SECTION A: APPLICANT DETAILS

SECTION B: BANK ACCOUNT & PAYMENT AUTHORIZATION DETAILS

(Please ensure the bank details provided belong to the student or a joint account with the parent/guardian)

Payment Authorization Declaration:

I hereby explicitly authorize the Rashtriya Siksha Examination Group (RSEG) to credit the sanctioned scholarship amount directly to the bank account detailed above via NEFT / RTGS / Direct Benefit Transfer (DBT). I confirm that the bank details provided are accurate and active. RSEG shall not be held liable for delayed or failed transactions resulting from incorrect information provided herein.

SECTION C: ENCLOSED REQUIRED DOCUMENTS CHECKLIST

(Self Attested copies of the following mandatory documents must be attached with this application)

SECTION D: APPLICANT DECLARATION

I hereby declare that all information, particulars, and documents furnished in this application form are true, complete, and accurate to the best of my knowledge and belief. I understand that if any statement or document is found to be false, misleading, or incorrect at any stage, my candidature and scholarship eligibility shall stand automatically cancelled without prior notice, and I shall be liable to refund any disbursed amount

SECTION E: VERIFICATION & ATTESTATION

1. VERIFICATION BY EXAMINATION CENTRE CONVENOR

I hereby certify that the examination performance and details supplied by the applicant have been crossverified against the official records of the Examination Centre and are found to be accurate and correct in all respects.

2. VERIFICATION BY HEAD OF SCHOOL / INSTITUTION