year P.G. III Year IV Year / I Year

MHRD, Department of Higher Education, Govt. of India, New Delhi. Form for Renewal of Scholarship for the year 20
If studying PG: Name of the PG College:_______________ ___________________________________ Postal Address: ___________________________________

Schp. IDNo.____________________
Name of the student with Fathers name & e-mail-ID

V Year / II Year P.G.


On line facility Bank A/c particulars

Name(as on sign board) & Postal Address of the College, where Candidate is studying now. Degree College:______________________ ___________________________________ Postal Address: ___________________________________ ___________________________________

Board of Intermediate Educations Roll No., Year of passing, Group, Marks, Shlp ID.No. as given in the fresh final selection list.

Bank Name:________________________ _____________________________ Branch :______________________

Telephone No. _______________ Mobile No. _______________

a) Name of the Bachelor Degree ______________ b) whether promoted to next class : - Yes / No c) I year % of Marks: _____________ d) II year % of marks:______________ e) III year % of marks:_____________ f) IV year / I year P.G. % of marks:_________________
Note: Convert the CGPA into % of Marks & Furnish Year Wise in % of Marks.

___________________________________ Mobile No._________________________ ___________________________________ Name of the PG Course:________________ Admission No. _______________________ Date:____________ (2 year students should mention only FIRST Year Admission Date, but NOT that of 2nd Year.
nd

Andhra Pradesh, BIE, A.P., Hyderabad IPE March 20. Roll.No:______________ Group in Inter:__________ Marks in Inter:__________ Schp.ID NO: ______________________ (as provided in the final selection list)

Branch Code:________________________ Bank S.B A/c No.: ______________________________ IFSC code:_________________________ AADHAR No. ______________________________

THE MHRD, DEPT. OF HIGHER EDUCATION, NEW DELHI, HAS MADE IT MANDATORY FOR SUBMISSION OF AADHAR NUMBER FROM THE ACADEMIC YEAR 2013-2014. THE PRINCIPALS ARE HEREBY REQUESTED TO ADVISE STUDENTS TO OBTAIN THE SAME, WHICH WOULD FACILITATE DISBURSEMENT OF SCHOLARSHIP. Certified that the particulars given above are true. Signature of the Principal (Bachelor Degree Course) / PG Students have to forward this renewal application form soon after announcement of their University results or within (15) days. Course, Head of the Institute with College Seal. Students need not wait for the original Memos of the University. They can enclose Memos downloaded from Internet, provided they are certified by the concerned college Principal. 2) Universities which conduct examinations twice or thrice i.e. on semester wise in a particular academic year, such students have to forward renewal applications only once in an academic year. They have to arrive at a single percentage only after calculating all the semester examination of a particular academic year. Students are prohibited from forwarding renewal application forms on semester wise. 3) Principals should ensure that students fill all the year-wise percentage columns in the renewal application form. 4) Students who have passed 2nd and 3rd year examination have to mention their previous years percentage in the relevant column even if they have mentioned in their previous years renewal appls. 5) Incomplete and late received renewal application forms will be rejected. 6) Further information on MHRD CSS Scholarship is available at BIE Website: www.bieap.gov.in Enclosures a. Attested copy of Bachelor Degree / Masters Degree Marks Sheet. b. Xerox copy of Bank pass book page where Bank Account Number (having on line facility) and students name as mentioned in the Intermediate Pass Certificate are reflected. To be sent to: 1.The Secretary, Board of Intermediate Education, A.P., Vidya Bhavan, Nampally, Hyderabad -500001. 1)

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