Dr.

MAHALINGAM COLLEGE OF ENGINEERING AND TECHNOLOGY

POLLACHI – 642 003

SCHOLARSHIP ONLINE REGISTRATION APPLICATION FORM

Passport size
Colour photo
BC / MBC (Fresh) Date:…./…../20……

Roll No Scholarship ID

Course Branch Year

Name of the Student

Name of the Father
Date of Birth 19 Gender MALE / FEMALE
Religion Hindu / Muslim / Christian First Graduate YES / NO
Community BC MBC DNC SC ST Caste
(as per community certificate)
Annual Income
Email ID
(as per Income Certificate)
Aadhar Card No
Communication Address: Permanent Address (as per record):

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Student Mobile No. Parent Mobile No

Bank Account Details of the Student
Name of the Bank Syndicate Bank Branch Name NPT Branch, Pollachi
Student Bank MICR Code IFSC Code
(9 digit code)
641025020 SYNB0006139
Account Number (11 digit code)

Date of Joining at the Hostel

Hosteller YES / NO (Current academic Year)

Signature of Warden
Signature of the Student
with seal (if Hosteller)

Signature of Head of Department

 Tamil Nadu State Government Scholarship - BC / BCM / MBC /DNC

Eligibility:
 Only Government Quota students are Eligible
 Annual Income : Below 2 Lakhs

Xerox copy of Documents to be attach along with the Scholarship Form

 Allotment Order
 Previous Year Mark Sheet
 Community Certificate
 Income Certificate (Online Generated)
 Previous Year Attendance Certificate
 Aadhar Card
 Passbook of SB Account (Syndicate Bank, NPT Campus Branch, Pollachi – 642003)