GOVERNMENT OF NCT OF DELHI
DEPTT. FOR THE HIGHER EDUCATION
APPLICATION FORM OF MERIT-CUM-MEANS INCOME LINKED FINANCIAL ASSISTANCE SCHEME OF
DELHI HIGHER EDUCATION AID TRUST FOR THE YEAR 2020-21
Application No: 30060000011157
Name of the School/College/Institution: DR. AKHILESH DAS GUPTA
INSTITUTE OF TECHNOLOGY AND MANAGEMENT
Address of the School/College/Institution: FC-26, Shastri Park New Delhi110053
Particulars of the Students:
SL. No.
Name of the
student
DOB of the
student
1.
DEEPAK
KUMAR
21/08/1997
Whether
Father/Guardian’
General/SC/ST/O
s Name
BC
SURESH
PRASAD
OBC/
Yearly Family
Income
205000
Mobile/Phone Number: ******7520
Address : HOUSE NO.7,GALI NO. 54H1/E-3RD, K G KHOSLA MOLARBAND EXTN BADARPUR SARITA
VIHAR Delhi 110044 India
Class in which presently studying
Previous class passed/year
Percentage of attendance in the
previous class passed (for students
of class 6 onwards)
UG-1st
12th or Equivalent
Nill
Declaration: I hereby declare that the particulars given above are true and correct. There is no false and
fabricated document/information. If any false or fabricated information provided by me it may be
prosecuted as per law
Signature of Parent/Guardian
1-0
26/02/2021 01:33:40