BC MBC and DNC Fresh Scholarship Application 2023-24

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SRI KRISHNA COLLEGE OF ENGINEERING & TECHNOLOGY,

KUNIAMUTHUR, COIMBATORE - 641 008.


SCHOLARSHIP ONLINE REGISTRATION APPLICATION FORM
BC /MBC / DNC (Fresh) 2023 - 2024
(Fill up in BLOCK letter only)

Student Scholarship ID (office use only) Date :

Student Admission No / Roll No : Student Reg No :


Course : Branch : Year : I / II / III / IV
Student’s Name :
Father’s Name :
Date of Birth : ….../….…/.. ..…. Gender : Male / Female

Community : BC / MBC / DNC Sub – Caste :


(as per community certificate)

Religion : Hindu / Muslim / Christian


Annual Family Income : (Limit upto 2.5 Lakhs)
(as per income certificate)

Quota : Government Quota TNEA Counselling App No :


First Graduate : Yes No School EMIS No :
Disability (PH/VH) : Yes No (If u YES you have to enclosed particular documents)

Email ID : Mobile No :
Address :

Taluk : District : Pin Code :


Bank Account Details of the Student:
Student Bank Account No :

Name of the Bank : Branch Name :

IFSC Code : MICR Code :


(11 digit code) (9 digit code)

Aadhar Card No (Mandatory) :

Signature of the Staff Signature of the Student


HOSTEL DETAILS (COLLEGE HOSTEL ONLY)

Hostel Name : Hall of Residence - Men / Women

Date of Joining : Signature of the Warden with Hostel Seal


(Current academic year)
The following documents are to be enclosed along with the scholarship Fresh Application form

1. Current Year Online Income Certificate Original


2. Online Community Certificate (Xerox copy) - 2 No
3. TNEA Counselling Allotment Order (Xerox copy) - 2 No
4. HSC (+2), HSC (+1) and SSLC (10th) Mark Sheets (Xerox copy) -1 No
5. Transfer Certificate (TC) (Xerox copy) -1 No
6. Bank Pass Book with IFSC Code & MICR Code (Xerox copy) – 2 Nos
7. Previous Year School Attendance Certificate Original - 1 No
8. Aadhar Card (Xerox copy) -1 No
9. First Graduate Certificate (Xerox copy) -1 No (First Graduate Students Only)
10. Disability (PH/VH) Certificate Xerox Copy (Disability Students only)

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