APPLICATION FORM FOR MERIT SCHOLARSHIP TO SC/ST/OBC/MIN. STUDENTS STUDYING IN GOVT. SCHOOL/AIDED SCHOOLS/RECOGNISED SCHOOLS /COLLEGES /INSTITUTIONS. Eligible students are advised to submit their application in the prescribed format to their respective school/colleges/Institutes Heads along with the following documents. Individual applications of students will not be entertained (i) One copy of the passport size photograph with signatures of the student thereon (for fresh scholarship). (ii) One attested copy of certificates, diploma, degree etc. In respect of the last examination passed. (iii) Hostellers certificate from competent authority if hosteller. (iv) A certificate of Caste of student should be issued by the S.D.M. of Govt. of NCT of Delhi. APPLICATION FORM: Name & Roll No. of student _________________________________________________________ Name of Father/guardian ____________________________________________________________ Class in which he/she studying _______________________________________________________ Hosteller/Day Scholar ______________________________________________________________ Whether belongs to SC/ST/OBC/Min. _________________________________________________ Certified that the information given above is true to the best of my knowledge & belief. Signature of the student Consolidated Statement (MERIT SCHOLARSHIP) For use of School/College only 1. Name & address of the School/College/Institute_________________________________ 2. Name of the Scheme :-Merit Scholarship (2006-07) S.No. Name & Roll No. Father's/Guardian's Present Class Previous Class of the student Name passed/Year 1 2 3 4 5 Hostellers/Day Scholars Rate of Scholarship Category Percentage previous class Remarks 6 78 910 NOTE : 1. Certified that the above particulars have been checked with the office record and found cored. 2. Certified that no eligible student studying in the school is left out for grant of scholarship and this list may be treated as final. 3. Certified that the SC/ST/OBC/ certificates in respect of all the students have been issued by the competent authority/Dy. Commissioner, Delhi. Five years residence proof in Delhi for Minority Students. 4. Certified that the scholarship or the stipend holders named above have been regular in attendance and have confirmed to the rules under which their scholarship or their stipends are granted. 5. This list may be treated as final. 6. Certified that the eligibility of the student have been rechecked once again before disbursement of the amount and no discrepancy is noticed/discrepancy noticed has been reported to the department vide letter no. _______ dated _______. Signature with seal of the Principal/Head of the Institution.