11/19/13 Application for Stipend
apstipend.in/app_form1.aspx 1/2
GOVERNMENT OF ARUNACHAL PRADESH
DIRECTORATE OF HIGHER & TECHNICAL EDUCATION
ITANAGAR - 791111, ARUNACHAL PRADESH, Ph: 0360-2214416 (O),
2211717 (F)
Email:[email protected], Website:
www.apdhte.nic.in
CONFIRMATION OF REGISTRATION FOR AWARD OF STIPEND FOR THE
SESSION 2013-14
APPLICATION NUMBER : 8934
1 Name of Candidate : Jumma Ruti
2 Fathers Name : Larjum Ruti
3 Mothers Name : Yapek Ruti
4 Tribe : Adi(Galo)
5 Sub Tribe (If any) :
6 Address for Communication : Bluemount Lodge, Near Everfresh
Hotel
City: Kollam, State: Kerala, PIN: 691005
7 Course of Study Undertaking : B. Tech.
8 Level of Course : Technical Signature of the Student
9 Year/Semester Studying in : 7th Semester
10 Roll Number : 100655
11 Name of Institution : T.K.M College of Engineering
12 Address of Institution : Kollam, Karikode
City Kollam, State Kerala, PIN 691005
13Date of Admission in the current Academicsession
: 27/08/2010
14 Name of the last examination Passed : 4th Semester B.tech
Degree Examination
Duration of course _____________________________________
Period of Academic Session
_____________________________________
Date of joining of the Student in the Institution
_____________________________________
Institution affiliated to (University/Board ofcouncil etc)
_____________________________________
Certified that all the details of the student as given above has
been verified with the records available in the institutionand
found correct
CERTIFICATE TO BE COMPLETED BY THE HEAD OF INSTITUTION WHERE THE
APPLICANT IS STUDYING
Do you recommend the award of Stipend? If No, givevalid
reasons
_____________________________________
%age of attendance in the class (to be filled during themonth of
November.)
_____________________________________
(In case of institutions located outside Arunachal Pradesh, the
following details are to be given)
Name of designated officer to whom Bank Draft is to
beprepared
_____________________________________
Name of nearest SBI Branch
_____________________________________
IFSC Code of SBI Branch
_____________________________________
Name of Head of Institution : ___________________
