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    SSP2022050604571661_20250102

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    SSP2022050604571661_20250102

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    skrajibboss10
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    12 views1 page

    SSP2022050604571661_20250102

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    skrajibboss10

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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 (RENEW)
    APPLICATION FOR WB SVMCM SCHOLARSHIP 2023-24
    Application ID: SSP2022050604571661 Application Date: 02-01-2025
    BASIC INFORMATION
    Student's Name: AJARUL ISLAM Father's Name: ABEDUR RAHAMAN
    Date of Birth: 06-05-2001 Mother's Name: ANGURA BIBI
    Gender: Male Annual Family Income: 48000
    Marital Status: Unmarried Guardian's / Husband's Name: ABEDUR RAHAMAN
    E-mail Id: [email protected] Religion: Islam
    Mobile No: 8653945329 XXXXXXXX7317
    Class X Registration No: A1411-00652
    ADDRESS INFORMATION
    Permanent Address Present Address
    Domicile State: WEST BENGAL State: WEST BENGAL
    Domicile District: MURSHIDABAD District:MURSHIDABAD
    Block/Municipality:Nabagram(BLOCK) Block/ Municipality:Nabagram(BLOCK)
    Permanent Address: VILL-MUKUNDAPUR Present Address: VILL-MUKUNDAPUR
    Post Office: MUKUNDAPUR Post Office: MUKUNDAPUR
    Police Station: NABAGRAM Police Station: NABAGRAM
    Pin: 742187 Sub Division: Lalbagh
    Pin: 742187
    ACADEMIC INFORMATION
    Previous Academic Information Present Academic Information
    Previous Institute Name: ROSOMOYEE VIVEKANANDA Institution District :MURSHIDABAD
    TOPOBAN PATHAGAR Institution Name: ROSOMOYEE VIVEKANANDA TOPOBAN PATHAGAR
    Previous Class / Course Name: BACHELOR OF EDUCATION Institution UDISE/AISHE/NCVT Code : C-53112
    (B.ED) Current Class / Course Name : BACHELOR OF EDUCATION (B.ED)
    Previous Year of Study: 1st Year Current year of Study :2nd Year
    Name of the Board of Sub Division: Lalbagh ( Nabagram(BLOCK) )
    last Exam Passed: BABA SAHEB AMBEDKAR EDUCATION Are you a Hosteller: No
    UNIVERSITY Name of the Board / Council / University : BABA SAHEB AMBEDKAR
    Year of Passing Last Exam: 2023 EDUCATION UNIVERSITY
    % of Marks Obtained Course Duration : 2 Year
    in Last Examination: 74.00
    BANK ACCOUNT DETAILS
    IFSC: WBSC0MCCB15
    Savings bank account no.: XXXXXXX0337

    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.48000 . 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 AJARUL ISLAM 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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