This application form is intended to assist deserving students with their tuition expenses only if their parents’ annual income is between Rs. 5 lakhs to Rs. 8 lakhs per annum.

Name:

Roll No:

Mobile No:

Smail ID:

Personal Email ID:

CGPA:

Category:Please Select Your CategoryOBCEWSGEN

Parent’s Annual Income Range::Please Select Your Parent’s Income RangeBelow 1LGreater than 1 Lakh to 5 LakhsAbove 5L

Parent’s Annual Income

Document Upload

• Students in the OBC/EWS category must provide an OBC-NCL/EWS certificate authorized by the Tahsildar.
• Students in the General category must provide an Income certificate authorized by the Tahsildar.
• Form 16/Income tax (IT) documents are not acceptable.

Are you getting any other scholarships?YESNO

If yes, Scholarship Name:Amount:

Have you updated your bank account details in the IITM Workflow:YESNO

DECLARATION

I hereby declare that the information furnished above is true, complete, and correct to the best of my knowledge and belief.

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