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RENEWAL

Intermediate Roll No:_______________________


Group

:___________,Marks: ____________

Schp. ID. No.____________________


Name of the student
with Fathers name
& e-mail-ID

APPLICATION

BOARD OF INTERMEDIATE EDUCATION, A.P. HYDERABAD.


(CSSS for College & University students, MHRD, New Delhi),

Name(as on sign board) & Postal Address of


the College, where Candidate is studying now.
Degree College:______________________

If studying PG:

___________________________________

___________________________________

Postal Address:
___________________________________

Postal Address:

Name of the PG College:_______________

___________________________________
___________________________________

Telephone No.
_______________
Mobile No.
_______________

Name of Degree / PG Course:..

a) Name of the Bachelor Degree


______________
b) whether promoted
to next class : - Yes / No
c) I year % of Marks: _____________

___________________________________

d) II year % of marks:______________

Admission No. _______________________

e) III year % of marks:_____________

Date:____________

f) IV year / I year P.G. % of


marks:_________________

(2nd year students should mention FIRST Year


Admission Date only, but NOT that of 2nd Year.

% of
Attendance

Remarks
Regarding
discipline
of the
student,
including
ragging,
etc.,

Mobile No._________________________
___________________________________
Name of the PG Course:________________

II Year

IV Year / I Year PG

Renewal of Scholarship for the academic year 20


Board of Intermediate
Educations Roll No., Year
of passing, Group, Marks,
Shlp ID.No. as given in the
fresh final selection list.

- 20

On line Bank A/c particulars

Bank
Name:______________________
___________________________
Branch :_____________________

Andhra Pradesh,
BIE, A.P., Hyderabad
IPE March 20.
Roll.No:______________
Group in Inter:__________

Branch
Code:_______________________
Bank S.B A/c No.:

Marks in Inter:__________

___________________________

Schp.ID NO:

IFSC
code:_______________________

______________________

Note: Convert the CGPA into % of Marks


& Furnish Year Wise in % of Marks.

III Year

(11 Digits Alpha Numerical Code)

AADHAR No.
(as provided in the final
selection list)

THE MHRD, DEPT. OF HIGHER EDUCATION, NEW DELHI, HAS MADE IT MANDATORY FOR SUBMISSION OF AADHAR NUMBER FROM THE ACADEMIC YEAR 2013-2014.
THE PRINCIPALS ARE HEREBY REQUESTED TO ADVISE STUDENTS TO OBTAIN THE SAME, WHICH WOULD FACILITATE DISBURSEMENT OF SCHOLARSHIP.
It is hereby certified that the particulars mentioned above are true.

NOTE : Before filling the application form, students are advised to go through the following minutiae carefully.
1)
2)

4)
5)
6)

Signature of the Principal (Bachelor Degree Course) / PG


Course, Head of the Institute with College Seal.

Students have to forward this renewal application form soon after announcement of their University results or within (15) days.
Students need not wait for the original Memos of the University. They can enclose Memos downloaded from Internet, provided they are certified by the concerned college Principal.
Universities which conduct examinations twice or thrice i.e. on semester wise in a particular academic year, such students have to forward renewal applications only once in an academic year.
They have to arrive at a single percentage only after calculating all the semester examination of a particular academic year. Students are prohibited from forwarding renewal application
forms on semester wise.
3) Principals should ensure that students fill all the year-wise percentage columns in the renewal application form.
nd
Students who have passed 2 and 3rd year examination have to mention their previous years percentage in the relevant column even if they have mentioned in their previous years renewal appls.
Incomplete and late received renewal application forms will be rejected.
Further information on MHRD CSS Scholarship is available at BIE Website: www.bieap.gov.in

Enclose the following Xerox Copies with this Renewal Application Form :
(a) Xerox copy of Bachelor Degree / Masters Degree Marks Sheet (b) Xerox copy of Aadhar Card (Student has to link his / her Aadhar Card No. in their Bank Account) (c) Xerox copy of Bank Pass Book,

where Bank Account Number and other details are shown. d. Xerox copy of Intermediate Pass Certificate cum Memorandum of Marks or proceedings of provisional selection of CSSS.
To be sent to:
The Professor, Central Sector Scheme of Scholarship for College and University Students (CSSS), Board of Intermediate Education, A.P., Vidya Bhavan, Nampally, Hyderabad-500 001.