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Self Declaration of Minority Community by Students Declaration

This document contains three declarations and an institution verification form related to applying for minority scholarships from the Ministry of Minority Affairs, Government of India for the 2018-19 academic year. The first declaration is for students to declare their minority community status. The second declaration is for students to declare their family income. The third declaration includes the student certifying that the information provided is true and acknowledging consequences if any information is found to be false. The institution verification form is to be filled by the head of the institution/college to verify the student's information and course/fee details for the current academic year.

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376 views2 pages

Self Declaration of Minority Community by Students Declaration

This document contains three declarations and an institution verification form related to applying for minority scholarships from the Ministry of Minority Affairs, Government of India for the 2018-19 academic year. The first declaration is for students to declare their minority community status. The second declaration is for students to declare their family income. The third declaration includes the student certifying that the information provided is true and acknowledging consequences if any information is found to be false. The institution verification form is to be filled by the head of the institution/college to verify the student's information and course/fee details for the current academic year.

Uploaded by

Atiq
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 STUDENTS

DECLARATION
2018-19

I, ________________________________________Son/Daughter/of________________________

Resident of (full address) _____________________________________________________________

___________hereby declare that I belong to the___________________________________________

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


community as per Section 2(c) of National Commission for Minorities Act, 1992).

Date:__________ Signature of Candidate: ______________

Place:_________ Name of Candidate: _________________

SELF DECLARATION OF FAMILY INCOME UNDER SCHOLARSHIP SCHEMES OF MINISTRY


OF MINORITY AFFAIRS, GOVERNMENT OF INDIA
2018-19

I, ____________________________________Son/Daughter/of_______________________________

Resident of (full address)_____________________________________________________________

_________________________________do hereby solemnly affirm and declare as under :-


a) That I am citizen of India.
b) That annual income of my family from all sources is Rs ………………(in words also)
……………………………………………………………………………………
c) I declare that my father/mother/both* is/are earning Member(s) in my family.
2. I certify that the above information given by me is true.
3. In case this information furnished by me is found false, the financial assistance awarded to me
may be recovered with penal interest and I will be liable to a legal action against me in accordance
with law.

Signature of Candidate:_____________________________________

Name of Candidate: _______________________________________

Name of School/Institution:__________________________________

Enrollment No. in the School/Institution:________________________

Academic Year:__________________________________________
INSTITUTION VERIFICATION FORM

2018-19

Verification/information to be furnished by the Head of institution/college:

It is certified that the information provided below by _____________________________ who


is admitted in ________________ course for the academic session ___________ in
_____________________________ is correct. He/ She is a hosteller/day scholars of the college.

Last year marks details:


Fee details current year:

In case the information filled in these columns is not correct, then the institute
should indicate that separately.
___________________________________________________________________________
___________________________________________________________________________

For Renewal of Scholarship:

It is certified that the student has not changed the course of study and/or the institution of
the study for which the scholarship was originally awarded /has changed the course of
study and/or institution with prior approval of the state government (Please strike out
which is not applicable).

Please ensure the information given by you is factually correct. In case of any discrepancy
noticed later, your application is likely to be rejected.

Date: Signature of the head of the institution/college

Place:
with official seal

Note:
2 The verification by institution is mandatory for consideration of the application.
3 Students are directed to take the print out of ‘Institution Verification Form’ get it
verified by their institution, scan & upload it”, in order to apply for minority
Scholarship.

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