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    Ajit Laptop Online Application Form

    Uploaded by

    ajitmeher2006

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ajit Laptop Online Application Form

    Uploaded by

    ajitmeher2006
    4 views3 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views3 pages

    Ajit Laptop Online Application Form

    Uploaded by

    ajitmeher2006

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ଓଡ଼ିଆ A- A A+  Screen Reader

    Scholarship Application Form


    Higher Education Department
    Academic Year 2024-25 HE612409146000429
    Government of Odisha

    Basic Information

    Department Scheme Academic Year Application Type


    Higher Education Department Godabarisha Vidyarthi 2024-25 New
    Protsahana Yojana (LAPTOP
    DBT)

    Applicant Details

    Applicant Name Category Applicant Gender


    Ajit Meher OBC/SEBC Male

    Religion Date of Birth Aadhaar No.


    Hindu 16 Nov 2006 (18 Year) XXXXXXXX6599
     Bank account is seeded with Aadhaar when applied by student.

    Mobile No. Alternative Mobile No. e-Mail Id


    9692338251 9692338251 ajitmeher2006@gmail.com

    Father's Name Mother's Name Guardian Name


    Manu Meher Bishakha Meher --

    Address Information

    District Block/ULB GP/Ward


    Bargarh Paikmal Lakhamara

    Village Pin Code Address


    Darlipali 768036 AT- DARLIPALI PO- LAKHAMARA PS-
    JAGDALPUR

    Educational Qualification Details

    Passing Total Secured Percentage Marksheet/


    Course Board Roll No. Year Mark/CGPA Marks/CGPA (%) Certificate

    X BSE, Odisha 027EC0004 2022 600 505 84.17 Uploaded

    Plus 2 CHSE, 137NA021 2024 600 514 85.67 Uploaded


    Odisha

    Institute / Course Information (Current Education Information)

    Institute Type
    Govt.
    Institute District Block/ULB
    Gangadhar Meher University,Sambalpur Sambalpur Sambalpur Mc

    Nature of Course Course Branch/Stream/Trade


    General Plus 3 Arts

    Course Year (Current Year of Study) Admission/Registration No. Admission/Readmission Date


    1st Year BA-24-HIS-014 27 Jun 2024

    Details of Last Exam Passed

    Course Course Year Passing Year


    Plus 2 2nd Year 2024

    Total Mark/CGPA Secured Marks/CGPA Percentage (%)


    600 514 85.67

    Certificate
    Uploaded

    Bank Information

    The DBT amount will be paid through AEPS(Aadhaar Enabled Payment System), i.e., to the bank account linked/seeded/NPCI mapped with the
    Aadhaar number. Therefore, student doesn't need to submit bank account details in this application.

    Your Aadhaar number is not linked/seeded/mapped with your Bank Account as on 5th April 2022. Please link/seed your bank account with your
    Aadhaar number to receive the Laptop DBT amount. Ignore it, if already done in the meantime.
    Student Declaration

    1. I have read and understood the conditions of award of Scholarship.


    2. I am aware that my application is liable to be rejected, if it is found at any stage, that Aadhaar number provided by me is wrong or Aadhaar number is
    of someone’s else.
    3. I am aware that if more than one application is found, all my applications are liable to be rejected.
    4. I am aware that for any wrong entry or mis-match of the Bank-account details, the State Government will not be responsible for mis-credit and I will
    be held responsible for diversion of public money on this ground.
    Date ........................
    Place ........................

    Full Signature of Applicant

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