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| Application for Adjustment of Scholarship Amount |
| Dated: 2018-04-23 |
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Student Name
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College Roll No
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* NO USN / NO University Registration No.
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| Institution |
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Course
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| SEM / Year |
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| Mobile No |
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To,
The Principal
Sir/Madam,
Kindly adjust the Scholarship amount of Rs to my college account for any dues, that has been received by the college.
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Thanking You,
Yours Sincerely,
Student Name:
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| ( Write SUM of two numbers ) |
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