PRMATRIC 201617

INSTITUTION VERIFICATION FORM
Verification/information to be furnished by the Head of institution/college:
It is certified that the information provided below by _________________ who is admitted in ________________ course for the academic session ___________ in ______________ is correct. He/ She is a hosteller/day scholars of the college.
Last year marks details:
Fee details current year:
In case the information filled in these columns is not correct, then the institute should indicate that separately.
______________________________________________________________________________________________________________________________________________________
For Renewal of Scholarship:
It is certified that the student has not changed the course of study and/or the institution of the study for which the scholarship was originally awarded /has changed the course of study and/or institution with prior approval of the state government (Please strike out which is not applicable).
Please ensure the information given by you is factually correct. In case of any discrepancy noticed later, your application is likely to be rejected.
Date: Signature of the head of the institution/college
Place: with official seal
Note:
(i) The verification by institution is mandatory for consideration of the application.
(ii) Students are directed to take the print out of ‘Institution Verification Form’ get it verified by their institution, scan & upload it”, in order to apply for minority Scholarship.