ANNEXURE – I

BONAFIDE CERTIFICATE

This is to certify that Sri/Kum./Ms._________________________________

S/O,/D/O._______________________________R/O ____________________________
belonging to ___________________________________ village, located at a
distance of________KM from the college _______________________________
Mandal_______________________District. He/She was admitted in the college
of_________________________________________course on ______________________
date with admission number______________________ during the academic
year 2018 – 19 and the course will be completed by ______________________.
He/She belongs to ___________________caste_____________________ Sub caste.
His/her parental income per year is Rs.____________________ as per the
college admission Register. The student is eligible for college attached
hostel/student managed hostel/Day scholar scholarship. The student is
admitted into college attached hostel on__________________ (date).

The tuition fee may be remitted to the college bank account

Number___________________________Bank________________Branch___________

Place : Visakhapatnam

Date :

HEAD OF THE DEPARTMENT CHIEF WARDEN PRINCIPAL

Note : Non-Hostlers do not require Chief Warden’s Signature