Department of Science and Technology
INSPIRE Programme
Format for submitting SBI Account details for availing INSPIRE –
Scholarship for Higher Education (SHE).
Attach one selfattested Passport size
photograph

1.

Name of the INSPIRE Scholar:

2.

INSPIRE Registration No:

3.

Father’s Name:

4.

State Bank of India (SBI)
Account Number (11 digits):

5.

Name of the SBI Branch,
District/City, State :

6.

E-mail address of the
INSPIRE Scholar:

7.

Mobile No.

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Date: -------------------------------

(Signature of INSPIRE Scholar)
Place: -------------------------------

Note: i)
ii)

All details are compulsory.
This form must be attached with a self-attested photocopy of the front page of the SBI
Account Passbook, where the Name, Photograph & A/C No. is indicated.