1/21/2015 ePASS::JharkandPrintApplication

http://ekalyan.cgg.gov.in/postMatric.do 1/1

eKALYAN Welfare Department,Govt. of Jharkhand

Post Matric(Within the State) Print ApplicationApplicationNo.: WS/1415/ST/1/3/665/117874ScholarshipApplied: PostMatric(WithintheState)AcademicYear: 201415

StudentDetails:Fresh/Renewal: Fresh

NameOfTheStudent: ARPITMINJ

Father'sName: ARUNBLACIUSMINJ

Mother'sName: MAGDALIMINJ

Category: ST

DateOfBirth: 09031999Gender: MaleFatherOccupation: GOVTEMPLOYED

MATRIC/10thDetails&AadhaarDetails:Matric/10thHallTicketNo: 1050092 Matric/10thPassYear: 2014Matric/10thType: Regular UID/EID: 785669159672

PermanentAddress:Address: VILLGALESERAPORENGARIH Block: ThethaitangarDistrict: SimdegaPINCode: 835235

CommunicationAddress:Address: VILLGALESERAPORENGARIH Block: ThethaitangarDistrict: Simdega State: JharkhandPINCode: 835235MobileNo.: 9572295935

Institution&CourseDetails:Institution: ST.JOHNINTERMEDIATECOLLEGE,Ranchi,JharkhandCourse: INTERMEDIATEOFARTSCourseYear: 2 DayScholar/Hosteller: HostlerHostelName: STALOYSIUSMINORSEMINARY HostelAdmissionDate: 02062014CollegeAdmissionNo.: 02 CollegeAdmissionDate: 02062014

BankDetails:Bank: STATEBANKOFINDIA BankDistrict: SIMDEGABranch&IFSCCode: SIMDEGA(SBIN0001091) AccountNo.: 33858466131

Student/Guardian'sDeclaration

Idoherebydeclarethatwhatisstatedaboveistruetothebestofmyknowledgeandbelief,andifanyinformationisfoundtobeincorrect,ishallbeliableforit.

Guardian'sSignature/Guardian Student'sSignatureFullAddress

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