APPLICATION FORM FOR MERIT SCHOLARSHIP TO

SC/ST/OBC/MIN. STUDENTS STUDYING IN GOVT. SCHOOL/AIDED

SCHOOLS/RECOGNISED SCHOOLS /COLLEGES /INSTITUTIONS.

Eligible students are advised to submit their application in the prescribed format to their
respective school/colleges/Institutes Heads along with the following documents.
Individual applications of students will not be entertained

(i) One copy of the passport size photograph with signatures of the student thereon (for fresh
scholarship).
(ii) One attested copy of certificates, diploma, degree etc. In respect of the last examination passed,
(iii) Hostellers certificate from competent authority if hosteller. (iv) A certificate of Caste of
student should be issued by the S.D.M. of Govt. of NCT of Delhi.

APPLICATION FORM:

Name & Roll No. of student_

Name of Father/guardian____

Class in which he/she studying_

Hosteller/Day Scholar________

Whether belongs to SC/ST/OBC/Min._

Certified that the information given above is true to the best of my knowledge & belief.

Signature of the student

 Consolidated Statement (MERIT SCHOLARSHIP)
For use of School/College only
1. Name & address of the School/College/Institute_______
2. Name of the Scheme :- Merit Scholarship (2006-07)

S.No. Name & Roll No. Father's/Guardian's Present Class Previous Class
_______of the student___________Name passed/Year

Hostellers/Day Scholars Rate of Scholarship Category Percentage previous class Remarks

6 7 8 9 10

NOTE:-
1. Certified that the above particulars have been checked with the office record and found cored.
2. Certified that no eligible student studying in the school is left out for grant of scholarship and this list may be treated as final.
3. Certified that the SC/ST/OBC/ certificates in respect of all the students have been issued by the competent authority/Dy.
Commissioner, Delhi. Five years residence proof in Delhi for Minority Students.
4. Certified that the scholarship or the stipend holders named above have been regular in attendance and have confirmed to the
rules under which their scholarship or their stipends are granted.
5. This list may be treated as final.
6. Certified that the eligibility of the student have been rechecked once again before disbursement of the amount and no
discrepancy is noticed/discrepancy noticed has been reported to the department vide letter no._________dated_________.

Signature with seal of the

Principal/Head of the Institution.