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Government of Telangana
Department of Backward Classes
Student Application cum Verification Report for
Post-Matric Scholarship Fresh 2024-25
2. Application 06-12-
1. Application No: 202412188709 3. Caste / Sub Caste: BC-B/Padmasali(Sl.No.-17)
Date: 2024
4.Student Name MIRYALA DEEPIKA 5. Gender : Female
6.Father/GuardianName MIRYALA LAXMI NARAYANA 7.Date of Birth 30-03-2006
7. Address & Mobile No : NALGONDA,KATTANGUR,AITIPAMULA&******8862
8. SSC HT No : 2229106692 9. Pass Year : 2022 10.Pass Type : SSC Regular
11.Family Annual Income (in
120000.0 12. UID(aadhar) : *********5509
Rs.):
13. Income Certificate Details: IC022439137950
NALLA MALLA REDDY ENGG COLLEGE DIVYANAGAR K SINGARAM GHATKESAR
14.College Details :
M,GHATKESAR,MEDCHAL MALKAJGIRI,Private College,JNTU HYDERABAD
15. Course Name /Course Year
BTECH (ECE)/1/4
/Duration of Course :
16. College Admission No / 17. Distance (in
24B6A04A5/13-08-2024 130.0
Admission Date(of this year): Kms.) :
18. Scholarship Type : Day Scholar(DS) 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 :
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