Name:
Roll No:
Mobile No:
Personal Email ID:
Department:
Year of Joining:
Hostel:
Semester Applying For:
Category:GENOBCSC ST EWS
Parental income is less than 50K?:YESNO
Parental income is less than 1 lakh?:YESNO
Proof Enclosed:YESNO
PwD:YESNO
Are you getting any other scholarships?YESNO
If yes, Scholarship Name & Amount:
Any Disciplinary Action History :YESNO
Do you have any Arrears :YESNO
CGPA of:
Do you have any siblings :
Students should submit this application form along with the parental income certificate to the Dost office
Submit
