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SCHOLARSHIP FOR HIGHER EDUCATION APPLICATION FORM Application Status: Submitted Advertisement No: SHE - 2014 Application Ref. #: DST/INSPIRE/02/2014/045188 IVR No: 201400078697 Personal Particulars Salutation: Miss First Name: DEEP Middle Name: SHIKHA Last Name: YADAV Date Of Birth: 8/1/1996 Gender: Female Aadhaar Card No: Father's Name/Male Guardian Name: RAM BARAN YADAV Mother's Name/Female Guardian Name: SITA YADAV 10th Class Certificate or Marksheet as Proof of Date of Birth: Attached Below Place of Birth: Rural Email Address: [email protected] Social Community: OBC Differently Abled: No Other: Enrollment Information (B.Sc. / Integrated M.Sc. Level) Program Enrolled: BSc Course Enrolled: Botany, Chemistry, Zology Enrollment/Admission Year: 2014 Admission No: PBPG/2014/15 State (In which college is located): UTTAR PRADESH University Type: University University Name: Dr. Ram Manohar Lohia Awadh University University Address:Faizabad ,Pincode:224001 College Name: Pratap Bahadur Degree College PRATAPGARH CITY. : Pratapgarh City District (In which college is located): Pratapgarh Endorsement Certificate: Attached Below Senior Secondary Performance Information (12th Standard) Name of the Board: Uttar Pradesh Board of High School and Intermediate Education Passing Year: 2014 Rank in Class 12th: Board Roll Number: 1477265 Eligibility Note: Attached Below 12th Marksheet: Attached Below Marks Information Page 1/ 3 20/10/2015 14:45
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Transcript of C%3a%5cinetpub%5c%5cINSPIRE%5cReadWriteData%5cDocTemp%5c%2f20151020144511909311150
SCHOLARSHIP FOR HIGHER EDUCATION APPLICATION FORM
Application Status: Submitted
Advertisement No: SHE - 2014
Application Ref. #: DST/INSPIRE/02/2014/045188
IVR No: 201400078697
Personal Particulars
Salutation: Miss
First Name: DEEP Middle Name: SHIKHA Last Name: YADAV
Date Of Birth: 8/1/1996 Gender: Female Aadhaar Card No:
Father's Name/Male Guardian Name: RAM BARAN YADAV
Mother's Name/Female Guardian Name: SITA YADAV
10th Class Certificate or Marksheet as Proof of Date of Birth: Attached
Below
Place of Birth: Rural
Email Address: [email protected]
Social Community: OBC
Differently Abled: No Other:
Enrollment Information (B.Sc. / Integrated M.Sc. Level)
Program Enrolled: BSc
Course Enrolled: Botany, Chemistry, Zology
Enrollment/Admission Year: 2014 Admission No: PBPG/2014/15
State (In which college is located): UTTAR PRADESH
University Type: University University Name: Dr. Ram Manohar Lohia Awadh University
University Address:Faizabad ,Pincode:224001
College Name: Pratap Bahadur Degree College PRATAPGARH CITY. : Pratapgarh City
District (In which college is located): Pratapgarh
Endorsement Certificate: Attached Below
Senior Secondary Performance Information (12th Standard)
Name of the Board: Uttar Pradesh Board of High School and Intermediate Education
Passing Year: 2014 Rank in Class 12th: Board Roll Number: 1477265
Eligibility Note: Attached Below 12th Marksheet: Attached Below
Marks Information
Page 1/320/10/2015 14:45
Subjects Marks Obtained Maximum Marks Grade
ENGLISH 88 100 D
HINDI 77 100 D
PHYSICS 93 100 D
CHEMISTRY 96 100 D
BIOLOGY 92 100 D
Other Subjects
Subjects Marks Obtained Maximum Marks Grade
SPORTS & PHY EDU 97 100
Total Marks Obtained: 446 Maximum Marks: 500 Overall Percentage(%): 89.2
School Name: SHRI ANP I C
School Address: KOHRA BHUPIAMAU PRATAPGARH
State (In which school is located): UTTAR PRADESH
District (In which school is located): Pratapgarh
PinCode: 230001
National Level Competitive Examinations
Examination Year RankRank
Certificate/Certificate
Other Details
Year of Passing Class X:2012 Parents Annual Income: 55000
Have you attended INSPIRE
Science Camps:No
If Yes, please provide details. N/A
Contact Information
Permanent Address
Address: VILL PURE TULAI (MAJHILAHA) POST DHEKAHI PRATAPGARH
Town/City: Pratapgarh State: UTTAR PRADESH Pincode: 230502
Telephone Number (with STD
code): N/A
Mobile Number: 8736041343
Communication Address
Address: VILL PURE TULAI (MAJHILAHA) POST DHEKAHI PRATAPGARH
Town/City: Pratapgarh State: UTTAR PRADESH Pincode: 230502
Telephone Number (with STD
code): N/A
Mobile Number: 8736041343
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Are you availing any other scholarships: N/A
Declaration: It is certified that all particulars given by me in columns above are true to the best of my
knowledge. If any particulars are found false, I am aware that my application for scholarship are liable for
cancellation.
Place: PRATAPGARH Submitted Date: 10/15/2014 State: UTTAR PRADESH
Page 3/320/10/2015 14:45
