(TO BE PRINTED ON THE LETTER HEAD OF
INSTITUTION)
Declaration by the Institute
(To be filled up by the Head of the School/ College/ Institute where the applicant is
studying)
I hereby certify that the student namely
Shri/Kumari/Smt.
S/o/D/o/W/o/C/o
Shri/Smt having Admission
no. , Enrolment No. persuing
course/branch in _(course year)
during the Academic year , is a bonafied student of our
college/institution.
I hereby certify that this institute bearing AISHE/ UDISE/ NCVT/ SCVT
code is affiliated to _
University/ Board and is recognized by the Government of India/ State
Government of
_.
I hereby certify that student has been charged an amount of Rs.towards
tuition
fee and other compulsorily payable non-refundable charges (excluding caution
money, development fee and any refundable charges).
I further declare that the eligibility documents uploaded by the student in
Odisha State Scholarship Portal have been duly verified by me with hard-
copy of the document and student found to be eligible for scholarship under
the scheme.
I undertake the responsibility to inform you immediately if student dropout
of his/ her study during the academic year.
Date: Signature of Head of the
Place: college/institute with official seal
Note: Documents to be verified by the institution with the scanned copy uploaded by student in OSSP:
o Caste Certificate
o Income Certificate
o Residential Certificate
o Front page of Bank Passbook
o Certificates of all exam passed
o Mark sheet of last examination passed (In case of OBC/SEBC)
o Disability Certificate (If applicable)
