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    Application Form For Fiitjee Award: L I M I T E D

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    manish
    The document is an application form for students to apply for a FIITJEE award. It requests the student's name, FIITJEE enrollment number, program name, study center, year of passing IIT-JEE/JEE Advanced, all India rank, name of IIT/engineering/undergraduate college studying at, semester and year of study, amount of award admissible per year, and year for which award is being claimed. It also requests the student and college's attestation with signatures and details. The form is to be submitted to the FIITJEE study center along with required documents for processing the scholarship payment.

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    Application Form For Fiitjee Award: L I M I T E D

    Uploaded by

    manish
    31 views2 pages
    The document is an application form for students to apply for a FIITJEE award. It requests the student's name, FIITJEE enrollment number, program name, study center, year of passing IIT-JEE/JEE Advanced, all India rank, name of IIT/engineering/undergraduate college studying at, semester and year of study, amount of award admissible per year, and year for which award is being claimed. It also requests the student and college's attestation with signatures and details. The form is to be submitted to the FIITJEE study center along with required documents for processing the scholarship payment.

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    Document_Pdf_19.pdf

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    The document is an application form for students to apply for a FIITJEE award. It requests the student's name, FIITJEE enrollment number, program name, study center, year of passing IIT-JEE/JEE Advanced, all India rank, name of IIT/engineering/undergraduate college studying at, semester and year of study, amount of award admissible per year, and year for which award is being claimed. It also requests the student and college's attestation with signatures and details. The form is to be submitted to the FIITJEE study center along with required documents for processing the scholarship payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views2 pages

    Application Form For Fiitjee Award: L I M I T E D

    Uploaded by

    manish
    The document is an application form for students to apply for a FIITJEE award. It requests the student's name, FIITJEE enrollment number, program name, study center, year of passing IIT-JEE/JEE Advanced, all India rank, name of IIT/engineering/undergraduate college studying at, semester and year of study, amount of award admissible per year, and year for which award is being claimed. It also requests the student and college's attestation with signatures and details. The form is to be submitted to the FIITJEE study center along with required documents for processing the scholarship payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    L I M I T E D

    APPLICATION FORM FOR FIITJEE AWARD


    Name of the Student : ____________________________________________________
    FIITJEE Enrolment No. : ____________________________________________________
    Program Name : ____________________________________________________
    Study Centre : ____________________________________________________
    Year of passing IIT-JEE/JEE (Advanced) : ____________________________________________________
    All India Rank : ____________________________________________________
    Name of the IIT/Engineering/Undergraduate College in which studying : ___________________________
    ____________________________________________________________________________________________
    Semester & Year in which studying : Semester_________________________ Year _______________
    Amount of award admissible per year : ____________________________________________________
    The Year for which award is being claimed : II / III / IV

    Dated: ______________ (Signature of the Student)

    Name : ________________________________

    Permanent Residential Address (in Capital letters): Correspondence Address (in Capital Letters):
    _________________________________________ _______________________________________
    _________________________________________ _______________________________________
    Phone (with STD code): ______________________ Phone (with STD code): ____________________
    Mobile No.: _______________________________ Mobile No.: _____________________________
    E-mail ID: _________________________________ E-mail ID: _______________________________

    Attestation by IIT/Engineering/Undergraduate College Authorities:


    Certified that Mr. __________________________________ S/o _____________________________________
    was studying in ___________ year of IIT/Engineering/Undergraduate College and has passed the same. He has
    good moral character.

    Signature of Authorised Person


    Date : _________________ (with seal of the Institute)

    FOR OFFICE USE:


    Passed for payment of Rs.___________________
    (Rupees_______________________________________________________) (Authorised Signatory)

    Paid vide Cheque No. _______________ dated _____________ for Rs. ______________ drawn on
    ______________________________________________________.

    (Sr. Accountant) (Dy. Manager - Accounts)

    FIITJEE House, 29-A, Kalu Sarai, Sarvapriya Vihar, New Delhi -110016
    Ph.: 011-49283471/73/74/75 Fax: 011-26513942 e-mail: info@fiitjee.com
    Documents required to be submitted by the Students at their FIITJEE Study Centre (Academic Operations
    Department):

    i. A written letter addressed to Centre Head of your FIITJEE Study Centre & duly signed by you (student) to
    claim their FIITJEE scholarship applicable. This letter must contain name of their FIITJEE Study Centre,
    their Enrolment No., their All India Rank in JEE Advanced & their JEE Year.

    ii. Filled up Application Form duly attested by concerned IIT or Engineering / Undergraduate College.

    iii. Copy of students Identity Card of IIT or Engineering / Undergraduate College where student is studying in.

    iv. Semester/ Year result copy duly attested by IIT or Engineering / Undergraduate College where student is
    studying in.

    FIITJEE House, 29-A, Kalu Sarai, Sarvapriya Vihar, New Delhi -110016
    Ph.: 011-49283471/73/74/75 Fax: 011-26513942 e-mail: info@fiitjee.com

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