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    Ruby Applicationssp2021032200146126 - 20220610

    Uploaded by

    ashique
    This document is an application for the West Bengal Merit Cum-Means Scholarship for 2021-22 submitted by Ruby Khatoon. It contains basic information about Ruby such as her name, father's name, date of birth, annual family income, address, academic details from her previous and current institution, and bank account details. Her father Daroga Roy declares their annual family income is Rs. 120000 and undertakes to refund the scholarship amount if this is found to be false. The application form is to be submitted to Ruby's educational institution along with a photocopy of her bank passbook.

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

    Ruby Applicationssp2021032200146126 - 20220610

    Uploaded by

    ashique
    13 views1 page
    This document is an application for the West Bengal Merit Cum-Means Scholarship for 2021-22 submitted by Ruby Khatoon. It contains basic information about Ruby such as her name, father's name, date of birth, annual family income, address, academic details from her previous and current institution, and bank account details. Her father Daroga Roy declares their annual family income is Rs. 120000 and undertakes to refund the scholarship amount if this is found to be false. The application form is to be submitted to Ruby's educational institution along with a photocopy of her bank passbook.

    Original Title

    RUBY APPLICATIONSSP2021032200146126_20220610

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    This document is an application for the West Bengal Merit Cum-Means Scholarship for 2021-22 submitted by Ruby Khatoon. It contains basic information about Ruby such as her name, father's name, date of birth, annual family income, address, academic details from her previous and current institution, and bank account details. Her father Daroga Roy declares their annual family income is Rs. 120000 and undertakes to refund the scholarship amount if this is found to be false. The application form is to be submitted to Ruby'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
    13 views1 page

    Ruby Applicationssp2021032200146126 - 20220610

    Uploaded by

    ashique
    This document is an application for the West Bengal Merit Cum-Means Scholarship for 2021-22 submitted by Ruby Khatoon. It contains basic information about Ruby such as her name, father's name, date of birth, annual family income, address, academic details from her previous and current institution, and bank account details. Her father Daroga Roy declares their annual family income is Rs. 120000 and undertakes to refund the scholarship amount if this is found to be false. The application form is to be submitted to Ruby'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

    AIKYASHREE (FRESH)
    APPLICATION FOR WB MERIT CUM-MEANS SCHOLARSHIP 2021-22
    Application ID: SSP2021032200146126 Application Date:10-06-2022
    BASIC INFORMATION
    Student's Name: RUBY KHATOON Father's Name: DAROGA ROY
    Date of Birth: 21-10-1998 Mother's Name: ANJUMARA BEGUM
    Gender: Female Annual Family Income: 120000
    Marital Status: Unmarried Guardian's / Husband's Name: DAROGA ROY
    E-mail Id: rubykhatoon211098@gmail.com Religion: Muslim
    Mobile No: 8597295927

    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: PASCHIM BARDHAMAN District:PASCHIM BARDHAMAN
    Block/Municipality:Durgapur MC(MUNICIPALITY) Block/ Municipality:Durgapur MC(MUNICIPALITY)
    Permanent Address: ROYDANGA , SCHOOL PARA
    Present Address: ROYDANGA , SCHOOL PARA
    Post Office: DURGAPUR
    Post Office: DURGAPUR
    Police Station: COKE-OVEN
    Pin: 713201 Police Station: COKE-OVEN
    Pin: 713201

    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: LAW COLLEGE, DURGAPUR Institution District :PASCHIM BARDHAMAN
    Previous Class / Course Name: BACHELOR OF ARTS Institution Name: LAW COLLEGE, DURGAPUR
    BACHELOR OF LAW (BA LLB- AFTER 10+2 ) Current Class / Course Name : BACHELOR OF ARTS BACHELOR
    Previous Year of Study: 4th year
    OF LAW (BA LLB- AFTER 10+2 )
    Name of the Board of
    Current year of Study :3rd Year
    last Exam Passed: KAZI NAZRUL UNIVERSITY
    Year of Passing Last Exam: 2021 Are you a Hosteller: No
    % of Marks Obtained Name of the Board / Council / University : KAZI NAZRUL
    in Last Examination: 65.83 UNIVERSITY
    Course Duration : 5 Year
    BANK ACCOUNT DETAILS
    Bank Account Holder Name:RUBY KHATOON
    IFSC: CBIN0284463
    Savings bank account no.: XXXXXXX8863
    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.

    ___________________
    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.120000 . 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 RUBY KHATOON 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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