ROR EMPLOYEES ASSOCIATION by OGS2De

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									                         ROR EMPLOYEES ASSOCIATION
                                      APPLICATION FORM FOR FELLOWSHIP


Name (In Block Letters)...............................................................................................................................

Father's Name .............................................................................................................................................

Class ...........................................................................................................................................................

Name of College/Institute ............................................................................................................................

Permanent Address : Village ....................................................Post Office .................................................

                                  Tehsil ..................................................... District ......................................................

Present Postal Address................................................................................................................................

.........................................................................................................................Ph. No.................................

Educational Qualifications :

         Class                      Year            Division/Grade                  Mark                             College/Institute

Matric



10+2


B.A./B.Sc




Family Income .......................................
(a)        If Service Salary Month (Rs.) ............................................(to be attested by Drawing & Disbursing Officer)

(b)        If Farmer - Land owned (acres) .............................................(to be certified by Numbardar of the Village)

(c)        If Business-Annual Income (Rs.) ....................................................................................................
           Nominated by ...............................................................................Mob. No. ...................................


Place & Date ...........................                                                               Mob. of Applicant...........................


                                                                                                       (Signature of Applicant)
*          Attach attested copies of testimonials.
*          Attach Proof.
                           CERTIFIED TO BE ISSUED BY HEAD OF COLLEGE/INSTITUTION

It is certified that Mr. ....................................................................................................................................
S/o Sh. ............................................................................................. is student of class.............................
of this College/Institution. He is not getting any financial help from the College/Institute. He bears a
good moral Character. The information furnished by him in this form is correct.


Date ; ........................                                                                                 Signature & Seal
Place ;.........................                                                                                of office
Office Ph. No..........................

                           CERTIFICATE TO BE FURNISHED BY PERSON WHO NOMINATES

It is certified that Mr. ....................................................................................................................................
s/o Sh. ............................................................R/o .......................................................................................
is well known to me. He deserves the financial support from Ror Employees Association. The income
shown by him is correct to the best of my knowledge.

Date ; ........................                                                                                 Signature & Designation
Place ;.........................                                                                                       Address
Ph. No..........................
                                                 RECOMMENDATION OF COMMITTEE

The Committee has verified the antecedents of the applicant and recommend his case for grant of
fellowship :-

1.                                                                 2.                                                                   3.

           The applicant is granted a fellowship of Rs.(Per month) .................................(in Fig......................

...........................................................................................................................(in words)


                                                                                                                Signature of President
                                                                                                                Ror Employees Association


Conditions : 1.                  Parents of the applicant having not more than 2.5 Acres of Agriculture land.
                      2.         Parents Annual Income not more than Rs.75000/-.
                      3.         Application should reach before 30th Sept. in any Ror Dharamshala.

								
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