Annexure-I UNIVERSITY GRANTS COMMISSION BAHADURSHAH ZAFAR MARG NEW DELHI – 110002 Passport SA-III SECTION size “Joining Report Proforma for fresh awardees ” photo SPECIAL SCHOLARSHIP SCHEME FOR NORTH EASTERN REGION Name of student: ____________________________________________________ Award letter number and date: (to be filled after the selection) ____________________________ Candidate ID number__________________________________________________ This is to certify that Mr. / Ms. _____________________________________S/o/D/o ______________________________________ is a bonafied student of _________ year regular, undergraduate degree course ____________________ in the subject of ____________________________. He / She joined the First year Undergraduate degree course on dated _________________ in this Institution/ College/Department _________________________ affiliated to ________________________ University. Signature Signature Signature Name Name Name Date Date (Awardee) (Head of Deptt.) Ph. /Mobile No. Seal of HoD e-mail : Ph. No. Bank A/c No. IFSC Code : MICRcode: 12-digit unique (aadhaar) number, if you have: Date (Registrar / Director / Principal) Seal of University / Institution / College Ph. No.
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