You are on page 1of 2

KSWCFC

Kerala State Welfare Corporation For Forward Communities Ltd


(Government Of Kerala Undertaking)

Registration Details

Application No: 2015/SUG/09186


Date : 31/01/2015

Name of Scheme : SCHOLARSHIP(GRADUATE)

Name SREENU S NAIR

Gender Male

Date of Birth 17/06/1991

Guardian's Name SHEELA S NAIR

Specify Relationship MOTHER

Correspondance Address KALLUVILAPUTHENVEEDU

Mobile No 9961974845

E-Mail ID sreenuktr@gmail.com

Father/Guardian SHANMUGHAN K

Religion HINDU

Community NAIR

Annual Family Income 26000

Details of Qualifying Examination Passed

Qualifying Examination Passed HSC/Equivalent

Details of Scholarship Programme

Opted Scholarship Programme SCHOLARSHIP(GRADUATE)

Name of the Institution TKM COLLEGE OF ENGINEERING

Status of Institution Aided

Address Line 1 TKMCE

Total Fee for the Course 38000

Details of Bank Account

Name of the Bank State Bank of India

Branch KOTTARAKARA

IFSC Code SBIN0005047

Name of A/C Holder SREENU S NAIR

Account Number 31988555095

Place:

Date: Signature Of Candidate


Principal/Head of the Departments Certificate

It is hereby Certified that

a) The particulars given by the student are correct as per the records of the College/Institute.

b) The student is not receiving financial assistance(Scholarships/Stipends) from any other source.

c) Our College/Institute is affiliated to ___________________________________________ University/Council.

d) Kerala State Welfare Corporation for Forward Communities Ltd shall be informed, if the student leaves
studies.

Signature of the Principal /HOD with Seal.

------------------------------------------------------------------------------------------------------------------------------------------------------------------

Check List of Enclosures

1.Self attested Copy of the front page of SSLC/Equivalent certificate.

2.Self attested copy of the Income Certificate from Revenue Officials.

3.Caste Proving Document.

4.Course Fee Structure.

5.Self attested copy of front page of bank account passbook.

6.Self attested Mark list of SSLC Exam/Qualifying Exam.

You might also like