K. RAMAKRISHNAN COLLEGE OF ENGINEERING ...K. RAMAKRISHNAN COLLEGE OF ENGINEERING SAMAYAPURAM, TRICHY...
Transcript of K. RAMAKRISHNAN COLLEGE OF ENGINEERING ...K. RAMAKRISHNAN COLLEGE OF ENGINEERING SAMAYAPURAM, TRICHY...
K. RAMAKRISHNAN COLLEGE OF ENGINEERING SAMAYAPURAM, TRICHY – 621 112 2017-2018
Fresh Application form for Government Scholarship Scheme [ BC/MBC/DNC ] 1) Scholarship Type : Post Metric / First Graduate
2) Course & Department : B.E. Dept …………… M.E Dept…………. MBA
3) Year : I / II / III / IV Lateral Yes / No
4) Year of Admission : 20___
5) Name of the Applicant :
6) Roll No :
7) Anna University Registration Number :
8) 10th Register Number :
9) Parent / Guardian Name : Mother Name:
10) Parent / Guardian Occupation :
11) Date of Birth ( dd-mm- yyyy) :
12) Gender : Male / Female
13) Religion : Hindu / Muslim / Christian
14) Community : BC / BC(M) / MBC / DNC
15) Caste :
16) First Graduate in family : Yes / No Hosteller : Yes / No
17) Date of joining (academic Year) : Hostel Date of joining :
18) Permanent Address : Door No. Street Name :
19) Taluk :
20) District :
21) Pin code :
22) Individual Student Bank Account Number :
23) IFSC Code :
24) MICR Code :
25) Bank & Branch Name :
26) Bank Address: :
27) Bank Taluk , District & Pincode :
28) Student Phone Number & Email id :
BC/MBC/DNC Schyolarship -2017-18 [FRESH]
Enclosed
1) Counseling Allotment order Photocopy – 2 Nos.
2) First Graduation Certificate Photo Copy. – ( if applicable - )1 No
3) Students Bank Pass Book Photo Copy – 2 Nos (Individual Bank A/c in core nationalized bank with
ATM Facility. (IFSC Code, MICR CODE, Account Number- Full Digit) (No Joint Account Pass
Book Photocopy)
4) Community Certificate Photocopy – 1 no
5) Attendance Certificate (Original)
6) Income Certificate (Original) -2 Nos
7) Aaathar photocopy – 2 Nos
8) 10th & 12th Mark sheets photo copy – 1 Set.