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    SSP2024011800734726 20240930

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    SSP2024011800734726 20240930

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    skbrother7860
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    SSP2024011800734726_20240930

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    5 views1 page

    SSP2024011800734726 20240930

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    © All Rights Reserved
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    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 PRE MATRIC SCHOLARSHIP 2024-25
    Application ID: SSP2024011800734726 Application Date: 30-09-2024
    BASIC INFORMATION
    Student's Name: MD SAMIR SEKH Father's Name: MD MUSTAK
    Date of Birth: 15-11-2016 Mother's Name: NEHMAT KHATUN
    Gender: Male Annual Family Income: 72000
    Marital Status: Unmarried Guardian's / Husband's Name: MD MUSTAK
    E-mail Id: Religion: Islam
    Mobile No: 9931881550 Aadhaar No XXXXXXXX8932

    Bangla shiksha ID: 03988422000365


    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: KOLKATA District:KOLKATA
    Block/Municipality:Kolkata MC(MUNICIPALITY) Block/ Municipality:Kolkata MC(MUNICIPALITY)
    Permanent Address: 6/H/3, BHUKAILASH ROAD Present Address: 6/H/3, BHUKAILASH ROAD
    Post Office: KHIDDIRPORE Post Office: KHIDDIRPORE
    Police Station: EKBALPORE Police Station: EKBALPORE
    Pin: 700023 Sub Division: NA
    Pin: 700023
    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: ADARSHA HINDI BOYS HIGH Institution District :KOLKATA
    SCHOOL (PRIMARY) Institution Name: ADARSHA HINDI BOYS HIGH SCHOOL (PRIMARY)
    Previous Class / Course Name: I Institution UDISE/AISHE/NCVT Code : 19170108101
    Previous Year of Study: I Current Class / Course Name : II
    Name of the Board of Current year of Study :II
    last Exam Passed: West Bengal Board of Secondary Education Sub Division: NA ( Kolkata MC(MUNICIPALITY) )
    Year of Passing Last Exam: 2023 Are you a Hosteller: No
    % of Marks Obtained Name of the Board / Council / University : West Bengal Board of Secondary
    in Last Examination: 60.00 Education
    Course Duration : 1 Year
    BANK ACCOUNT DETAILS
    IFSC: SBIN0003334
    Savings bank account no.: XXXXXXX6013
    Name as per bank Account: NEHMAT KHATUN (Mother)
    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.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 MD SAMIR SEKH 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.

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