0% found this document useful (0 votes)
42 views4 pages

West Bengal Chief Minister Relief Fund Scholarship PDF

Uploaded by

SagarBiswas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
42 views4 pages

West Bengal Chief Minister Relief Fund Scholarship PDF

Uploaded by

SagarBiswas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

WEST BENGAL CHIEF MINISTER RELIEF FUND SCHOLARSHIP

Application Form
To,
The Honourable
Chief Ministers
Govt. Of West Bengal
'Nabanna'
325, Sarat Chatterjee Road
Howrah - 711 102

NameFather`S NameDate of Birth-

CAST-

Female
Gender- Male
Permanent Address-

GEN

SC

ST

OBC

Religion-

P.O
P.S
DIST/ CITY

PIN

Details of Education Qualification:


Name of Examination

Board/University

Passing Year

Marks Obtained

Class/Div/Grade

% of Marks

Present Course Details:


Course Name
Duration
Session
Name of Institute
Institute Address

Bank Information:
Account Holder Name
Bank Name
Branch Name
IFSC Code
Account Number
I do hereby certify that the above particulars are correct and true to the best of my knowledge and belief.

Date:
Place:

___________________________________
Signature of the applicant

Application Download from www.examdrive.in

Recommendation from MLA


Monthly family income of the student.
This is to certify that entire family income of Shri / Smt............................................................
....................................................(Parent's Name) Father/ Mother of Mr./Ms..........................
......................................................... (Student Name) Resident of ..........................................
................................................................................................................................................
.............................................................................................................................................is
Rs................................ (Rupees..........................................................................) per annum.
His/her Business occupation is ..............................................(mention the post)(Pvt./Govt.) /
Business / Farming / Labour etc. He/ She has no other occupation and income and there is
no other earning member in his / her family.

Date:

_________________________________
Signature of the Student

--------------------------------------------------------------Competent issuing authority Signature with Seal

Application Download from www.examdrive.in

SELF DECLARATION
I am ............................................................................................, Son. / Daut. of ..................
............................................................, Vill ...........................................................................,
Post ........................................................, P.S ........................................................................,
Dist. .............................................................., Pin ........................................................., do
here by decleared that I have been reading in Class ........................................ and My
Current academic seasion is 2016-2017 at .............................................................................
................................................................................................................................................
................................................................................................................................ (School /
College / University Name & Address). I have not received any kind of scholarship of
financial assistance for my education from any Govt. Department or any private agencies
during this year.

Date:

_________________________________
Signature of the Student

.........................................................................
Counter singed bt Head of Institution with Seal

Application Download from www.examdrive.in

Eligibility & Others Details


Eligibility:
Assistance from Chief Ministers Relief Fund and Chief Ministers Discretionary Fund is given to the student
Who is a permanent resident of the State of West Bengal.
Who is studying in any institutions of the State after passing out the State Board /Council of Secondary
Education or a State aided University in West Bengal.
Who has got 65% marks in aggregate in Madhyamik Examination [for H.S. level] or 60% in aggregate in H.S.
Examination [ for U.G. level] or 55% Marks in the Honours Subject [for P.G. level]
Who do not enjoy any other governmental(central/state) scholarship or stipend for the same course or stage
of study.
Whose annual family income does not exceed Rs. 60000/-.
Impotent Information & Document :
Copies of Mark Sheets of all previous examinations passed.
Copies of Rank Card & Allotment letter of Selection Committee (only for JEE or Equivalent Examination)
Copy of Monthly Family Income Certificate from any one mentioned within the bracket (DM/ SDO/BDO /
Group-A Govt. Officer not below the rank of Joint B.D.O./ Executive Officer in case of Municipality/ Deputy
Commissioner of Corporation).
Copy of Recommendation from MP/MLA stating monthly family income of the student.
Self declaration of the student under his/her signature regarding present course of study mentioning
year/semester and receipt of any scholarship / aid/assistance, duly countersigned by the head of the Present
institution with seal .Photo copies of all the documents are required to be attested by Group-A Govt.Officer.
Self Bank Account Details (IFSC Code, Branch Code, Branch Name, Account Number, Bank Name) with Photo
copy of Bank Pass Book.

How to Apply

Visit Unofficial website- www.examdrive.in


Click to Scholarship Tab.
Download Application Form.
Print out Application from.
The Application from is correctly & completely filled up.
Attach with Application from all relevant Document.
Send Application from with Document through Ordinary Post / Dropbox to the Address of Nabanna, 14th Floor,325 Sarat Chatterjee Road, Shibpur, Howrah- 711 102.
Incomplete application will be canceled.

Any Others Information Visit Official Website www.wbcmo.gov.in

Application Download from www.examdrive.in

You might also like