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    Suhaan Scholarship

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    smisbahul90
    The document is an application form for a scholarship program in West Bengal. It contains personal details of the applicant such as name, address, family income, bank account details. It also includes academic details of previous and current education as well as a declaration of income signed by parents.

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

    Suhaan Scholarship

    Uploaded by

    smisbahul90
    20 views1 page
    The document is an application form for a scholarship program in West Bengal. It contains personal details of the applicant such as name, address, family income, bank account details. It also includes academic details of previous and current education as well as a declaration of income signed by parents.

    Original Title

    SUHAAN SCHOLARSHIP

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    © © All Rights Reserved

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    The document is an application form for a scholarship program in West Bengal. It contains personal details of the applicant such as name, address, family income, bank account details. It also includes academic details of previous and current education as well as a declaration of income signed by parents.

    Copyright:

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

    Suhaan Scholarship

    Uploaded by

    smisbahul90
    The document is an application form for a scholarship program in West Bengal. It contains personal details of the applicant such as name, address, family income, bank account details. It also includes academic details of previous and current education as well as a declaration of income signed by parents.

    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 2023-24
    Application ID: SSP2019011800023783 Application Date: 31-08-2023
    BASIC INFORMATION
    Student's Name: MD SUHAAN ALAM Father's Name: MD ALAM CHAND
    Date of Birth: 21-09-2011 Mother's Name: SAIRA KHATOON
    Gender: Male Annual Family Income: 96000
    Marital Status: Unmarried Guardian's / Husband's Name: MD ALAM CHAND
    E-mail Id: Religion: Muslim
    Mobile No: 7003994039 Aadhar No XXXXXXXX0444

    Bangla shiksha ID: 04884019003410


    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: KOLKATA District:
    Block/Municipality:Kolkata MC(MUNICIPALITY) Block/ Municipality:
    Permanent Address: 2, A.K. MD SIDDIQUE LANE Present Address: 2, A.K. MD SIDDIQUE LANE
    Post Office: PARK STREET Post Office: PARK STREET
    Police Station: PARK STREET Police Station: PARK STREET
    Pin: 700016 Pin: 700016
    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: GOVT.SPON Institution District :KOLKATA
    MULTIPURPOSE(B)TAKI Institution Name: GOVT.SPON MULTIPURPOSE(B)TAKI
    Previous Class / Course Name: V Institution UDISE/AISHE/NCVT Code : 19170103914
    Previous Year of Study: V Current Class / Course Name : VI
    Name of the Board of Current year of Study :VI
    last Exam Passed: West Bengal Board of Secondary Education Are you a Hosteller: No
    Year of Passing Last Exam: 2022 Name of the Board / Council / University : West Bengal Board of Secondary
    % of Marks Obtained Education
    in Last Examination: 81.00 Course Duration : 1 Year
    BANK ACCOUNT DETAILS
    IFSC: SBIN0001723
    Savings bank account no.: XXXXXXX2810

    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.96000 . 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 MD SUHAAN ALAM 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

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