Lakhimpur Girls College Academic DATA
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SCHOLARSHIP FORM
STUDENT DETAILS
Name
Father's Name
Mother's Name
Phone No
Email
Select Category
Select Category
APL
BPL
Select Caste
Select Caste
General
OBC/MOBC
SC
ST
Select Gender
Select Gender
Male
Female
Physically Handicapped
Select
Yes
No
Address
Roll No
Department
SCHOLARSHIP DETAILS
Scholarship ID
Scholarship Scheme
Scholarship Types
Fresh
Renewal
Have you recieved scholarship in previous year?
Yes
No
BANK DETAILS
Account Holder Name
Account Number
IFSC Code
Bank Name
QUALIFICATION DETAILS
Sl.No.
Examination
Board
Percentage
Year of Passing
1
Class X
2
Class XII
3
Graduation
(60 char max)
(upto 2 decimal)
DOCUMENTS UPLOAD
(Recommended File Type : PDF)
Last Semester Marksheet
(Max Size:150KB)
Caste certificate(if not General)
(Max Size:150KB)
Domicile Certificate
(Max Size:150KB)
Income Certificate
(Max Size:150KB)
Photo
(Max Size:150KB)
Signature
(Max Size:50KB)
The above information are correct. I shall abide by the rules & disciplines of the college. Otherwise, i am liable to be punished for violation of these rules and discipline.