CERTIFICATE
Application No: 40120000012728
1. Name of School/College/Institution: GOVT. SARVODAYA KANYA VIDYALAYA NO.2
2. Affiliation No/School Id/Dise No/Recognition No: 2766604
3. School/College/Institution Address: SAGARPUR NEW DELHI
1. Certified that the above particulars in respect of PREETI (DOB:12/06/2003) D/o SUBHASH
KUMAR, R/O RZ32/397 1A SHIVPURI WEST SAGARPUR PAALAM Delhi 110046 India studying in
class 12th in our School/College/Institution are verified from the office record of this
School/College/Institution.
2. Certified that the above student is not a repeater in the same class and his attendance in the
previous year was 85% wherever applicable.
3. Certified that the above student is not covered under 20% quota meant for poor families as per
latest prescribed regulations set by the Directorate of Education, Govt. of NCT of Delhi in this regard.
Signature with seal of the Principal/Head of School/College/Institution
Dated:
GOVERNMENT OF NCT OF DELHI
DEPTT. FOR THE WELFARE OF SC/ST/OBC
B-BLOCK, 2ND FLOOR, VIKAS BHAWAN, I.P. ESTATE, NEW DELHI-110002
Website: [Link]
APPLICATION FORM OF POST MATRIC SCHOLARSHIP FOR OBC STUDENTS(PMS-OBC) FOR THE
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YEAR 2022-2023
Application No: 40120000012728
Name of the School/College/Institution: GOVT. SARVODAYA KANYA
VIDYALAYA NO.2
Address of the School/College/Institution: Sagarpur New Delhi, , Delhi
Particulars of the students:
Name of the DOB of the Father/Guardian’ Whether Yearly Family
SL. No.
student student s Name SC/ST/OBC/MIN Income
SUBHASH
1. PREETI 12/06/2003 OBC/ 96000
KUMAR
Mobile/Phone Number: ******1284
Address : RZ32/397 1A SHIVPURI WEST SAGARPUR PAALAM Delhi 110046 India
Whether Hostler:No
Class in which % of marks in the previous class % of attendance in the previous
Previous class
presently passed(Copy of Report Card to be class passed (for students of class
passed/year
studying attached) 6 onwards)
12th 11th 58 85
Declaration: I hereby declare that the particulars given above are true and correct. There is no false
and fabricated document/information. If any false or fabricated information provided by me it may be
prosecuted as per law
Signature of Parent/Guardian
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