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Government of Telangana
Department of Backward Classes
Student Application cum Verification Report for
Post-Matric Scholarship Renewal 2024-25
1. Application No: 2024 1188 1717 2. Application Date: 28-11-2024 3. Caste / Sub Caste: BC-D / Varala(Sl. No.-43)
4. Student Name : VELISHETTI AKSHAY KUMAR 5. Gender : Male
6. Father / Mother Name : VELISHETTI RANGAIAH
7. Address & Mobile No : 1-117 ,Akkannapet , Choutapally ,SIDDIPET & xxxxxx4624
8. SSC HT No : 2118112199 9. Pass Year -Pass Type : 2021-Regular 10. Date of Birth: 12-07-2005
11.Family Annual Income (in Rs.): 120000 12. UID(aadhar) : xxxxxxxx7666
13. Income Certificate Details: , ,
14.College Details : S R UNIVERSITY(FORMERLY S R ENGG COLLEGE SRHP) , Hasanparthy,Hanumakonda , Private College ,SR
University
15. Course Name /Course Year /Duration of Course : BTECH (EEE) / II Yr / 4Yrs
16. College Admission No / Admission Date(of this year): 80309 / 03-06-2024 17. Distance (in Kms.) : 45
18. Scholarship Type : Day Scholar 19. DAH Name : -
20. Bank Name / IFSC Code: -HUSNABAD /CNRB0006471 21. Bank A/c No : 110028406603
I.Declaration
I hereby certify that that above information furnished is true. I have not availed any other scholarship for this purpose from any
other sources. I shall abide by the terms and conditions of the sanction of the scholarship. If any discrepancies are found later, I
hereby abide for refund of the scholarship amounts claimedand also am liable for action by the Department. .
Signature of the Student
Date :
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