scholarship attendance declaraion form

Print the below Attendance declaration on the
Non-Judicial Stamp Paper (Rs. 10/-)
UNDERTAKING


I, ……………………………………………………………………………, S/o.|D/o. …………………………………………………… studying in …………….… year, …………… Semester., ……………………………………………………. Dept., Roll No. ……………………………………………… for the academic year 2012-13 at AWARE MADHAVANJI COLLEGE OF ENGINEERING, Bhagawathipuram, Near Maheswaram ‘X’ Roads, Ranga Reddy Dist. – 501 359.

I am aware that as per A.P., SOCIAL WELFARE (SW.EDN.2) DEPARTMENT, G.O. Ms. No.66, Dated:08-09-2010, (Para Viii), I need to have a minimum of 75% aggregate attendance for the eligibility of Fee Reimbursement and Scholarships Scheme, failing which I have to bear the Tuition Fee by myself for the current academic year.

Student Name : ………………………………………… Parent Name: …………………………………
Student Signature: …………………………… Parent Signature: …………………………
E-pass Appli. (2012-13) ………………………… Address: …….…………..………………………..
……………….…………………………..
Mobile No.: …………………………………….. Mobile No.: ……………………………………..

Place: Ranga Reddy
Date: ………………………………