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Self Declaration

This document is a self-declaration form for individuals belonging to the General Caste Category, specifically for availing the Post-matric Scholarship under the Dr. Ambedakar Centrally Sponsored Scheme for Economically Backward Class (EBC) Students. It requires the declaration of the individual's sub-caste and includes spaces for signatures from both the student and their parent or guardian. The form is intended to confirm eligibility for the scholarship program.

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soumyadarshan1637h
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5 views1 page

Self Declaration

This document is a self-declaration form for individuals belonging to the General Caste Category, specifically for availing the Post-matric Scholarship under the Dr. Ambedakar Centrally Sponsored Scheme for Economically Backward Class (EBC) Students. It requires the declaration of the individual's sub-caste and includes spaces for signatures from both the student and their parent or guardian. The form is intended to confirm eligibility for the scholarship program.

Uploaded by

soumyadarshan1637h
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Self-declaration for the purpose of caste of General Caste Category (other than

ST/ SC/ OBC/ SEBC caste/ community) for the purpose of availing Post-matric
Scholarship under Dr. Ambedakar Centrally Sponsored Scheme of Post-Matric
Scholarships for the Economically Backward Class (EBC) Students

I, SHREE KUMAR JENA Son /daughter of Shri Biswajit Jena resident of village /

town / city Puri Sadar district Puri state Odisha hereby declare that I

belong to the (Indicate your sub caste) of General Caste Category (other than ST/ SC/

OBC/ SEBC caste/ community) for the purpose of availing Post-matric Scholarship under Dr.

Ambedakar Centrally Sponsored Scheme of Post-Matric Scholarships for the Economically

Backward Class (EBC) Students.

Signature of the Parent/Guardian Signature of the student

Date: Date:

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