RENEWAL APPLICATION FORM FOR POST MATRIC SCHOLARSHIP TO SCHEDULED TRIBES/SCHEDULED CASTES STUDENTS OF MEGHALAYA DURING 200__ 200__. To, The Director of Higher & Technical Education Meghalaya, Shillong Sir, I was in receipt of a Scholarship under the above noted scholarships scheme last year for the study of ___________________________________( Course of study and class) at _______________________ (name of the institution) from Meghalaya Government and am studying this year in the ______________ of that continuous course in that institution. I request that my scholarship may be renewed for the current year 200__ - 20___ Yours faithfully, (Signature of the applicant) ANNUAL PROGRESS REPORT OF THE SCHOLAR FOR 200__ - 20___ 1. Name of the Scholar (in block letters) _________________________________________________ (Woman candidate should indicate Miss or Mrs). 2. (a) Scheduled Castes/ Scheduled Tribes ________________________________________________ (b) Community _________________________ Religion __________________________________ 3. Whether the scholar is employed or not employed ________________________________________ 4. Name of the University/Institution/College _____________________________________________ 5. Name of Annual Promotion Examination passed in March-April 20__ ________________________ 6. Date on which the Scholar's Examination was over (including practical) _____________________ 7. Class/Division secured (if only grades are allotted, the explanation of these grades as given in the marksheets must be attached). ________________________________________________________ 8. Marks secured (attached copy of Mark sheet to be attached) ________________________________ 9. Percentage of marks _______________________________________________________________ 10. Class to which promoted/admitted during 20____________________________________________ 11. Date of joining this class __________________________________ 12. In case a student failed in the Promotion Examination whether it is a first failure or more than one in the entire course so far completed _____________________________________________________ ________________________________________________________________________________ 13. Date in which the next Annual Promotion Examination will be held _________________________ 14. Date in which the final University Examination on completion of the full course will be held 15. (a) whether the Scholar is residing in recognized hostel ____________________________________ (b) Date of joining the hostel (Certificate from the hostel Superintendent is to be attached) 16. Whether the scholar is in receipt of any other Scholarship/Stipend/Free-Studentship emolument. Etc., from any other sources. If so, the nature and amount of such scholarship (s) TO BE FILLED BY THE HEAD OF THE INSTITUTION WHERE THE APPLICANT IS STUDYING 1. Character and conduct of the Scholar (General Review) ___________________________________________ 2. Percentage of classes by the Scholar __________________________________________________________ 3. The Compulsory fees which are required to pay by the student for the current academic session 200___ 20___ to the Institution or University, which are not refundable - (a) Tuition fees . . . Rs. ____________________________________________ (b) Games fees . . . Rs. ____________________________________________ (c) Union fees . . . Rs. ____________________________________________ (d) Library fees ... . . Rs. ____________________________________________ (e) Magazine fees . . . Rs. ____________________________________________ (f) Medical Examination fees charged by the Rs. ____________________________________________ Institution. (g) Examination fees - (i) Charged by the Institution . Rs. ____________________________________________ (ii) Charged by the University . Rs. ____________________________________________ Total fees payable during 20__ - 20__ Rs. ____________________________________________ 4. Name of the nearest branch if the State Bank of India or the Government Treasury through which the payment of Scholarship is desired should be stated here ___________________________________________ 5. Reference of the sanctioning letter No. and date and allotted No. under which the Scholarship awarded to the Scholar by the D.P.I. Meghalaya. (a) Memo No. _______________________________ Date ______________________________________ (b) Allotted No. ____________________________________ 6. Recommendation of the Principal/Head of the Institution, etc., for the continuation of the Scholarship 7. Full address of the Institution to whom the Scholarship in respect of this student may be sent Signature of the Head of the Institution Full Name in block letters OFFICE SEAL For use in the Office of the Director of Public Instruction, Meghalaya, Shillong, 1. Total amount of fees Rs. ___________________ 2. Maintenance with effect from ____________________________ to __________________________ 200___ (a) Rs. _____________________ P.M. Total amount of 1 and 2=Rs. ___________________________ Checked by ______________ Dealing Assistant Dy. Director of Higher and Technical Education, Meghalaya, Shillong
