SELF DECLARATION CERTIFICATE - For Minority Students
I, [Student's Name_____________], do hereby declare that I belong to the Muslim/ Christian / Shikh/ Jain/Parsi/ Baudha community, which is recognized as a Minority community in India.
I further declare that my family's annual income is ₹______ (Rupees _______________ only).
I understand that if any of the information provided by me is found to be incorrect or false, I will be fully responsible for the consequences, and any benefits received based on this information may be withdrawn.
Student Details:
- Name: ____________________________
- Standard: _________________________
- Division: __________________________
Date: ___________
Place: ___________
Signature: _____________________
[Parents' Name]
Signature: _____________________
[Student's Name]
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Undertaking for Scholarship Documents Submission
To,
The Principal / Class Teacher
J.D.C.Bytco English Medium High School, Nashik Road, 422101.
Date :
Name: __________________________________
Std: _____ Div: _____ Roll No: _____ Category: _____
I, the undersigned, hereby declare that I have been duly informed about the scholarship scheme and the required documents to be submitted for the same.
I understand that the last date for submission of documents has already passed.
I hereby undertake that in case I fail to get the scholarship due to non-submission of documents within the stipulated time, the sole responsibility for the same shall lie with me & my Parents.
I have carefully considered the following reasons before signing this undertaking:
(Tick ✓ to the appropriate reason for you)
🔲 I am not interested in getting the scholarship.
🔲 I failed to submit the documents in time.
🔲 I do not fit the terms and conditions of the scholarship.
🔲 I am not eligible for the school-based scholarship.
Date: ________________
Signature of Student: __________________
Signature of Parents: __________________
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