RASHTRIYA SANSKRIT SANSTHAN Deemed University (Established under the Auspices of the Ministry of H.R.D., Govt. of India) 56-57, Institutional Area, Janakpuri, New Delhi:-110058. ‘Accrsited by NAAC wih Grade APPLICATION FOR SCHOLARSHIP - 2016-2017 *ak2016-2017 & EDGR HA TET (Valid for the year 2016-2017 only) (@aa 42016-2017 % Fae a) (a) IMPORTANT INSTUCTIONS FOR APPLICANTS, e Application Forms may be rejected if not following the below guidelines :- ater oH Freer Bear aT waar 8 a revfaiter Ga A a ae gle oe ae - All the fields in application should be filled compulsory in the candidate own failing which the application will be rejected summarily. ame amt ane vat at ne at amar ot sede A wen afar 3) sete a a aM sites a 1 goa ree Fear oe | ‘Application form alongwith supporting documents must be signed by the Headmaster/Principal/Vice-Principall Registrar/Head of concerned departmentiinstitution with Seal/Rubber stamp, failing which the application shall be rejected ome we det wt ate aR damevaerneniada semrariaraeafeammens arr ase ate warmer Set oars F1 sent TTT Te nee Tt eT AT ETI ‘The application form should be countersigned by the following: amet Ta Prefetad & aenfer sat anaes 8: (i) For Affiliated schools Director of Education State/District Educational Officer/ Block Education Officer. war are Fears & ee sie Re arent rar itr For Govt. Schools crvdes Ree & Fe (i) For Kendrya Vidyalaya Principal of concerned Schools. (iv) For Govt. Colleges of the concerned College. coer eee & ea afer wT ed (v) For Affiliated Colleges strar ofthe University. evar are safer fay Paeftac gas oe sefaeraa awa or & (vi) For affiliated to Sansthan -Principal of Adarsh Sanskrit Mahavidyalaya/Afilated Mahavidylaya/Vidyapeetha waa re sarah eg See we a ATE ‘The applicants are required to mention their own bank account number with IFSC code in the application form and photocopy of the pass-book must also be attached with the form. meee BT ee a Se Ge Fe (saa Be Aiea) nee wa A at ger wage A erie ona we ae tt aed atThe applicants must have passed the previous examination with a minimum 60% marks in Sanskrit (For General), 55% (For OBC) and 50% (for SC/STIPC) as well as on the aggregate in all subjects and Sanskrit should also be taken as a subject inthe present year. crate Roc wren aiepe Fawr aT EM AAT ais 6o afte amIT aot S fee), ss ase (ae fret ont & fae) ar 50 ater (sgRae avo arate /orm wer 3 fe) & ae set dar aftart & aon ada war Hse faer at aT ot ores FH ‘The Pali and Prakrit students must have passed the previous examination with atleast 60 % marks in concerned subject and 60% in the aggregate in all subjects. The percentage for OBC 55% , SC/STIPC 50% and Sanskrit/Pali/Prakrit should be taken as major subject in present year. ais 2 aa om Rect shen 8 apabar fae} aR ea AAT wale co afte & amr seh dar ores 1 ama Ahh & Fae ss tae (ort Regt aT Rie) eI 50 slaw (orga aor. srrafeoree ar Fe) & arr oe aa oihanh Baer ata wear aepTateoeT feet aT aT ravers FI The Ph.D. students should be registered in the offered course (Sanskrit, Pali, Prakrit) and the certified copy cof admission/registration with joining letter by PrincipallH.0.D. should be attached. fomftty tq str oa at afer far (Geauga) Fo higa der afad Foam den & smriArarmemt ar Raver vas wer aha va aT Aenea Aes eT aT FI ‘The marksheet of 8 & 9 standard must be made on the prescribed proformalletter-head of institution with name of the student, class, all subjects with name, passing year and the total marks with obtained marks. pel Seat we aad at seaifear fruits weaien s act ss ot aM qa Foote A et aT am, wet, wet feet ar am, sciet at en ya stat FA orate ar Sete staat Te aT ora 21 Photocopy of supporting documents should be clear. aaien Tee ST OMB BRE SAT APEC | The photo ofthe candidate should be aie the prescribed space and the enclosed documents should be certified by the principal/head of the school/collegelinstitution gma Foe fara 7 oes We we dee cet wad Eaeaien S weriagE ara tet asa wea aT Ae 31 Attested photocopy of Aadhar Card/Voter Card/SchooliCollegelUniversity |.D. of the student should be enclosed, epee % ane eater ane Areeyaataereaavaiera wart vat at ert aenite ernie det at | The marksheet during the academic session 2015-2016 should be certified by the principallhead of the ‘schoollvidyalayalcollegelinstitution. - Rates ee 20152010 4 Sain Rama en & santa are was AT oH #1 ‘The old form will not be considered. Therefore, the candidate may must fill-up the prescribed form for 2018- 2017. Set one oe edad ah oor ome BAT a2016-2017 a eT VA A TLOffice Use Only RASHTRIYA SANSKRIT SANSTHAN Application no, Deemed University (Established under the Auspices of the Ministry of H.R.D., Govt of India) Percentage of Sanskrit__% 56-57, Institutional Area Janakpuri, New Delhi:-110058 Afficthe recent Percentage of overall__% ccedted by MAAC with Grae 8 passport size Photo Category - SC/ST/OBC/PC APPLICATION FOR SCHOLARSHIP-2016-2017 Stream- Modern/Traditional ato he eat iene Advertisement dated- Name of State and place where student is studying at present adi 2 op fre wet sit er F qermeyaer aC 8 ae OR Ta Name of the present School/College/University adam freer rerfeerera/ fastener 1 AT 7 Nai ofthe Student Ur capa TEE] = BA Bl A (RRS #) | Father svrusband’s Name = Renate at rr |] Motners-Name = HRT 1 | Date OF Binh and age as On UT-7-20TE Tat of pin aria aN 1.7.2016 FH Ag Date of birt Year font 4 x eT er =| Gander E Male Female Third Gender fer (Pease kine ent bo 6) Whether you belong f SUISTIOBCIPC =| Generar] SC T_]08 Pryscaly 7 vara | oats | srga.ate | mea at | Chalanged at am sapiea aievag.araiates ay er see Ae MS Pease ne elsanibor Aso attach a caste certificate ofthe candidate in histher ‘own name issued by Competent Authority | Name of AS qualiyng examination passed and year of passing fret saot atone then en set at ar arr ‘&) Whether SanskriyPaliPrakrit has been offered aS ‘a majoriminorloptinal subject in present year Major Minor/Optional Not offered Bp phone betes ter armasPresent Class ada Fe =] Class ay Year (aay Ubjects in present class adam oar fee om Pree (Please mention the name of the subject. In case Of optional subject it-should be mentioned the optional subject name) SUBECT TRAY 1 es 1 ream (Modern or Traaitonaly ert (arghre at yer) *ifthe student from affliated schoolCollege than please put the (¥) in Modern stream. Modern Traditional eT Pasa Tekno reer bag 1. af ort core & rani wearer mer FT cond faery, Sate fame eae aT eT Eat pea omar aay 9 (V) at | 2. ae OF TET OT SAT AT aT Famers, oga/faenie Honora TE pay eet a AY) ATH re | TI- | Full Name & Address of correspondence with pin |~ = Code ‘ol’ the InsiiuoniUniversty/Vidyalaya on ne which the student is studying or doing research cae, —— — wa ge atom A sori ae wa $1 ae seraatany mae at AT a meee ee ee on nal Phone no Mobile — |"11- | Complete residentialpostal address of the student |= to which the intimation can be sent. ro wa 8 ae ae a Rr Se ae wT - el bal : rn Free ti | 12" -Aadhar Card number of the student (Optionally BEEP 61 HU eae (es) ae a oa Pease atached sl tested copy | 3. | Identity Card number of the student S/T A NER Gear eee & aim wal ae Waa A arg ‘School/College ID should be attested by the Principal [Te ayer Tast year (Please attached the photo year 1 ane photocopy) (et ort er Naneatte —) Brannaton | Sijet | Yearat Pacer OW ae ora Wot NaS Board passed ie passing oraeaeh cH ae fare at feet at a set ster sit at Wm Sena] Deon | overall] Don seg sates | amt | oh ee sae | et Thoase of Grade rade Trease of Grade rade CGPA x (9.5) CGPA x (9.5) ae - sega fase ger geri, ar ao (6) Se see Tet lst & omer oe PL Hs er RR a a tee wld Rae Note- Applicant should be fl the column of Sanskrit subject and overall % in number. If having the grading system also fil the number of marks in presoribed column.[15>] For Research Students only SI] Whether sludent has been registered Tor PRD Vidyavarigh course YesINo No, | Ifyes please furnish the following ey wrx ar tote Renae cas ream Bg Eafe et a Frese Reaeer & | T. | Registration No. and date of Registration afew eae ea aT Dale of Joning/Admission no, aaetre fared Te Tame of he Research Guide with Tul address of DopartmentSchooV Universi and phone noJ/Mobile no./Email.D. sana ar Ter ger WaT ae er Ales Let oa Note :- Please attach the attested copy of the following :- + Photocopy of the Joining letter Copy attested by the PrincipalH.0.D. * Photocopy of the Sanctioned letter Ifyou are received the research scholarship from the Rashtriya Sanskrit Sansthan, so please mention the at UE a TET HT teers ea shor sg mer Bat pr Te a Fe. | 16=wank mooount Det of the applicant = (Please atach the Profooopy oF We pass-bOOK Say om vom at aaet eee gin aees Te seo Tam ofthe Bank where aanomnls opened by the Student ae a Se We Br RT EL Name of he account Fader OIE 3 ‘Account no, “an eT TFST Code, eR RA. ae | Adaress of the branch se Se er Fon gee en 9 ee Se ee at etary & a at ae eet eee 7 GT Hea FT feat At wee aT Tay a TT a irae SIT 'Note- Student shouldbe fil the Bank acount no. inprscrbed column andatached the copy ofthe Bank deals. Any other person's bank accounts may no be entertained. I changed the bank account in any stage, the requests for scholarship not considered. [v= | Ta) Occupation of PareniiGuardian = faaverairert at st () Annual income of entire family from all sources Rs____per year found wrong, scholarship will not be issued and action may Pay a Rare aft ome ee, Sh a eh ee ch oh T& | (a) Are you geting any sipendischotarship For any otfer Source | YesINo during this period? arora oe a & ones ter wo A ar ee Rs, () Yes, amount per month| hereby declare that all the information given by me in this application form and documents submitted by me in support of this application are true to the best of my knowledge and belief. My mark sheet is duly attested by Head ofthe Insttution/Principal. ag ara feat Far sat FP onder oe AR ae aa we amet hashes a pit aa et ote en ayearart arr wea EF | also declare that in case | am selected for the Scholarship applied for, | shall devote my ful ime to the approved course of study/research and that | shall not undertake any other paid work or receive any other Scholarship or any other grant from any source during the tenure ofthis Scholarship. as ot Ser wear PA ome crore Boge aT So ote AT onder oaghe F fae fer F ae dig aR we A ore Raat Sher rer ora} deer sgh oe oh See Date (Fafa) SIGNATURE Fee Place (Fi) ( Name of the candidate 2 3 aHRecommendation of the forwarding authority. HAA, EL AA HATA A TxBAT Certiied that Is a regular studentresearch Scholar _of SchoolCollege/University/insttution. AAs per the records available with this institution, the date of admission and other details related to the student mentioned enclosed with application form is correct and the student has been taken the following subjects in present class :- senfers Far ara & aaa aerate... A cee Prater weve 8 wea Sawer Sa 8 ag So A Oo TB Me aba I Fer ero a Resta Rear art a Cong Se Opera SE SST ean ae 1 2 YesiNo 3 aaa 4‘ 5 6 Itis also certified that = (@) The studentisis not receiving cholarship/stipend from any other source during tis academic year or oe ees aa & emt Ra ore eet @ oghvedts et we weve ae eT eT (b) This schooVcollegesinsttute is directly under Govt /Govt. Aided/Recognised Private. we enorme een ey ee KAT TTR TAT are B (c)_ This school/college/insttute is affliated to Board/University/Council ve Rene reteencaeen aE Areaeraeraafeas Bet ae BL Ber a ad ae a cleaner S argere seer FT iter wer Pe B ~ The following percentage has been obtained as per the pervious year marksheet of the student :- %% in Sanskrit Division % overall Division as aT ea ah st fae oT a Trrcase of Grade CGPAX 5) rae Trcase of Grade CGPAX 3S) rade Please show in % Please showin % The Institution/School/College/University wll be solely ager oh ere rte ME a eae Date (aR) Place (7) ponsible for any incorrect information. aes cre Ree ge edt A Signature of RegistrariHead of Insttution/Principal with official seal and Landline No./Mobile No. eer maria & secre wer PE SAT afer as ar ame TAT Countersigned of DESIDEOIBDO with full address and landline no. fret frat afer arr venta cer agent sae afer araieer a got aT Note :- No column of the application form should be left blank, which may lead for rejection of the application form,