Para Wise Guide Lines for Filling Up of Application Form

8/13/2019 Para Wise Guide Lines for Filling Up of Application Form

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PARA WISE GUIDE LINES FOR FILLING UP OF APPLICATION FORM

Para 1. Fill your name as in matriculation certificate only:-(Not to be f i l led in any other format)

1stName A J A Y

Middle Name S I N G HSurname R A N A

Para 2. Put a tick () mark as shown.

Male Female

Para 3. Date of Birth as shown in matriculation certificate only.For Example:- (10 June 1982)

D D M M Y Y Y Y

1 0 0 6 1 9 8 2

Para 4. Mention your Rajya Sainik Board (See details at LIST OF RSBs)and Zila Sainik Board name, from where your father / mother have registered andhave obtained ex-servicemen / widow identity card (Not for Ex -Coast Guard ).

Para 5. Write your permanent address and correspondence address inblock letters.

Para 6. Write phone number along with STD code and email ID for anyquery (email ID is must).

Para 7. Category as per Para 7 of brochure to be written (attach therequired document, for cat 1-5). Category 1 (One).

Category - 1 O N E

Para 8. Full Particulars of Father / Ex-Serviceman / Ex-Coast Guard isto be mentioned as per the Discharge Book. A blank space to be providedbetween names. (Example: - KAMLESH CHANDRA CHOUDHURY)

K A M L E S H C H A N D R A C H O U D H U R Y

1 4 5 2 3 6 K

S E R G E A N T

A I R F O R C E

Para 9. Details of 10+2 or Diploma / Graduation. Marks to be shown inwords and figures.

(a) Name of Course/MEQ 1 0 + 2


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(b) Year in which exam passed 2 0 1 3

(c) Total Marks O N E T H O U S A N D

(in words) T W O H U N D R E D

(in figure) 1 2 0 0

(d) Marks obtained N I N E H U N D R E D

(in words) F O R T Y

(in figure) 9 4 0

(e) % of marks scored S E V E N T Y E I G H T

(in words) P O I N T T H I R T Y

T H R E E

(in figure) 7 8 . 3 3

Para 10. Whether the applicant is in receipt of any other financiassistance/scholarship/ fellowship from any Govt. / Private source for the course to whic

the scholarship applied for. If yes, then state the amount and source. Tick as applicable.

Yes No Rs (per month / year) 45000/-

Source S T A T E G O V T

Para 11. The student is to specify the course which he / she is presently studyi(Example:- MBBS)

M B B S

Para 12. Duration of the course both in numbers and figures to be mentioned (withoInternship). For example 4 years 6 months.

(In figure)Y Y M M

0 4 0 6

(In word)F O U R Y E A R S A N D S I X

M O N T H S

Para 13. Write date of commencement & completion of course as shown below:

(Course Comm encement / Date of Admission )

D D M M Y Y Y Y

0 1 0 7 2 0 1 3

(Course c omp let ion)

D D M M Y Y Y Y

3 1 1 2 2 0 1 7


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Para 14 Write the full name and address of the College with email ID and phonenumber of Principal.

Name of Student. A J A Y S I N G H R A N A

Roll No. 0 8 E A T I T 0 4 3

Name of College. A J M E R I N S T I T U T EO F T E C H N O L O G Y

Full Address of P U S H K A R B Y P A S S A

College J M E R

State R A J A S T H A N

Pin Code 3 0 5 0 0 4

Tele No. (with STD Code) 0 1 4 5 - 2 3 0 0 6 2 8

E-Mail ID a i t _ a j m e r @ r e d i f f m a i

l . c o M

College Website w w w . a i t a j m e r . c o m

Para 15. Write the Regulatory Body of your course.

A I C T E

Para 16. Details of Bank Account of SBI or PNB for Electronic ClearingServices (PLEASE ATTACH A PHOTOCOPY OF PASS BOOK, ONE CROSSED BLANK CHEQUELEEF SHOWING YOUR ACCOUNT NUMBER AND NAME).

Name of Account Holder:

A J A Y S I N G H R A N A

Name of Bank(Put a tick mark ()

Branch Name:

R A M A K R I S H N A P U R A M

(PLEASE ATTACH A PHOTOCOPY OF CHEQUE & PASS BOOK)

Account No. 3 0 8 3 0 0 0 6 0 8 0 6 5 8 8 5

SBI PNB


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REPEAT

Account No. 3 0 8 3 0 0 0 6 0 8 0 6 5 8 8 5

Para 17. Furnish the particulars of your all children as per specimen given:-

Sl. No. Name of Child Gender Date of Birth Age

1 Prakash Singh Rana M 10/10/1982 28 Years

2. Satish Singh Rana M 12/05/1984 26 Years3. Ajay Singh Rana M 03/07/1987 23 Years4. Komal Rana F 14/02/1989 21 Years

Para 18. Give details of the scholarship availed by your brother / sisterin the past, if not availed write Not Applicable.

Sl.No.

SelectionSerial No.

given by KSB

Name of thebrother/sister

Course ofStudy

Academic yearin which

applied

Amountreceived s

far1. 6359 Satish Singh Rana B Tech 2007-08 45000

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Documents

Para Wise Guide Lines for Filling Up of Application Form