APPLICATION FOR SANCTION OF FRESH SCHOLORSHIP 1. Name of the student : 2. Class Course & Name of the Institution last studied : 3. Class Course & Name of the Institution presently studying : 4. Date of Joining in the present : 5. Total Marks with percentage Obtained in the last examination & year of passing (Marks memo to be enclosed). : Note:- The Applicant should fill up required particulars against relevant column of any of the following schemes for which he opts to apply. (a) General Merit Scholarship Scheme (Applicable to students studying in Andhra Area Colleges only) (i) Name of the Parent / Guardian and Occupation. : (ii) Parent / Guardian Annul Income from all sources. (certificate to be enclosed) : (iii) Sex of the applicant. : (iv) Whether the student is in receipt of any other scholarship or stipend, if so name of the scholarship and amount sanctioned may be indicated together with reference. : b) Riyathi Scholarships (Applicable to students in Telangana Area Colleges Only). (i) Name of the Parent / Guardian and Occupation. (ii) Parent / Guardian Annual Income From all sources. (Certificate to be Enclosed) (iii) Sex of the applicant. (iv) Whether the student is in receipt of any other scholarship or stipend. If so name of the scholarship and amount sanctioned may be indicated together with reference. (c) Scholarships to the children of deceased Govt. Servants. (i) Name of the Father / Mother (ii) Name of the Guardian.3 (iii) Name of the Father / Mother who was Working as Govt. Servant. (iv) Date of Death of Father / Mother (Certificate to be enclosed) (v) Department in which Father/ Mother Was last employed (certificate to be enclosed). (vi) Whether the applicant got this scholarship last year, if so No. & Date of sanction order may be indicated together with amount paid. (d) Education concession to children and Grand children of Political Suffers. (i) Name of the Parent/ Grand Parent Is not alive). (ii) Nature of imprisonment who lost part or whole property of job. (Certificate to be enclosed.) (e) Scholarships to the children of Primary & Secondary School Teachers. (i) Name of the Father/ Mother working as a teacher. (ii) Name & address of the institution Where the Father/Mother is working (Certificate to be enclose.) (iii) Whether the student is in receipt of any other scholarships or stipend, if so name of the scholarship and amount sanctioned may be indicated together with reference. SIGNATURE (PARENT) SIGNATURE (CANDIDATE) (6) Recommendation of the Head of the Institution where the student is presently studying. Date : - Signature HEAD OF THE INSTITUTION WITH OFFICE SEAL DEATH CERTIFICATE Certified that Sri/Smt. ________________________________was working as ____________________________in office / Department A. P. State Government ____________________________ He/ She was drawing pay of Rs._____________ In the scale of Rs. _____________________________. Office seal: - Signature of the Head Office where the Deceased was working at the time of his/ her death. FREEDOM FIGHTER CERTIFICATE Certified that _______________________________age _______is the Son/ Daughter. Grand Daughter of ________________________who is / was a Freedom Fighter. He under went continuous imprisonment / detention for _________________ Years ________________ Months or died imprison or was killed in action or in detention was awarded capital punishment or become permanently incapacitated due to firing or lathi charge or lost his job or a part or whole or property an account of participation in the N ational Movement for the emancipation of India.
