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                      b) Details of non-repayable scholarship/fellowship etc.
                        If any available to student

                     Name of         Institution Name    Amount of   Duration   Type of Schol-   Amount
                    Scholarship                         Scholarship  of Schol-  arship & monthly  received
                                                                      arship     quarterly half   date
                                                                                year/annually






                      c) Details of repayable loan scholarship
                        or other financial assistance available  :   Amount............................................
                        if any                             :   Duration...........................................
                                                           :   Source.............................................
                      d) Details of fund available from family   ;  .......................................................

                        Source p.a. for the course         :  .......................................................
                                                           :  .......................................................
                      e) Details of requirements of loan      :  .......................................................
                        (year wise requirements to be furnished
                        with due dates of payment)


                    Tuition & admission        Text books/equipments         Boarding       Exam Fees
                            fee                                             & Lodging

                                                                            expenses
                    Amount  Due date of  Amount  Due date of  Amount  Due date of  Amount          Due
                    required  requirement  required  requirement  required  requirement  required  date

















                  5.  List of documents enclosed
                  i)
                  ii)

                  iii)
                  iv)
                  v)
                  vi)


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