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2023-24

FREESHIP CARD

SSP ID: 19200425011

Sagar Gadagoli xxxx-xxxx-3283


Student Name Aadhaar number of the
Student
MUTTAPPA MAHADEVAPPA SSLC 20180563737
GADAGOLI SSLC Registration Number
Father Name
30/10/2001 Karnataka
Date of Birth Domicile State

RD0039305570035
Caste Caste Certificate Number
25000 RD0039305562228
Income Certificate Number
Annual family income
H NO 108 GHODKE ONI Applied College Name: S D M
Address HIREPETH OLD HUBBALLI College of Engg. & Technology,
HUBBALLI Previous Course Details DHARWAD(Id: C-1315), Course
Name: B.E., Course Year: FOURTH
B.E. 4

Present Course Present Course duration


FOURTH S D M College of Engg. &
Present Class/ Course Year College Name Technology, DHARWAD(Id: C-
1315)
Vesveswaraiah Technological 1
University/Board University, Belgaum(Id: U-0249) Course Group
Dayscholar

Day Scholar/Hosteller
Name Of The Hostel : (If the
student is a hosteller)
/ Maintenance Amount Details / Remarks
7000
/ Day Scholar Maintenance Amount should not be paid to the
Sanctionable Maintenance Amount college.

/ Fees Reimbursement Details


/ Fee Components
40 60
/
Sanctionable Fee 2
Amount* 7

1. / Exam Fee 3000


2. / Admission fee 0
3. /Application Fee 0
4. / Registration Fee 0
5. / Tuition fee 54716 The said amount is to be paid to the college and I am bound to
pay the full scholarship amount of 2 installments sanctioned
6. /Lab Exam 0 under the post-matric scholarship program and released by the
fee state and central government in the ratio of 40 percent and 60
7. /Lab Fee 0 percent to the college within 7 days of each installment being
credited to my bank account. Failure to do so, I shall be liable to
8. /Sports fee 100 any legal action that may be taken by the Department/College
9. /Escort Allowance 0 authority/management.
10. /Library fee 0
11. /Medical 0
Examination fee - /-
12. /OMR fee 0 Signature of Student/-
(Studentʼs e-Sign)
13. /Reader Allowance 0
14. /Transport Allowance 0
15. /Union fee 0
16. /Sports 150
Development fee
500/- 140
Other Compulsory fee Amount (Not
Exceeding Rs 500/-)
/ Total 58106

Seat Type

The fee details given above are the approximate amount of fees sanctionable under the Post Matric scholarship programme. Reimbursable
fee details are likely to change depending on the Seat Type of the student at the time of sanction of the scholarship application.

Approved & Issued by


Signature Not Verified
Assistant Director
Digitally signed by Department of Social Welfare
Date: 2024.03.06 13:33:14 +05:30 Dharwad Taluk
Reason: Digitally Signed

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