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    SSP2021010401442447 Humaira9491

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    Selima Khatun
    This document is an application for the West Bengal Pre-Matric Scholarship 2022-23 submitted by Humaira Khatun. It includes her personal details like name, DOB, family income, address, academic details of previous and present school, and bank account details. Her father Mahasin Sardar signed to declare the family's annual income is Rs. 60,000. The application must be submitted to the educational institution along with a photocopy of her bank passbook.

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    SSP2021010401442447 Humaira9491

    Uploaded by

    Selima Khatun
    10 views1 page
    This document is an application for the West Bengal Pre-Matric Scholarship 2022-23 submitted by Humaira Khatun. It includes her personal details like name, DOB, family income, address, academic details of previous and present school, and bank account details. Her father Mahasin Sardar signed to declare the family's annual income is Rs. 60,000. The application must be submitted to the educational institution along with a photocopy of her bank passbook.

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    SSP2021010401442447_HUMAIRA9491

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    This document is an application for the West Bengal Pre-Matric Scholarship 2022-23 submitted by Humaira Khatun. It includes her personal details like name, DOB, family income, address, academic details of previous and present school, and bank account details. Her father Mahasin Sardar signed to declare the family's annual income is Rs. 60,000. The application must be submitted to the 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
    10 views1 page

    SSP2021010401442447 Humaira9491

    Uploaded by

    Selima Khatun
    This document is an application for the West Bengal Pre-Matric Scholarship 2022-23 submitted by Humaira Khatun. It includes her personal details like name, DOB, family income, address, academic details of previous and present school, and bank account details. Her father Mahasin Sardar signed to declare the family's annual income is Rs. 60,000. The application must be submitted to the 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 (RENEW)
    APPLICATION FOR WB PRE MATRIC SCHOLARSHIP 2022-23
    Application ID: SSP2021010401442447 Application Date: 27-09-2022
    BASIC INFORMATION
    Student's Name: HUMAIRA KHATUN Father's Name: MAHASIN SARDAR
    Date of Birth: 27-09-2013 Mother's Name: SUMAIYA BIBI
    Gender: Female Annual Family Income: 60000
    Marital Status: Unmarried Guardian's / Husband's Name: MAHASIN SARDAR
    E-mail Id: Religion: Muslim
    Mobile No: 9874639045 Aadhar No : XXXXXXXX2427
    Bangla shiksha ID: 02307521000086

    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: SOUTH 24 PARGANAS District:SOUTH 24 PARGANAS
    Block/Municipality:Magrahat - I(BLOCK) Block/ Municipality:Magrahat - I(BLOCK)
    Permanent Address: BANESWARPUR
    Present Address: BANESWARPUR
    Post Office: BANESWARPUR
    Post Office: BANESWARPUR
    Police Station: USTHI
    Pin: 743375 Police Station: USTHI
    Pin: 743375

    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: DIHI SARISAPARA F P Institution District :SOUTH 24 PARGANAS
    Previous Class / Course Name: II Institution Name: DIHI SARISAPARA F P
    Previous Year of Study: II Current Class / Course Name : III
    Name of the Board of
    Current year of Study :III
    last Exam Passed: WEST BENGAL BOARD OF
    Are you a Hosteller: No
    PRIMARY EDUCATION
    Year of Passing Last Exam: 2022 Name of the Board / Council / University : WEST BENGAL
    % of Marks Obtained BOARD OF PRIMARY EDUCATION
    in Last Examination: 65.00 Course Duration : 1 Year
    BANK ACCOUNT DETAILS
    IFSC: SBIN0007325
    Savings bank account no.: XXXXXXXX7517
    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.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 HUMAIRA 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.

    1/1

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