Scribd Logo
Upload

Welcome to Scribd!

  • 10 views

    SSP2022051501480211 20240722

    Uploaded by

    Adnan Reza

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    SSP2022051501480211 20240722

    Uploaded by

    Adnan Reza
    10 views1 page

    Original Title

    SSP2022051501480211_20240722

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10 views1 page

    SSP2022051501480211 20240722

    Uploaded by

    Adnan Reza

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    West Bengal Minorities' Development and Finance Corporation

    A statutory Corporation under Minority Affairs & Madrasha Education Department, Government of West Bengal
    "Amber", DD/27E,Salt Lake City Sector-I, Kolkata-700064, Toll free No:-18001202130

    AIKYASHREE (RENEW)
    APPLICATION FOR WB SVMCM SCHOLARSHIP 2023-24
    Application ID: SSP2022051501480211 Application Date: 27-12-2023
    BASIC INFORMATION
    Student's Name: AFIA KHANAM Father's Name: MD MUKTAR ALAM
    Date of Birth: 29-12-2004 Mother's Name: SHAMMA PARVWIN
    Gender: Female Annual Family Income: 60000
    Marital Status: Unmarried Guardian's / Husband's Name: MD MUKTAR ALAM
    E-mail Id: [email protected] Religion: Muslim
    Mobile No: 9932297377 XXXXXXXX3108
    Class X Registration No: 2192082439 Name as per Aadhaar: Afia Khanam
    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: UTTAR DINAJPUR District:UTTAR DINAJPUR
    Block/Municipality:Islampur(BLOCK) Block/ Municipality:Islampur(BLOCK)
    Permanent Address: VILL- PASCHIM MALKADANGA Present Address: VILL- PASCHIM MALKADANGA
    Post Office: DHANTOLA Post Office: DHANTOLA
    Police Station: ISLAMPUR Police Station: ISLAMPUR
    Pin: 733202 Sub Division: Islampur
    Pin: 733202
    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: ISLAMPUR COLLEGE UTTAR Institution District :UTTAR DINAJPUR
    DINAJPUR Institution Name: ISLAMPUR COLLEGE UTTAR DINAJPUR
    Previous Class / Course Name: BACHELOR OF ARTS (B.A) Institution UDISE/AISHE/NCVT Code : C-45790
    Previous Year of Study: 1st Year Current Class / Course Name : BACHELOR OF ARTS (B.A)
    Name of the Board of Current year of Study :2nd Year
    last Exam Passed: University of North Bengal Sub Division: Islampur ( Islampur(BLOCK) )
    Year of Passing Last Exam: 2023 Are you a Hosteller: No
    % of Marks Obtained Name of the Board / Council / University : University of North Bengal
    in Last Examination: 60.56 Course Duration : 3 Year
    BANK ACCOUNT DETAILS
    IFSC: SBIN0004788
    Savings bank account no.: XXXXXXX5282

    Declaration:I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I
    have not applied for any other scholarship/stipend, etc. from any other government sources(one-student-one-
    scholarship).NB:The application of student applying for more than one scholarship application/scheme is liable to be rejected.

    ___________________
    Signature of Student
    DECLARATION OF INCOME
    (To be given by the parents/ guardians)

    Certified that the gross annual income from all sources in respect of my family is Rs.60000 . I further undertake that in the
    event of the particulars given in the declaration being found false, I shall refund the whole amount of the Scholarship paid to
    the said Scholarship holder AFIA KHANAM and the Government's decision in this regard shall be final and binding on me.

    __________________________
    Signature of the parents/ guardian
    Instruction
    Student is to submit this ***computer-generated filled-in application form (duly signed) to the educational
    institution along with following supporting document within 7 days:

    1. Photocopy of the bank-passbook where the details of bank a/c number,IFSC are mentioned clearly.

    1/1

    Powered by TCPDF (www.tcpdf.org)

    You might also like