Ȫ \]ȪȪ_ èȡ¡ȰȪ]Ǔȡ ȧèȡ ȢȨȣȯǔÈ¡ȡͪƭȡɅ Ȳ[ ȯ¡Ȱ)
Department of Technical Education & Skill Development
Madhya Pradesh Scholarship Portal 2.0
Fresh Application Mukhyamantri Medhavi Vidhyarthi Yojna Application form for year 2019-20
Applicant Unique ID: 2989379 Scheme : Mukhyamantri Medhavi Vidhyarthi Yojna
Application ID: 10170668
First Time Lock Date: 11/09/2019
Version No: 2 Verification Code: 4553 Lock Date: 06/11/2019 IPAddress : 14.139.241.50
Instructions for colleges & offices: Please check all information in each section and place a tick mark in on the box. Institute
will use the first Box with I sign and Sanctioning Office will use second box with O sign in it.
Institute : [51012],NLIU, National Law Institute University, Bhopal District: BHOPAL Course : B.A.LL.B(Hons.)(NLIU)/B.A.LL.B (Hons.)/1st
Year [5501]
Details Application Form Name of Entrance Examination : CLAT
Name PIYUSH SONI Roll No of Entrance Examination : 119025646
Father Name DURGESHSONI Common Rank in(JEE main/NEFT/CLAT) : 344
DOB 08/07/2000 12th Percentage : 90.00
Gender Male #Ǖǽ% 12th Passing Year : 2017-18
Category OBC #\ͪ%
Religion : Hindu Special Category : No I O
Aadhar No. : XXXXXXXX3798
2. Domicile of M.P. : Yes,Student is Domicile of Madhya Pradesh I O
3.Academic Details As Reported by Student : Enrollment No. : A2104 Admission Date :29/06/2019 I O
Details As Reported by Student
Admission Mode Centralized Counselling
Institute [51012],NLIU, National Law Institute University, Bhopal District: BHOPAL
Course B.A.LL.B(Hons.)(NLIU)/B.A.LL.B (Hons.)/1st Year [5501]
Academic Year 2019-20
I O
Hostel Admission 29/06/2019
4. Total Annual Family Income : Rs.200000/-
Father/ Husband Occupation : Own Business/Shop, Income: 200000/-
Mother Occupation : House Wife ,Income: 0/- I O
Other Income : Rs.0/-
5. Contact Details Mobile No : 9893331909 SONIPIYUSH38[AT]GMAIL[DOT]COM I O
Correspondence Address : 89/2 DURGESHKUMARWARD NO.17 ZONE 1 NAGAR PALIKA ???????? NAGAR PALIKA
GANJBASODA VIDISHA, District :- VIDISHA
Permanent Address : 89/2 DURGESHKUMARWARD NO.17 ZONE 1 NAGAR PALIKA ???????? NAGAR PALIKA
GANJBASODA VIDISHA, District :- VIDISHA
6. Bank Account No: , IFS Code: , , , I O
7. Annual Fees Claimed(Rs.) 199250/- I O
8. Additional Scholarships Amount Claimed by the Student :
8.1 MMVY BENEFIT amount already PAID for the academic year : Rs. /-on date: I O
Additional Scholarship Amount Claimed for this acadmic year 2019-20 : Rs.199250/-
Justification for Additional claim as provided by student:
Generated by MP Scholarship Portal as on 06/11/2019
Ȫ \]ȪȪ_ èȡ¡ȰȪ]Ǔȡ ȧèȡ ȢȨȣȯǔÈ¡ȡͪƭȡɅ Ȳ[ ȯ¡Ȱ)
Department of Technical Education & Skill Development
Madhya Pradesh Scholarship Portal 2.0
Fresh Application Mukhyamantri Medhavi Vidhyarthi Yojna Application form for year 2019-20
Applicant Unique ID: 2989379 Scheme : Mukhyamantri Medhavi Vidhyarthi Yojna
Application ID: 10170668
First Time Lock Date: 11/09/2019
Version No: 2 Verification Code: 4553 Lock Date: 06/11/2019 IPAddress : 14.139.241.50
]ȯfȲȡȧȪȡDeclaration From Student and his Parent
We, PIYUSH SONI S/o DURGESHSONI and DURGESHSONI hereby declare that 12th Board Roll No, Board Name, Board Year, Aadhaar No,
SAMAGRA ID, Entrance Exam Roll No, Rank, Marks, Domicile, Annual Income and occupation details of father and Mother, Bank account
details, Amount Claimed, Hostel Status, College detils, Course Details, Category and all other information given in the application form is complete
and correct. We have not submitted any other application for Mukhyamantri Medhavi Vidharthi Yojna or any other scheme that offer the
reimbursement of fee for current academic year in any other institution. We also undertake that, if any information given above is found to be false at
any stage, entire amount of scholarship will be recovered and Director, Technical Education Dept, Government of Madhya Pradesh will be free to
register FIR and initiate legal penal action and against us.
¡PIYUSH SONI S/o DURGESHSONI kDURGESHSONI Ȫȡȯ¡ɇͩ`ȪƠȡȡȣ ¡ȣ¡ȰfȲ¢ȡCDȪ[ȣ¢ȡȡ
\ǕĐȡȲ]ȡȲĤǓȪȢȣ¢ȡ\ǕĐȡȲɅ\ȲǗǓȡ Ȣȡͪ[]ɇ\ȡ`Ȳȡ\ÛͪǗ[fȲ ¡ȣ¡Ȱ@
]ȯȯȪ[^ ğȯǕÉȲğȢȯȡȢͪÚȡȸȪȡfȲ\Ûͩ Ȣ\ÛȪȡȯ\Ȳ[ͩ Ȣ\Û ȲèȡɅ]ȯ
ĤèǕ¡ȣȲͩȡ¡Ȱ@\`ȪƠȡȡȣͩ ȢȢèȡ_ȡȢ¡ȰȪ ȲǗ[ȡͧȡͪ ȣȡȯȢfȲ¡ȡȯͨȡȡǗȢ
ȡ[ȡ¡ȣȧȡȯȢ@
Ǒ¡Øɉȡȡȣȯ]ȡȡğǙǓȯȯ¡ǕȯȡfȯȪ¡ȡȣȡğǙͪƣǓèȣȡȯȢȡȡğǙͪƣȧǔȢ
ȣ_¡Ȱ` ȯȡ ȯȣȡȯȢ)^ ¡ȯͩĐȡȡ ȯ ǔÛͪȡȸȪ¡ȯȡȯͧfͩ ȢȢȪȡȯ\Û[ͩ Ȣ
ȢȡğǙͪƣ ȯͪǔ[
Ȣȡ ǑȡȡȯȡȡͪȡȸȪȡȣ Ǘ
Ȣ
ÞȰͧè ɅȡǑȡȡȯȡȡȡğǙͪƣèȢǙȡ[
\ͬȡȣ\ȡ\Û ¢\ͬȡȣ]æ ȯɅȪ` ȯͪǽÚȡȢÖ ȲǑ¡ȡȧȡȡjȲfȲ
ȯ¡f]_][ȡ_ȡ Éȡ[ȡ¡ȣȧȡȯȢ)
Date (Signature of Parent / ȡͪȡȯ¡èȡ¢ (Signature of Student / ]ȯȯ¡èȡ¢
Declaration from Institute Head & Institute Scholarship Nodal Officer
We, hereby, certify that the student is enrolled in the approved course of Govt MP. All the details filled by the student in the above application
form have been verified with the original documents and have been found to be correct and authentic. He/She is eligible for sanction of
scholarship. College has ORIGINAL COPY of his School Leaving Certificate. He is attending regular Classes, as per the instructions of Government
We have verified all details as per the scheme guidelines & instructions and recommend him for sanction of scholarship as per the rules. We also
undertake that, if the above student does not attend the classes regularly or discontinues the course, We will immediately report the matter to the
Director, Technical Education so that his scholarship can be put on hold. In case any information found to be incorrect, Government will be free to
initiate action against the institute.
The institute is accredited by the Government and permission is given to conduct related course.
Date (Signature ) (Signature ) (Signature )
MMVY Scheme Incharge HOD Director/Principal
Ȫ ȡğȡğȡȯ]ȯȨ[Ǒ¢ȡȢȡͪ`Þ¡ȣȲ¡Ȫȯ ȲèȡĤǕȡğȡğȡȯȢȧǗĤǓ
ȡ[Ȣ ȯ
ȡȡȣ ×ȡͪȯ)
Generated by MP Scholarship Portal as on 06/11/2019
