Scribd Logo
Upload

Welcome to Scribd!

  • 2 views

    TAYEBA MONDAL

    Uploaded by

    sahinalammolla653

    Copyright:

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

    TAYEBA MONDAL

    Uploaded by

    sahinalammolla653
    2 views1 page

    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
    2 views1 page

    TAYEBA MONDAL

    Uploaded by

    sahinalammolla653

    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 PRE MATRIC SCHOLARSHIP 2024-25
    Application ID: SSP2021010401688863

    BASIC INFORMATION
    Student's Name: TAYEBA MONDAL Father's Name: KARIM MONDAL
    Date of Birth: 30-12-2014 Mother's Name: MANOWARA MONDAL
    Gender: Female Annual Family Income: 48000
    Marital Status: Unmarried Guardian's / Husband's Name: KARIM MONDAL
    E-mail Id: Religion: Islam
    Mobile No: 9733823752 Aadhaar No XXXXXXXX5561

    Bangla shiksha ID: 09330421000064


    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: SOUTH 24 PARGANAS District:
    Block/Municipality:Jaynagar - I(BLOCK) Block/ Municipality:
    Permanent Address: VILL- JANGALIA Present Address: VILL- JANGALIA
    Post Office: PUNPUA Post Office: PUNPUA
    Police Station: JOYNAGAR Police Station: JOYNAGAR
    Pin: 743372 Sub Division:
    Pin: 743372
    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: PURBA JANGALIA F P Institution District :SOUTH 24 PARGANAS
    Previous Class / Course Name: III Institution Name: PURBA JANGALIA F P
    Previous Year of Study: III Institution UDISE/AISHE/NCVT Code : 19181508401
    Name of the Board of Current Class / Course Name : IV
    last Exam Passed: WEST BENGAL BOARD OF PRIMARY Current year of Study :IV
    EDUCATION Sub Division: Baruipur ( Jaynagar - I(BLOCK) )
    Year of Passing Last Exam: 2023 Are you a Hosteller: No
    % of Marks Obtained Name of the Board / Council / University : WEST BENGAL BOARD OF
    in Last Examination: 65.00 PRIMARY EDUCATION
    Course Duration : 1 Year
    BANK ACCOUNT DETAILS
    IFSC: SBIN0014032
    Savings bank account no.: XXXXXXX4664

    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.48000 . 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 TAYEBA MONDAL 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