RENEWAL APPLICATION

Inter R.No:_______________________
Group

:___________,Marks: _____

Schp. IDNo.____________________
Name of the student
with Fathers name
& e-mail-ID

_______________
Mobile No.
_______________

II Year

MHRD, Department of Higher Education, Govt. of India, New Delhi.

Form for Renewal of Scholarship for the year 20 - 20

(CSSS for College & University students)

Name(as on sign board) & Postal Address of

the College, where Candidate is studying now.
Degree College:______________________

If studying PG:

___________________________________

___________________________________

Postal Address:
___________________________________

Postal Address:

___________________________________

Telephone No.

Name of Degree / PG Course:..

Name of the PG College:_______________

___________________________________

% of
Attendance

Remarks
Regarding
discipline
of the
student,
including
ragging,
etc.,

P.G.

Board of Intermediate
Educations Roll No., Year
of passing, Group, Marks,
Shlp ID.No. as given in the
fresh final selection list.

III Year

IV Year / I Year

V Year / II Year P.G.

On line facility Bank A/c particulars

Bank
Name:________________________
_____________________________
Branch :______________________

Andhra Pradesh,
BIE, A.P., Hyderabad
IPE March 20.
Roll.No:______________

a) Name of the Bachelor Degree

______________
b) whether promoted
to next class : - Yes / No
c) I year % of Marks: _____________

___________________________________

___________________________________
Name of the PG Course:________________

Group in Inter:__________

d) II year % of marks:______________
e) III year % of marks:_____________

Admission No. _______________________

Marks in Inter:__________ ______________________________

Schp.ID NO:
IFSC

f) IV year / I year P.G. % of

marks:_________________

(2 year students should mention only FIRST

nd
Year Admission Date, but NOT that of 2
Year.

Note: Convert the CGPA into % of Marks

& Furnish Year Wise in % of Marks.

Mobile No._________________________

Branch
Code:________________________
Bank S.B A/c No.:

Date:____________
nd

______________________ code:_________________________
(as provided in the final
selection list)

AADHAR No.
______________________________

THE MHRD, DEPT. OF HIGHER EDUCATION, NEW DELHI, HAS MADE IT MANDATORY FOR SUBMISSION OF AADHAR NUMBER FROM THE ACADEMIC YEAR 2013-2014.
THE PRINCIPALS ARE HEREBY REQUESTED TO ADVISE STUDENTS TO OBTAIN THE SAME, WHICH WOULD FACILITATE DISBURSEMENT OF SCHOLARSHIP.
Certified that the particulars given above are true.
Signature of the Principal (Bachelor Degree Course) / PG
1) Students have to forward this renewal application form soon after announcement of their University results or within (15) days.
Course, Head of the Institute with College Seal.
Students need not wait for the original Memos of the University. They can enclose Memos downloaded from Internet, provided they are certified by the concerned college Principal.
2) Universities which conduct examinations twice or thrice i.e. on semester wise in a particular academic year, such students have to forward renewal applications only once in an academic year. They
have to arrive at a single percentage only after calculating all the semester examination of a particular academic year. Students are prohibited from forwarding renewal application forms on
semester wise. 3) Principals should ensure that students fill all the year-wise percentage columns in the renewal application form.
nd
rd
4) Students who have passed 2 and 3 year examination have to mention their previous years percentage in the relevant column even if they have mentioned in their previous years renewal appls.
5) Incomplete and late received renewal application forms will be rejected.
Enclosures
(a) Attested copy of Bachelor Degree / Masters Degree Marks Sheet. (b) Xerox copy of Aadhar Card. (Student has to register his / her Aadhar Card No. in their Bank Account).
(c) Xerox copy of Bank pass book page where Bank Account Number (having on line facility) and students name as mentioned in the Intermediate Pass Certificate are reflected.
To be sent to:
1.The Secretary, Telangana StateBoard of Intermediate Education, Vidya Bhavan, Nampally, Hyderabad -500001.