Sambhal Scheme

APPLY FOR SAMBAL SCHEME

NAME*
FATHER'S NAME*
MOBILE NO.*
ADHAAR NO.*
ANNUAL INCOME*
NAME & ADDRESS OF INSTITUTION WHERE STUDYING*
BANK A/C NO.*
IFSC CODE*
PERMANENT ADDRESS*
UPLOAD DOCUMENTS

ANNUAL INCOME CERTIFICATE*
PARIVAR REGISTER NAKAL*
CERTIFICATES/DOCUMENTS REGARDING ELIGIBILITY OF CHILDREN/DEATH CERTIFICATE OF FATHER /MEDICAL CERTIFICATE etc.*
FEE STRUCTURE OF INSTITUTE, DULY CERTIFIED*
ADHAAR CARD*
ANY OTHER DOCUMENT/ COPY OF PASSBOOK ETC.
“I hereby declare that information furnished above is true and correct in every respect and in case any information is found incorrect even partially the application shall be liable to be rejected.”*