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Minority Scholarship Declaration Form

This document contains forms for students from minority communities to declare their minority status and apply for scholarships. It includes: 1) A self-declaration form for students to provide their name, parent/guardian's name, and declare that they belong to a notified minority community under the National Commission for Minorities Act. 2) An institutional verification form to be filled by the head of the student's institution, providing details like last year's marks, current year's fees, and certification that the student's information is correct. 3) A declaration by the student that the information provided is true, they are not receiving other scholarships, and will abide by the scholarship's terms and conditions.

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Sayed Gajendergad
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2K views3 pages

Minority Scholarship Declaration Form

This document contains forms for students from minority communities to declare their minority status and apply for scholarships. It includes: 1) A self-declaration form for students to provide their name, parent/guardian's name, and declare that they belong to a notified minority community under the National Commission for Minorities Act. 2) An institutional verification form to be filled by the head of the student's institution, providing details like last year's marks, current year's fees, and certification that the student's information is correct. 3) A declaration by the student that the information provided is true, they are not receiving other scholarships, and will abide by the scholarship's terms and conditions.

Uploaded by

Sayed Gajendergad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SELF DECLARATION OF MINORITY COMMUNITY

BY STUDENT
Profrma For Declaration Or Minority Community To
Be Uploaded Along With The Mandatory Documents
For Claiming Scholarship.

DECLARATION
I,

Son/Daughtor/Ward

of

Heredy declate that I

Delong

to

the

(Muslims/Sikhs/Christians/Buddhists/Jains and Zoroastrians (Parsis) which is a


noyified minority community as per Section 2 of National Commission for Minorities
Act. 1992).

Date:
Place:
Signatuee of Candidate:
Name of Candidate:

Declaration of the Student


(i)
(ii)
(iii)
(iv)
(v)

I hereby declare that the information given above is cored.


I am not availing any other scholarship for this purpose from
any other Central Govt/ State Govt. sources.
I shall abide by the terms and conditions for sanction of the
PreMatric/Post Metric Means com Means based Scholarship.
I have uploaded the desired documents in support of my claim
I undertake, that if at any stage, it is found to the satisfaction of
the sanctioning authority in the Minority Affairs that the
information given by me is false or if I violate the terms and
conditions of the scholarship, the scholarship sanctioned to me ,

may be cancelled and the entire amount of scholarship will be


refunded by me or recovered from me, apart from liability for
such penal action as warranted by law.

INSTITUTION VERIFICATION FORM


Verification/information at be furnished by the Heed of institution/college:
It is certified that the information provded delow by

Who is admitied in

coures fo the academic

session
In

is correct He/ She is a hosteller/day scholar s of the college.

Last year marks details:


Fee details current year:
In case the information filled in these columms is not correct, then the institulte should
indicate that separately.

For Renewat of Scholarship:


It is certified that the student has not changed the course of study and/or of the study
for wich the scholarship was
onginally awarded /has changed the course of study and/or institution with prior approval of
the siate govemment
(Please strke out which is not applicable).
Please ensure the information given by you is factually correct. in case of any
discrepancy noticed later.
Your applicationis likely to be rejected.

Date:
Place:

Signature of the head of


the institution/college
with
official seal

Note:
(i)
(ii)

The verification by insyition is mandatory for consideration of the


application.
Students are directed to take the print out of Institpon Verifcetion From
get it verified by their instition, scan & Upload it; in order to apply for
minority Scholarship.

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