Annexure 1

Annexure-I
UNIVERSITY GRANTS COMMISSION
BAHADURSHAH ZAFAR MARG
NEW DELHI – 110002
Passport
SA-III SECTION
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“Joining Report Proforma for fresh awardees ”
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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.