OIL AND NATURAL GAS CORPORATION LIMITED Green Hills, Tel Bhavan,Dehradun

ONGC offers 1000 Scholarship worth `48,000/- per annum to meritorious SC/ST students for pursuing professional courses in Engineering, Medical Stream, 2 year Masters Degree in Business Administration, Geology and Geophysics.

The selection for Scholarship shall be on relative merit. The last date of receipt of application is 15.10. 2019.

For detailed information and application format please refer the employment News dated 31.08.2019 and also visit ONGC website www.ongcindia.com.

50% Scholarships are reserved for Girl Students

ऑयल एंड नैचुरल गैस कॉरपोरेशन लललिटेड ग्रीन हिल्स, तेल भवन, देिरादनू

ओएनजीसी 1000* छात्रवतृ्तिया प्रत्येक ` 48,000/- प्रतत वर्ष अनुसूचित जातत/ अनुसूचित जनजातत के मेधावी छात्रो को इन्जीतनयररिंग में स्नातक

पाठ्यक्रम,एमबीबीएस, एविं 2 वर्ीय स्नातकोत्तर पाठ्यक्रम भू-ववज्ञान/ भू-भौततकी, एमबीए करने के ललये प्रदान करने िेतु आवेदन आमिंत्रत्रत करता िै

छात्रों का ियन योग्यता के आधार पर ककया जायेगा। पूर्ष रूप से भरे गए आवदेन भेजने की अिंततम ततचि 15.10.2019 िै |

ववस्ततृ जानकारी और आवदेन िेतु 31.08.2019 का रोजगार समािार पत्र और िमारी वैबसाइट www.ongcindia.com देखे । *50% छात्रववृत्तयााँ छात्राओिं के ललए आरक्षित िै

OIL AND NATURAL GAS CORPORATION LIMITED Green Hills, Tel Bhavan,Dehradun

1000* SCHOLARSHIPS WORTH `48,000/- PER ANNUM EACH

ONGC OFFERS SCHOLARSHIPS TO MERITORIOUS SC/ST STUDENTS PURSUING PROFESSIONAL COURSES IN ENGINEERING, MEDICAL STREAM AND MASTERS DEGREE COURSE IN BUSINESS

ADMINISTRATION, GEOLOGY AND GEOPHYSICS.

(Last date for submission of duly completed application form is 15.10.2019)

SI.

No

STREAM DURATION

OF THE

COURSE

TOTAL NO. OF

SCHOLARSHIPS

QUALIFYING

EXAMINATION

SCHOLARSHIP

AMOUNT PER

MONTH

1 ENGINEERING 4 YEARS 494 10+2 `4000

2 MBBS 4 YEARS 90 10+2 `4000

3 MBA 2 YEARS 146 GRADUATION `4000

4 MASTERS IN

GEOLOGY/

GEOPHYSICS

2 YEARS 270 GRADUATION

`4000

*50 % SCHOLARSHIPS ARE RESERVED FOR GIRL STUDENTS.

ZONEWISE DISTRIBUTION OF NOS. OF SCHOLARSHIPS

ZONE Zone -1

(North)

Zone -2

(West)

Zone -3

(North East)

Zone -4

(East)

Zone -5

(South)

STATES

J&K, Delhi,

Punjab,

Himachal

Pradesh,

Haryana,

Chandigarh,

Uttarakhand,

Uttar Pradesh

Maharashtra,

Gujarat,

Rajasthan,

Madhya

Pradesh, Goa,

Daman & Diu,

Dadar & Nagar

Haveli

Assam, Sikkim,

Mizoram,

Arunachal

Pradesh,

Nagaland,

Manipur,

Meghalaya,

Tripura

Bihar,

Jharkhand,

Odisha,

Chhattisgarh,

West Bengal

Tamil Nadu,

Kerala, Karnataka,

Andhra Pradesh,

Telangana,

Pudducherry,

Lakshdweep,

Andaman &

Nicobar Islands

No. of

Scholarships

200 200 200 200 200

ELIGIBILITY:

A. The scholarships are open for studies in India and for Indian nationals only. B. Candidate should be a student of 1st year of Graduate Engineering or MBBS courses or 1st year of

Masters degree in Geology/Geophysics or MBA. The scholarship shall be admissible only for pursuing full time regular courses by AICTE/ MCI/UGC/Association of Indian Universities/State Education Boards/State Government/Central Government.

C. Students pursuing four years Engineering/MBBS courses/Two years Masters course in Business Administration &Two years Masters Degree in Geology/ Geophysics are eligible.

D. Candidate should have obtained minimum 60% marks in 12th class for Engineering and MBBS disciplines. Similarly 60% marks are necessary in graduation for P.G. Courses i.e. Geology/Geophysics/MBA. Overall Grade Point Average (OGPA/CGPA) of minimum 6.0 in 10 points scale of grading system.

E. The specific zone where a student can apply for scholarship shall be decided on the basis of the location of University/College/Institute in which the student was studying for the qualifying examination (i.e. 12th class for Graduate courses and Graduation degree for Post Graduate courses) irrespective of the domicile of the student.

F. Gross annual income of family of the candidate from all sources should not be more than ` 4.50 lakhs per annum (i.e. ` 37,500/- per month).

G. The age limit of the applicant is maximum 30 years as on 1st October, 2019 of the Academic Session of the year of advertisement.

H. The candidates should not be availing or intend to avail any other financial assistance/scholarship from any other source. However, in case of student getting fee waiver/ reimbursement of tuition fees from any of the State governments are eligible for applying for the scholarship.

I. The final list of the scholarship beneficiaries shall be posted on website www.ongcindia.com by the 10.12.2019

J. The continuation of scholarship once awarded shall be subject to satisfactory performance in each year’s annual examination and conduct of the candidate. Scholarship shall not be paid for the year where the student fails to maintain the scale of 5 grade points out of 10 grade points scale or secure less than 50% in the examination, as the case may be.

K. THE AWARD OF THE SCHOLARSHIP SHALL NOT CONFER ANY RIGHT OF EMPLOYMENT WITH ONGC GROUP OF COMPANIES OR ITS JOINT VENTURES.

HOW TO APPLY:

1. The candidate fulfilling the above criteria may submit their application in the prescribed

‘Application format’ which can be downloaded from ONGC’s website www.ongcindia.com 2. Complete application with all the supporting documents as mentioned in the application form

duly certified and forwarded by their Head/Principal/ Dean of the Institute/ College/University, should reach the designated office of ONGC as per the details given in application Format.

OIL AND NATURAL GAS CORPORATION LIMITED, GREEN HILLS TEL BHAVAN, DEHRADUN - 248 003.

TEL. 0135-2792634/56/25

http://www.ongcindia.com/http://www.ongcindia.com/

1000* छात्रवतृ्तियाां, रु. 48,000/- प्रत्ति वर्ष प्रत् यके

ओएनजीसी इांजीत्तनयर ांग, मेत्तिकल सांवगष में व् यावसात्तयक पाठ्यक्रम िथा त्तिजनसे एित्तमत्तनस्ट रेशन, भूत्तवज्ञान

औ भूभौत्तिकी में स्ट नािकोत् ि त्तिग्री पाठ्यक्रम हेिु अध् ययन ि अनसुूत्तिि जात्ति / अनुसतू्तिि जनजात्ति के

मधेावी त्तवद्यार्थषयों को छात्रवतृ्तियााँ प्रदान क िा है ।

(त्तवत्तधवि भ ा हुआ आवदेन प्रपत्र जमा क ने अांत्तिम त्तित्तथ 15.10.2019 है)

क्रम

सांख् या

सांवगष

पाठ्यक्रम की

अवत्तध

छात्रवृत्तियों की

कुल सांख् या

अहषक प ीक्षा

प्रत्तिमाह छात्रवृत्ति

की ात्तश

1. इांजीत्तनयर ांग में स्ट नािक 4 वर्ष 494 10+2 ` 4,000/-

2. एम.िी.िी.एस. 4 वर्ष 90 10+2 ` 4,000/-

3 एम.िी.ए. 2 वर्ष 146 स्ट नािक ` 4,000/-

4. भूत्तवज्ञान/भू-भौत्तिकी में

स्ट नािकोत् ि

2 वर्ष 270 स्ट नािक ` 4,000/-

*50% छात्रवतृ्तियााँ छात्राओं के त्तलए आ त्तक्षि हैं ।

छात्रवृत्ति की सांख् या का क्षेत्रवा त्तवि ण

क्षते्र क्षते्र -1

(उत् ि )

क्षते्र -2

(पत्तिम)

क्षते्र -3

(पवूोत् ि )

क्षते्र - 4

(पवूष)

क्षते्र -5

(दत्तक्षण)

ाज् य

जम् मू एवां

क ् मी , ददल् ली,

पांजाि, त्तहमािल

प्रदेश, हर याणा,

िांिीगढ़,

उत् ि ाखांि औ

उत् ि प्रदेश

महा ाष्ट र,

गुज ाि,

ाजस्ट थान, मध् य

प्रदेश, गोवा,

दमन एवां दीव,

दाद एवां नग

हवेली

असम, त्तसदिम,

त्तमजो म,

अरुणािल प्रदेश,

नागालैंि,

मत्तणपु , मेघालय,

त्तत्रपु ा

त्तिहा ,

झा खांि,

ओत्तिशा,

छत् िीसग

ढ़पत्तिम

िांगाल

ित्तमलनािु, के ल,

कनार्षक, आांध्र

प्रदेश, िेलांगाना,

पुड्िुिे ी,

लक्षद्वीप, अांिमान

औ त्तनकोिा

द्वीप समूह

छात्रवृत्तियों की

सांख् या 200 200 200 200 200

पात्रता

क. यह छात्रवृत्ति केवल भा ि में अध् ययन क ने िथा भा िीय नागर कों के त्तलए है । ख. उम् मीदवा इांजीत्तनयर ांग में स्ट नािक पाठ्यक्रम अथवा एम.िी.िी.एस. के प्रथम वर्ष का त्तवद्याथी अथवा

भूत्तवज्ञान/भूभौत्तिकी में स्ट नािकोि त्तिग्री अथवा एम.िी.ए. पाठ्यक्रम के प्रथम वर्ष का त्तवधाथी होना िात्तहए ।

यह छात्रवृत्ति योजना एआईसीर्ीई/यूजीसी/भा िीय त्तव् वत्तवद्यालय सांघ/एमसीआई/ ाज् य स का /केन्द र स का

द्वा ा मान्द यिा प्राप् ि पूणषकात्तलक त्तनयत्तमि पाठ्यक्रमों के त्तलए ही स्ट वीकायष होगी ।

ग. िा वर्ीय इांजीत्तनयर ांग पाठ्यक्रम/एमिीिीएस पाठ्यक्रम/व् यावसात्तयक प्रशासन में दो वर्ीय स्ट नािकोत् ि

पाठ्यक्रम एवां भूत्तवज्ञान/भूभौत्तिकी में दो वर्ीय स्ट नािकोत् ि त्तिग्री में अध् ययन ि त्तवद्याथी ही इसके पात्र हैं।

घ. उम् मीदवा ने इांजीत्तनयर ांग औ एमिीिीएस सांवगष के त्तलए 12वीं कक्षा में न्द यूनिम 60% अांक अथवा

सीजीपीए/ओजीपीए के समिुल् य अांक प्राप् ि दकये हों । इसी प्रका स्ट नािकोत् ि पाठ्यक्रम अथाषि

भूत्तवज्ञान/भूभौत्तिकी/एमिीए पाठ्यक्रम के त्तलए स्ट नािक प ीक्षा में 60% अांक (सभी वर्ों में औसि अांक) अथवा

सीजीपीए/ओजीपीए के समिुल् य अांक अत्तनवायष हैं । ग्रेडिांग प्रणाली के 10 प् वाइांर् स्ट केल में कुल त्तमलाक औसिन

कम से कम 6.0 (सीजीपीए/ओजीपीए) होना िात्तहए ।

ि. क्षेत्र त्तवशेर् का त्तनणषय जहाां उम् मीदवा आवेदन क सकिा है/सकिी है, त्तव् वत्तवद्यालय/कॉलेज/सांस्ट थान, त्तजसमें वह पात्रिा प ीक्षा (अथाषि स्ट नािक पाठ्यक्रम हेिु 12वीं कक्षा िथा स्ट नािकोत् ि पाठ्यक्रम हेिु स्ट नािक त्तिग्री)

उत् िीणष क ने के त्तलए अध् ययन क हा था/ ही थी, के स्ट थान के आधा प दकया जाएगा, उम् मीदवा िाहे

दकसी भी स्ट थान का अत्तधवासी (िोत्तमसाइल) हो ।

ि. उम् मीदवा के पर वा की सभी स्रोिों से सकल वार्र्षक आय ` 4.50 लाख ( अथाषि रुपये 37,500/- प्रत्ति माह) से अत्तधक नहीं होनी िात्तहए ।

छ. आवेदक की आयु सीमा शैक्षत्तणक सत्र के त्तलए ददनाांक 1 अकू्ति , 2019 को अत्तधकिम 30 वर्ष है ।

ज. उम् मीदवा दकसी अन्द य स्रोि से त्तवत् िीय सहायिा/छात्रवृत्ति प्राप् ि नहीं क हा हो अथवा प्राप् ि क ने का इच् छुक

नहीं होना िात्तहए । िथात्तप, दकसी ाज् य स काक से शुल् क माफी / त्तशक्षण शुल् क की प्रत्तिपूर्िष प्राप् ि क ने वाला

उम् मीदवा छात्रवृत्ति हेिु आवेदन क ने के त्तलए पात्र है ।

झ. छात्रवृत्ति प्राप् ि क ने वाले लाभार्थषयों की अांत्तिम सूिी, 10.12.2029 को वेिसाइर् www.ongcindia.com

प प्रकात्तशि की जाएगी ।

र्. एक िा प्रदान दकये जाने के प् िाि छात्रवृत्ति की त्तन ांि िा प्रत् येक वर्ष की वार्र्षक प ीक्षा में उम् मीदवा के

सांिोर्जनक प्रदशषन औ उसके आि ण के अधीन होगी । प ीक्षा में 10 ग्रेि प् वाइांर् स्ट केल में 05 ग्रेि प् वाइांर् प्राप् ि

क ने अथवा 50 प्रत्तिशि से कम अांक प्राप् ि क ने प , जैसी भी त्तस्टथत्ति हो, त्तवद्याथी को उस वर्ष हेिु छात्रवृत्ति

प्रदान नहीं की जाएगी ।

ठ. छात्रवृत्ति प्रदान क ने से ओएनजीसी कां पनी समूह अथवा इसके सांयुक् ि उद्यमों में ोजगा प्रदान क ने का

कोई अत्तधका सत्तम्मत्तलि नहीं होगा ।

आवदेन कैसे क ें

1. उप ोक् ि मानदांिों को पू ा क ने वाला उम् मीदवा अपना आवेदन त्तनधाषर ि ‘आवेदन फामेर्’ में प्रस्ट िुि क

सकिा है, त्तजसे ओएनजीसी की वेिसाईर् WWW.ONGCINDIA.COM से िाऊनलोि दकया जा सकिा है ।

http://www.ongcindia.com/

2. आवेदन पत्र में वर्णषि सभी अपेत्तक्षि दस्ट िावेजों सत्तहि त्तवत्तधवि भ ा हुआ आवेदन पत्र, जो प्रधान/प्रािायष/

सांस्ट थान के िीन/त्तवद्यालय/त्तव् वत्तवद्यालय द्वा ा प्रमात्तणि हो, आवेदन फामेर् में ददये गए त्तवव ण के अनुसा

ओएनजीसी के नात्तमि कायाषलय में पहुांि जाना िात्तहए ।

ऑयल एांि निे ुल गैस का पो ेशन त्तलत्तमर्ेि, ग्रीन त्तहल् स, िले भवन, दहे ादनू – 248003

फोन : 0135 – 2792634/56/25

APPLICATION FORMAT FOR ONGC SCHOLARSHIP TO MERITORIOUS SC/ST STUDENTS

(To be filled by Applicant and duly certified by Head/Principal/Dean of the Institution/University) NOTE: 1. Please fill in the information in capital letters. 2. Last date for submission of duly completed application form is 15.10.2019.

Affix passport size

recent photo of

candidate duly

attested by the

Head/Principal of

the College/

Institute/ University

A. The scholarships are open for studies in India only.

1 Name of the Applicant

2 Gender (Male/Female)

3 Citizenship

4 a) Father’s/Guardian’s Name

b) Occupation of Father/

Guardian’s (Service/ Business /

Self-employed)

Service Business Self Employed

c) If Father/ Guardian in service,

mention the detail of his

employer

5 Address for Communication with

Pin code

6 Permanent Address with Pin code

7 Telephone No. (With STD Code) /

Mobile No.

8 Email id

9 Category (SC/ ST)

(Caste certificate to be furnished and must be issued from the Competent District

Revenue Authorities not below the rank of Tehsildar. Translated copy of Caste Certificate

duly certified by legal authority is required in case the issued certificate is not in Hindi or

English. Self certified certificates should be verified by the Head of the Institution, where

the applicant is studying)

B. THE AGE LIMIT OF THE APPLICANT IS MAXIMUM 30 YEARS AS ON 7TH OCTOBER, 2019.

10

Date of Birth (DD/MM/YYYY)

(Attested copy of proof for Date of Birth to be

enclosed – 10th marksheet/ Birth certificate).

D D M M Y Y Y Y

C(I). ZONE OF APPLICATION: THE SPECIFIC ZONE WHERE A STUDENT CAN APPLY FOR SCHOLARSHIP SHALL BE DECIDED ON THE BASIS OF THE LOCATION OF UNIVERSITY/COLLEGE/INSTITUTE IN WHICH THE STUDENT WAS STUDYING FOR THE QUALIFYING EXAMINATION (I.E. 12TH CLASS FOR GRADUATE COURSES AND GRADUATION DEGREE FOR POST GRADUATE COURSES) IRRESPECTIVE OF THE DOMICILE OF THE STUDENT. Please select appropriate zone (Tick) :

Zone-1(North) Zone-2 (West) Zone-3(North East) Zone-4(East) Zone-5(South)

J&K, Delhi,

Punjab,

Himachal

Pradesh,

Haryana,

Chandigarh,

Uttarakhand,

Uttar Pradesh

Maharashtra,

Gujarat,

Rajasthan,

Madhya

Pradesh, Goa,

Daman & Diu,

Dadar & Nagar

Haveli.

Assam, Sikkim,

Mizoram,

Arunachal Pradesh,

Nagaland,

Manipur,

Meghalaya,

Tripura.

Bihar,

Jharkhand,

Odisha,

Chhattisgarh,

West Bengal.

Tamil Nadu,

Kerala,

Karnataka,

Andhra Pradesh,

Telangana,

Pudducherry,

Lakshdweep,

Andaman,

Nicobar Islands

C.(ii) Application be sent to following address as per the zone : SL

NO

ZONE

ADDRESSES OF DESIGNATED OFFICE

1. Zone –1 (North) DGM(HR), Reservation Cell, Green Hills, A-Wing, Ground

Floor, ONGC, Tel Bhavan, Dehradun – 248 003

2. Zone -2 (West) GM(HR), ONGC, NBP Green Heights, Plot No.C-69,Bandra

Kurla Complex,Bandra(E) Mumbai – 400 051

3. Zone –3 (North East) Chief Manager (HR), ONGC , Assam Asset, P.O. Nazira-

785685.

4. Zone-4 (East) CGM(Geophysics)-S,MBA Basin, ONGC, Technopolis, 4th Floor,

Plot BP-4, Sector-5,Salt Lake, Kolkata – 70091.

5. Zone -5 (South) DGM(HR), ONGC, 7th Floor, East Wing, CMDA Tower-I, No.

1,Gandhi Irwin Road, Egmore, Chennai – 600 008

D. Course studying in : Candidate should be a student having confirmed admission and pursuing full time /regular courses (not correspondence or distance mode) in 1st year of Graduate Engineering or MBBS courses or 1st year of Masters degree (two years duration course only) in Geology/Geophysics or MBA. The scholarship shall be admissible only for pursuing full time regular courses at any college / Institution / University recognized by AICTE/ MCI/ UGC/ Association of Indian Universities / State Government/Central Government.

Engineering

(with discipline)

Masters in Geoscience MBBS MBA

Geology Geophysics

E. Details of the Institute studying in :

11 Name and Address of the present Institute

with Pin code

12 Date of admission in the Institute

13 Whether Institute is recognized by AICTE/

MCI/ UGC/ Association of Indian

Universities/ State Government/Central

Government.

Yes No

14 Total Duration of the course (In years )

15 Type of Academic system being followed by the

institute (Annual/Semester type)

F. Qualifying Marks : Candidate should have obtained minimum 60% marks in 12th class for Engineering and MBBS disciplines. Similarly 60% marks are necessary in graduation for P.G. Courses i.e. Geology/Geophysics/MBA. Overall Grade Point Average (OGPA/CGPA) of minimum 6.0 in 10 points scale of grading system.

16 Percentage of Marks/CGPA (Attested copies of the mark sheets to be enclosed)

I. For Engineering/MBBS :

a. Name of course studying in

b. % of marks in 12th class

c. Board and State from where

appeared for 12th

II. For PG in Geosciences (two years course only) ( Geology/Geophysics) /MBA

a. Name of course studying in

b. % of marks in Graduation

c. Institute and State from where

appeared for graduation

G. Gross joint income of the family of the candidate from all sources during a financial year should not be more than Rs 4.50 lakhs per annum (i.e. Rs.37,500/- per month).

17 Annual income of the family from all sources :

(Income certificate must be issued from the

Competent District Revenue Authority not

below the rank of Tehsildar. Translated copy of

Income Certificate duly certified by legal

authority is required in case the issued

certificate is not in Hindi or English. Self-

certified certificates should be verified by the

Head of the Institution, where the applicant is

studying).

H. The candidates should not be obtaining any financial assistance/scholarship from any other source. However, in cases where the State Government reimburses/waives off the component of tuition fees, the same shall not be treated as a financial assistance/scholarship for ONGC’s scholarship.

18 Whether the applicant is in receipt of

scholarship/financial assistance from any

other source

N.B: (Students getting any other scholarship

amount are not eligible for ONGC

scholarship. However, in cases where the

State Government reimburses/waives off

the component of tuition fees, the same

shall not be treated as a financial

assistance/scholarship for ONGC’s

scholarship.)

Yes No

If Yes , Please Specify type of Scholarship:

I. Bank detail for payment of scholarship : 19

Bank Details :

As per ECS form enclosed (Annexure B).

20 PAN No.

Copy of PAN Card is also to be enclosed in

favour of the applicant. (In case of non-

availability of PAN No., the same must be

submitted by the applicant latest by 1st

December 2019 for consideration of

his/her scholarship)

J. General Terms & Conditions:

i) Scholarships are for studies undertaken in India, and for Indian nationals only. ii) Decision of the Company with regard to selection will be final. No correspondence on the

selection process will be entertained. iii) Selection of candidates will be made on the basis of their performance in the class XII in case

of admission to Engineering and MBBS courses and Graduation in case of post graduation courses in Geology, Geophysics and MBA.

iv) Company has discretion to alter or discontinue the scholarship without any notice; and a. The students already getting ONGC scholarship prior to revision of scholarship will not

be eligible for this revised scholarship. b. The final list of the scholarship beneficiaries is likely to be posted on website

www.ongcindia.com by the 10.12.2019. c. The award of the scholarship shall not confer any right of employment on the

beneficiary with ONGC group of companies or its joint ventures. d. The scholarship will be paid on annual basis only. The continuation of Scholarship, once awarded,

should be subject to the satisfactory conduct and performance of the candidate in their examinations on Annual/Semester basis every year. The scholarship shall not be paid for the year the student fails to maintain the scale of 5 points minimum out of 10 points of CGPA/OGPA or secures less than 50% in the Annual/Semester examination. Further, the scholarship shall be terminated in the event of a student failing to pass in one additional attempt with the above said percentage of marks/CGPA/OGPA. The application for continuance of scholarship during subsequent year will be required to be submitted in the prescribed format given in Annexure-A.

K. Declaration: I declare that the information furnished by me in this application is correct to the best of my knowledge and belief. In support, I enclose the documents as required. In the event of any information being found false or incorrect, my candidature/ application may be cancelled/ terminated without any notice.

Date: (Signature of the Applicant)

L. Verification by Principal/Head/Dean of the College/University/Institute This is to certify that the above particulars as furnished by the applicant have been verified with the available records and are true to the best of my knowledge and belief.

Date: (Signature and name of Principal/Head/Dean

of the College/University/Institute) Seal of College/University/Institute

http://www.ongcindia.com/

CHECK LIST FOR ENCLOSURES

S.No. Description Status ( please tick in the

appropriate box)

1 Caste certificate

(Certified translated copy in Hindi/English is to be enclosed,

if the caste certificate has been issued in any other

language).

Yes No

2 Proof of age

(Copy of proof for Date of Birth to be enclosed – 10th class

marksheet /Birth certificate)

Yes No

3 Qualifying marks:

i) 60% marks or 6 out of 10 in the ten point scale of

grading system in Class-XII for admission in

Engineering/MBBS

Yes No

ii) 60% marks or 6 out of 10 in the ten point scale of

grading system in Graduation for admission in two year

duration courses of MBA/Master’s degree in

Geology/Geophysics

Yes No

4 Annual income certificate of family

(Certified translated copy in Hindi/English is to be enclosed,

if the annual income certificate has been issued in any other

language).

Yes No

5 Bank details in the ECS form.

IN THE PRESCRIBED FORMAT GIVEN HEREINAFTER (ANNEXURE B).

Yes No

6 Copy of PAN card

(In case, PAN card is not available, the tentative date for

submission of PAN card may be mentioned.)

Yes No

Tentative date :

DD MM YYYY

ANNEXURE-A

Application Form for Renewal of Scholarship (To be filled by Applicant and duly certified by Institution)

1. Name of the Applicant

2. Percentage of Marks/CGPA/OGPA in the

Previous year (1st/2nd/3rd/4th)

(Self certified copies of the mark sheets to

be enclosed)

3.

Bank Details as per ECS form (Annexure B):

A. Name and Address of the Bank

B. Name of the Branch and Branch Code

C. Bank Account Number

(IFSC Code/Bank Code/Place etc.)

4. Remarks (Any other information which

applicant may like to give)

I declare that the information provided by me in this application is correct and to the best of my knowledge. In support, I enclose the documents as asked for in Sl.No.2 and 3. In the event of any information being found false or incorrect, my candidature/application may be cancelled/terminated without any notice.

Date: (Signature of the Applicant) This is to certify that the above particulars as furnished by the applicant are true to the best of my knowledge and have been verified with the original.

Date: (Signature and name of Head/Principal/Dean

of the College/University/Institute)

Seal of College/University/Institute

Annexure B Electronic Clearing Service (Credit Clearing)

(Model Mandate Form) (Investor/Customer’s option to receive payments through Credit Clearing Mechanism)

(Scheme Name and the Periodicity of payment) Vendor No.

1. INVESTOR/CUSTOMERS’ NAME :

2. PARTICULARS OF BANK ACCOUNT : A. BANK NAME : B. BRANCH NAME : ADDRESS : TELEPHONE NO. : C. 9- DIGIT CODE NUMBER OF : THE BANK & BRANCH (APPEARING ON THE MICR CHEQUE ISSUED BY THE BANK) C. 1. IFSC CODE OF BANK : D. ACCOUNT TYPE : (S.B. ACCOUNT/CURRENT ACCOUNT OR CASH CREDIT WITH CODE 10/11/13) E. LEDGER NO./ LEDGER FOLIO NO. : F. ACCOUNT NUMBER : (AS APPEARING ON THE CHEQUE BOOK) G. ATTACHED DOCUMENT FOR VERIFICATION OF BANK PARTICULARS:

3. DATE OF EFFECT I hereby declare that the particulars given above are correct and complete if the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold the user institution responsible. I have read the option invitation letter and agree to discharge responsibility expected of me as a participant under the scheme

(....................................) Signature of the Investor/Customer

Date: Certified that the particulars furnished above are correct as per our records. (Bank’s Stamp). Date: (------------------------------) Signature of the Authorised Official of Bank