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Telangana Post-Matric Scholarship Renewal 2023

This document is a student application and verification report for post-matric scholarship renewal for the 2023-24 year. It provides details about the student such as name, father's name, address, school details, college details, course details, family income, and declaration of truthfulness of the information provided and agreement to terms. The student is seeking renewal of their scholarship and providing current year admission details and a self-declaration for verification purposes.

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045 Devaruppula sairam
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89 views1 page

Telangana Post-Matric Scholarship Renewal 2023

This document is a student application and verification report for post-matric scholarship renewal for the 2023-24 year. It provides details about the student such as name, father's name, address, school details, college details, course details, family income, and declaration of truthfulness of the information provided and agreement to terms. The student is seeking renewal of their scholarship and providing current year admission details and a self-declaration for verification purposes.

Uploaded by

045 Devaruppula sairam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Firefox https://telanganaepass.cgg.gov.in/Printepassonline.do?type=app&apno...

Government of Telangana

Department of Social Welfare

Student Application cum Verification Report for


Post-Matric Scholarship Renewal 2023-24

1. Application No: 2023 1130 3675 2. Application Date: 26-11-2023 3. Caste / Sub Caste: SC / Madiga
4. Student Name : VUTUKURI GOPICHAND 5. Gender : Male
6. Father / Mother Name :VUTUKURI LAXMAIAH
7. Address & Mobile No : 6-4-148/1 VENUGOPALA NAGAR ,Khammam (Urban) , Khammam ,KHAMMAM & xxxxxx9190
8. SSC HT No : 1831100491 9. Pass Year -Pass Type : 2018-Regular 10. Date of Birth: 04-12-2001
11.Family Annual Income (in Rs.): 99000 12. UID(aadhar) : xxxxxxxx1155
13. Income Certificate Details: ,
,
14.College Details : CBIT GANDIPET RAJENDRANAGAR , Gandipet,Ranga Reddy , Private College ,OSMANIA UNIVERSITY
15. Course Name /Course Year /Duration of Course : BE (EEE) / IV Yr / 4Yrs
16. College Admission No / Admission Date(of this year): 160120734032 / 01-06-2023 17. Distance (in Kms.) : 220
18. Scholarship Type : Day Scholar 19. DAH Name : -
I.Declaration
I hereby certify that that above information furnished is true. I have not availed any other scholarship for this purpose from any other
sources. I shall abide by the terms and conditions of the sanction of the scholarship. If any discrepancies are found later, I hereby abide for refund
of the scholarship amounts claimedand also am liable for action by the Department. .

Signature of the Student


Date :

1 of 1 11/26/2023, 10:48 AM

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