Bharati Scheme : for Education (2016-17)
     
Have you registered earlier
with AP Brahmin Welfare Corporation



 
Present Education
(Academic Year 2016-17)
 
Course of Study TIPs for Data Entry 
Name of the Scheme / Present study
Applicant Details:    
Gothram  
Surname  
Applicant Name  
Gender  
Date of Birth  
Languages known  
Do you have any Disability  
Status of Parents  
Father / Guardian Details:    
Relationship with the Applicant  
Guardian Name  
Profession  
Annual Income  
Value of assets in Rs.    
Fixed assets    
Variable assets  
Ration Card No  
Student AADHAAR No  
Address for Communication    
Present Address    
Door No  
Street Name  
Land mark  
Village  
District  
Mandal  
PIN Code  
Permanent Address  
Door No  
Street Name  
Land mark  
Village  
District  
Mandal  
PIN Code  
Contact information    
STD Code  
Land line No  
Mobile No  
e-Mail ID  
Educational Qualifications
Fee paid towards present education    
i) Tuition fee  
ii) Hostel fee if any  
iii) Other expenses if any  
Reimbursement / Funding    
Fee reimbursement if any  
Financial assistance from any NGO  
If Yes, Name & Address of NGO
(who gave finance to the student)
 
Applicant's Bank details    
IFS CODE  
Bank Name  
Branch Name  
Branch Address  
Student's SB A/c No.  
Reference
(Details of a person know about you)
   
Ref Name  
How long do you know  (in Years)
How you are related to    
Address  
Mobile No  
e-Mail ID  
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Applicant's Photo  
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Student's AADHAAR
Declaration & Pledge    

I declare that the above information given by me is true to the best of my knowledge to avail the scheme benefits and in case it is found that the information provided by me is false, the amount sanctioned under the scheme could be withdrawn or recovered from me and legal action as deemed fit, may be taken against me.

I also declare that I have not availed myself of any amount under any other Government scheme for the same purpose.

I promise hereby that thesanctioned amount will be utilised for sole purpose of the scheme and I shall be bound to follow guidelines of the scheme.

I pledge that I contribute my part to the achievement of Vision and Mission of the Corporation to serve the needy Brahmin Community members in Andhra Pradesh for their overall development on a sustainable basis in a selfless and inspirational manner.