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Personal Last Exam Passed: School

Manish Kumar is a student from Odisha who passed 10th grade in 2015 from DAV Public School in Ganjam, Odisha. He scored 83.6% in 10th board exams. He is currently pursuing a 2-year Intermediate course at Khallikote Junior College in Berhampur, Odisha. His father Tirumala Rao runs a business and earns Rs. 1.2 lakhs annually while his mother Suchitra is a homemaker. Manish provided his personal, family, educational and bank details in the application for a Junior Merit scholarship.

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Manish Kumar
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43 views4 pages

Personal Last Exam Passed: School

Manish Kumar is a student from Odisha who passed 10th grade in 2015 from DAV Public School in Ganjam, Odisha. He scored 83.6% in 10th board exams. He is currently pursuing a 2-year Intermediate course at Khallikote Junior College in Berhampur, Odisha. His father Tirumala Rao runs a business and earns Rs. 1.2 lakhs annually while his mother Suchitra is a homemaker. Manish provided his personal, family, educational and bank details in the application for a Junior Merit scholarship.

Uploaded by

Manish Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal

Last Exam Passed

Name: p manish kumar

Last Exam Passed: 10th

Email: [email protected]

Stream: Commerce

Mobile: 7504256498

Name of Board/Council/University: C.B.S.E

Category: General

Name of College/Institution: D.A.V.PUBLIC


SCHOOL

Religion: Hindu
Date of Birth: 1999-11-02

Address of College/Institution:
SADANAND VIHAR GOSANINUAGAON

Sex: Male

Year of Entry: 2014

Nationality: INDIAN

Year of Passing: 2015

Mother Tongue: Odia

Mark Type: CGPA

AadharCard Id (Optional): 3292 2592 7404

Mark/CGPA Secured: 9

Voter Id Card (Optional): -

Max Mark / CGPA: 10


Percentage: 83.60

Present Course & University /


College/ Institution Information

Applied Scholarship information


Scholarship Type: Junior Merit +2 Student

College Name: Khallikote (Junior)


College, Berhampur

Scholarship Scheme: JUNIOR MERIT

Course Name: +2(Intermediate)

Name of Entrance: -

Date of Admission: 2015-07-04

Roll No.: -

Course duration (in Year): 2

All India Rank: -

Roll No.: IC-15-016

Year of Exam: 0

Parents / Guardian Information:

Permanent Address

Father / Guardian Name: P TIRUMULA RAO

State: Odisha

Father's Profession: BUSINESS

District: GANJAM

Father's Annual Income (in Rs.): 1,20,000

Block/ULB: BERHAMPUR

Mother's Name: P SUCHITRA


Mother's Profession: HOUSE WIFE

House No./ Street/ Village: LIG 49 STAGE 1


HOUSING BOARD NEELAKANTHA
NAGAR

Mother's Annual Income (in Rs.): 0

Post Office: CITY PO


Pin Code: 760002

Bank Account
Account Number: 35005868428
Account Holder Name: p manish kumar
A/C Type: Personal
IFSC Number: SBIN0016586
Bank Name: State Bank of India
MICR Number: 760002019
(For online money transfer through RTGS/NEFT)

Bank Address: PREM NAGAR MAIN ROAD


BERHAMPUR

Declaration

I do hereby declare that the above information furnished by me is true and correct to the best of
my knowledge and belief. I am not availing any scholarship from Government of Odisha in any
other.

Date _________________ Place


_______________

Full Signature of Applicant

Studentship Certificate by the Head of the Institution


Certified that Shri/Ms./Smt. _________________________ has been admitted this institute on
_____________ as a regular student of the course ______________________________
during the academic session ______________________ bearing Roll
No.____________________ His / Her rank in the Entrance Test conducted by
_________________________________________ is ________________________ On the
basis of which he/she has been admitted into this institution.

Date ________________________

Full Signature of Head of the Institution


with date & Seal

Essential Enclosures
The following documents needs to be submitted at the college/institution along with this
form
Slno

Documents

Self-Attested copy of Residential Certificate.

Self-Attested copy of income certificate of


parents from employer and /or appropriate
authority.

Self-Attested copy of certificate & mark sheet


of last qualifying examination.

Self Attested copy of the first page of Bank


Pass-Book showing name of the applicant &
account number.

Self-Attested copy of rank card issued by the


chairperson of OJEE/ALL India Test

Self-Attested copy of Aadhar Card / Voter Id


Card (if available with the student)

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