ronnore NATIONAL SCHOLARSHIP PORTAL 2.0 [APPLICATION 1D [KAZOTSI9008NS68S7 REGISTRATION DATE 07/0 2018 [APPLIED FOR SCHEME |MERIT-CUM-MEANS SCHOLARSHIP FOR PROFESSIONAL AND TECHNICAL COURSES G : y SCHOLARSTIF 5 5 istare oF pomictLe —|KARNATAKA Ronecony JPOST MATRICITOP CLASSIMCM STUDENT 5 DATE OF BIRTH q NAME OF STUDENT —|NAZMAPS jODAIMNYYY) 3/08/1996 (GENDER, [FEMALE [RELIGION MUSE [COMMUNITY/CATEGORY[OBC FATHERS NAME __[SUBHAN SUBIPN ON [ANNUAL FAMILY MOTHERS NAME MAMTAJ NNCOME. 10000 |AADHAR NUMBER XXXNAXRNGTER MOBILE NUMBER [8050926043 “7860 [Day leMAnL. 1D NAIMATRANIT86¢ pcHOLARMOsTELER|PAY SCHOLAR [PRESENTINSTITUTE [BMS INSTITUTE OF TECHNOLOGY, BANGALORE. MASTER OF COMPUTER 1 JCLASS START DATE 2 JPRESENT CLASSICOURSE oer Tc aTIONS{M(CA SVEARS josiio2018 IPRESENT YEAR o MODE OF STUDY __|REGULARFULL TIME [PREVIOUS BOARDIUNIVERSITY NAME [BANGALORE UNIVERSITY, BANGALORE [PREVIOUS IDEGREE/GRADUATEUNDER | PREVIOUS PASSING |CLASSICOURSE NAME _|GRADUATENTEGRATED _|YEAR, pos HoTH CLASS ROL lpreviousciass() — [783 No 20130742563 ois for CLASS BOARD [KARNATAKA SECONDARY EDUCATION| NAME |EXAMINATION BORAD, BANGALORE > 2TH CLASS PASSING h2TH CLASS ROLL NO. —|902132 Wear pois DEPARTMENT OF PRE-UNIVERSITY EDUCATION, SS BOARD NAM 2TH CLASS BOARD NAME BANGALORE [COMPETITIVE EXAM JEXAM CONDUCTED QUALIFIED by [COMPETITIVE EXAM [COMPETITIVE EXAM |, ROLL NO IvEAR [ADMISSION FEE. 35890) [TUITION FEE [sorta MISC FEE 5000 [IS ORPHAN NO [IS DISABLED Ro PERCENTAGE OF i [pisaBmITy [ [PARENTS 5 uN MARRIED. pROressIoN JoTHERS |BANK ACCOUNT Te s 53 0138 lsc cope {uBinos3s311 Romane [3s3102010013341 [STATE [KARNATAKA pistricr BANGALORE RURAL [BLock [ADDRESS [71439 GROUND FLOOR TST own cone co108 MAIN NEHRU NAGAR,romnore SIGNATURE OF CANDIDATE SIGNATURE OF HEAD OF SCHOOL/NSTITUTE/COLLEGE WITH STAMP. |** ACCOUNT DETAILS MUST BE ENTERED CORRECT. NO MODIFICATION WILL BE ALLOWED AFTER THE FINAL| |SUBMISSION OF APPLICATION. l*** STUDENTS ARE ADVISED TO SUBMIT ONLY ONE APPLICATION FORM. IF NSP FINDS MORE THAN ONE |APPLICATION ( IN FRESH OR RENEWAL CATEGORY) OF A STUDENT, THEN ALL THE APPLICATIONS SUBMITTED] |BY THE STUDENT WILL BE CONSIDERED AS DUPLICATE AND WILL BE REJECTED. **** AADHAR NUMBER PROVIDED BY YOU, WILL BE AUTHENTICATED BY UIDAI AND MAY BE USED FOR PAYMENT OF SCHOLARSHIP [THROUGH AADHAR PAYMENT BRIDGE(APB). 22.