UP Scholarship Application Form (FOR INCLUSION OF OUT OF STATE (Govt & Govt Aided Institutes only

To apply for inclusion of out-of-state government and government-aided institutes in the UP Scholarship Master Data for the academic year 2023-24, please follow the instructions below:

For online application submissions click here

Application Form Details

1. Name of Institute & Address (With Pincode)
Provide the name and complete address of the institute along with the pincode

2. Name of State & District (where the institute is situated)

• State: [Insert State]
• District: [Insert District]

3. Duration of Recognition

1. Name & Post of Competent Department/Authority for Recognition: (Name and position of the department or authority responsible for the institute’s recognition)
2. Letter No. of Recognition: [Insert Letter No.] Date: [Insert Date]

4. Type of Institute

·         Government/Aided: [Insert Type]

5. Courses Run by Institute & Its Fees Structure

Sr. No.	Name of Course	Type of Course (Regular/Self Finance)	Fees Fixed by Competent Authority	Letter No. of Recognition & Date
1
2
3
Other

6. Name & Address of University & Institute (where the institute is attached)

Provide the name and address of the university and institute

Letter No. and Date for Affiliation: [Insert Letter No. and Date]

7. Statement about Sanctioned Seats in Institute (Academic Year 2023-24)

Sr. No.	Name of Course	Type of Course (Regular/Self Finance)	Total Sanction Seats	Letter No. of Recognition & Date
1
2
3
Other

8. Contact Details of Institute

1. Email Address: [Insert Email Address]
   Landline No./Mobile No.: [Insert Contact No.]
2. Website Address: [Insert Website Address]
3. Name of Nodal Officer of Institute for Scholarship: [Insert Nodal Officer Name]
4. Designation & Mobile No.: [Insert Designation & Mobile No.]

9. Statement about Total Students of UP State Course-wise Admitted in Institute (Academic Year 2022-23)

	SC	ST	GENERAL	TOTAL

Signature of Head of Institution
(Name & Designation with Seal)

Documents to Submit

1. Attested copies of Fees Fixation Letters from Competent Authority.
2. Attest copies of Affiliation Certificates.
3. Attested copies of Courses Recognition Certificates.
4. Attested copy of Recognition Certificates of institute & Govt./Aided Gazette Notification of institute.
5. Attested copies of Course-wise Seats Approval Letters.

Note: Please submit your application online at the UP scholarship portal (New Institution) and send all your information for inclusion in UP Scholarship Master data by registered/speed post to:

DIRECTOR, SOCIAL WELFARE
3- PRAG NARAYAN ROAD (KALYAN BHAWAN)
LUCKNOW, U.P.
PIN CODE – 226001E-mail Address: [email protected]
Apply within the time limit given in Time Table 2023-24.