Professional Documents
Culture Documents
ApplicationForm Scholarship2022
ApplicationForm Scholarship2022
_______________
Please affix
(to be filled by NHPC) latest Passport
size Colour
Photograph here
APPLICATION FORM
2. Father/Guardian/Husband’s Name
(strike off which is not applicable)
D D M M Y Y Y Y
4. Date of Birth
6 Telephone Number
E-mail ID (mandatory)
7. a) Whether you belong to SC/ST/OBC (YES/NO)
If Yes attach copy of caste certificate duly
attested by a gazetted officer.
______________________
b) Whether ward (son/daughter) of
NHPC employee, if yes give details of
their NHPC employee number: along with
copy of NHPC identity card
9. Achievement in sports
9.1 At National Level (from January 2021 onwards) (attach extra sheet if required)
(Please give details of the score and position/rank for all tournaments of National/International
level in which participated. Attested photocopies of relevant documents as mentioned at point
9.1, 9.2, 9.3 & 9.4 must be enclosed). The attestation should be done by a gazetted officer. In
respect of team games, outstanding individual performance should be highlighted.
10. Do you belong to any Project affected family of NHPC Projects? If Yes, Submit a certificate
from the respective NHPC Project certifying that you belong to Project Affected Family of that
respective project.
Indicate Yes/No :
Date:
Signature:
Name:
Designation:
Seal: