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    West Bengal Minorities' Development and Finance Corporation: Application For WB Pre Matric Scholarship 2019-20

    Uploaded by

    Asha Khatun
    This document is an application for a West Bengal pre-matric scholarship submitted by Nasima Khatun. It contains basic information about Nasima such as her name, date of birth, family income, address, academic details from previous and present institutions, and bank account details. Nasima's father Tobarak Ali signs to declare the family's annual income of Rs. 72,000 and that he will refund the scholarship amount if this is found to be false. The application must be submitted to Nasima's educational institution along with a photocopy of her bank passbook.

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    West Bengal Minorities' Development and Finance Corporation: Application For WB Pre Matric Scholarship 2019-20

    Uploaded by

    Asha Khatun
    30 views1 page
    This document is an application for a West Bengal pre-matric scholarship submitted by Nasima Khatun. It contains basic information about Nasima such as her name, date of birth, family income, address, academic details from previous and present institutions, and bank account details. Nasima's father Tobarak Ali signs to declare the family's annual income of Rs. 72,000 and that he will refund the scholarship amount if this is found to be false. The application must be submitted to Nasima's educational institution along with a photocopy of her bank passbook.

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    SDSDS

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    Nasima Kk

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    This document is an application for a West Bengal pre-matric scholarship submitted by Nasima Khatun. It contains basic information about Nasima such as her name, date of birth, family income, address, academic details from previous and present institutions, and bank account details. Nasima's father Tobarak Ali signs to declare the family's annual income of Rs. 72,000 and that he will refund the scholarship amount if this is found to be false. The application must be submitted to Nasima's educational institution along with a photocopy of her bank passbook.

    Copyright:

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

    West Bengal Minorities' Development and Finance Corporation: Application For WB Pre Matric Scholarship 2019-20

    Uploaded by

    Asha Khatun
    This document is an application for a West Bengal pre-matric scholarship submitted by Nasima Khatun. It contains basic information about Nasima such as her name, date of birth, family income, address, academic details from previous and present institutions, and bank account details. Nasima's father Tobarak Ali signs to declare the family's annual income of Rs. 72,000 and that he will refund the scholarship amount if this is found to be false. The application must be submitted to Nasima's educational institution along with a photocopy of her bank passbook.

    Copyright:

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

    APPLICATION FOR WB PRE MATRIC SCHOLARSHIP 2019-20


    Application ID: SSP2019011500015603 Application Date: 15-07-2019
    BASIC INFORMATION
    Student's Name: NASIMA KHATUN Father's Name: TOBARAK ALI
    Date of Birth: 26-12-2005 Mother's Name: NARGISA KHATUN
    Gender: Female Annual Family Income: 72000
    Marital Status: Unmarried Guardian's / Husband's Name: TOBARAK ALI
    E-mail Id: Religion: Muslim
    Mobile No: 7551022363

    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: UTTAR DINAJPUR District:UTTAR DINAJPUR
    Block/Municipality:Hemtabad Block/ Municipality:Hemtabad
    Permanent Address: BHOGRAM Present Address: BHOGRAM
    Post Office: BHOGRAM Post Office: BHOGRAM
    Police Station: HEMTABAD Police Station: HEMTABAD
    Pin: 733134 Pin: 733134

    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: Bhogram V M B U Sr Institution Name: BHOGRAM V.M.B.U. SR. MADRASAH
    Madrasah Current Class / Course Name : IX
    Previous Class / Course Name: VIII Current year of Study :IX
    Previous Year of Study: VIII Are you a Hosteller: No
    Name of the Board of Name of the Board / Council / University : West Bengal Board of
    last Exam Passed: West Bengal Board of Madarsa Madarsa Education
    Education Course Duration : 1 Year
    Year of Passing Last Exam: 2018
    % of Marks Obtained
    in Last Examination: 65.00
    BANK ACCOUNT DETAILS
    Bank:STATE BANK OF INDIA
    Branch:HEMTABAD
    IFSC: SBIN0009320
    Savings bank account no.: 36069584412

    Declaration:I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief.

    ___________________
    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.72000 . 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 NASIMA KHATUN 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:
    1. Photocopy of the bank-passbook where the details of bank a/c number,IFSC are mentioned clearly.

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