www.scholarships.net.in

Organisation : Karnataka Directorate of Minorities
Service Name : Post-Matric & Merit-Cum-Means Scholarships 2017-18 Institute Verification/ Self Declaration/ Income & Community Form
Applicable State : Karnataka
Scholarship Application Last Date : 31.08.2017 (Fresh) | 31.07.2017 (Renewal)
Website : https://dom.karnataka.gov.in/english
Notification : https://www.scholarships.net.in/uploads/14433-Form.pdf

Scholarship Schemes Formats

Post-Matric & Merit-Cum-Means Top Class Scholarships 2017-18 Institute Verification/ Self Declaration/ Income & Community Formats

Related : GOKDOM Karnataka Scholarship FAQs 2017-18 :  www.scholarships.net.in/14430.html

Institution Verification Form

Verification/information to be furnished by the Head of institution/college:

It is certified that the information provided below by _________________ who is admitted in ________________ course for the academic session ___________ in ______________ is correct as per the records/documents verified with a copy of it maintained in institution/college, He/ She is a hosteller/day scholar of the college

Last year marks details:
Fee details current year:

In case the information filled in these columns is not correct, then the institute should indicate that separately.
__________________________________________________________
__________________________________________________________

For Renewal of Scholarship Form

It is certified that the student has not changed the course of study and/or the institution of the study for which the scholarship was originally awarded /has changed the course of study and/or institution with prior approval of the state government (Please strike out which is not applicable).

Date:
Place:

Note:
(i) The verification by institution is mandatory for consideration of the application.
(ii) Students are directed to take the print out of ‘Institution Verification Form’ get it verified by their institution, in order to apply for minority scholarship.

Self Declaration :
Self Declaration Of Family Income Under Post Matric Scholarship (Class XI And Above) / Merit Cum Means (Top Class) Scholarship Scheme Of Ministry Of Minority Affairs, Government Of India 2017-18

I, ____________________________Son/Daughter/of___________________________ Resident of (full address) __________________________________________________ _____________________ do hereby solemnly affirm and declare as under :-

a) That I am citizen of India.
b) That annual income of my family from all sources is Rs ………………(in words also) ……………………………………………………………………………………
c) I declare that my father/mother/both* is/are earning Member(s) in my family.

2. I certify that the above information given by me is true.
3. In case this information furnished by me is found false, the financial assistance awarded to me may be recovered with penal interest and I will be liable to a legal action against me in accordance with law.

Signature of Candidate:__________________________
Name of Candidate: ____________________________
Name of School/Institution:_______________________
Enrollment No. in the School/Institution:_____________
Academic Year:________________________________

*Strike off the non-applicable part in the underlined clause above.

Income Community Form

Self Declaration Of Minority Community By Student For Post Matric / Merit Cum Means (Top Class) Based Scholarship Scheme 2017-18

Proforma for declaration of Minority Community to be uploaded along with the mandatory documents for claiming scholarship.

Declaration :
I, ____________________________Son/Daughter/ward of __________________________ hereby declare that I belong to the____________________________ (Muslims/Sikhs/Christians/Buddhists/Jains and Zoroastrians (Parsis) which is a notified minority community as per Section 2(c) of National Commission for Minorities Act, 1992).

Date:__________
Place:_________
Signature of Candidate: ______________
Name of Candidate: _________________