CERTIFICATE
Application No: 40140000014256
1. Name of School/College/Institution: HANS RAJ COLLEGE
2. Affiliation No/School Id/Dise No/Recognition No: C-6425
3. School/College/Institution Address: MAHATMA HANSRAJ MARG, MALKA GANJ, DELHI-
110007
1. Certified that the above particulars in respect of GAUTAM (DOB:29/08/2004) S/o PURAN CHAND,
R/O A-109 RAGHUBIR NAGAR NEW DELHI A BLOCK RAGHUBIR NAGAR Delhi 110027 India
studying in class Graduation 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 0% 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]
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APPLICATION FORM OF MERIT SCHOLARSHIP TO SC/ST/OBC STUDENTS OF
COLLEGE/PROFESSIONAL INSTITUTIONS FOR THE YEAR 2023-2024
Application No: 40140000014256
Name of the School/College/Institution: HANS RAJ COLLEGE
Address of the School/College/Institution: Mahatma hansraj marg, malka
ganj, delhi- 110007, , 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
1. GAUTAM 29/08/2004 PURAN CHAND SC/ 90000
Mobile/Phone Number: ******1893
Address : A-109 RAGHUBIR NAGAR NEW DELHI A BLOCK RAGHUBIR NAGAR Delhi 110027 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)
Graduation Graduation 60 0
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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