INDIAN SCHOOL OF MINES, DHANBAD

OFFICE OF DEAN (STUDENTS WELFARE)

No: DSW/08/ISM MCM/2011-12 NOTICE

Dated: 21.09.2011

FOR FRESH AWARD OF MERIT CUM MEANS SCHOLARSHIP including FREESHIP for 1st Year B.Tech/Dual Degree & 2/3 years M.Sc/M.Sc.Tech and 1st year MBA students for the Session 2011-12. Applications in prescribed forms available from Office of Concerned Hostels are invited for award of the scholarship so as to reach the office of the undersigned on or before 31.10.2011, as per details below. LATE APPLICATION WILL NOT BE ACCEPTED ON ANY GROUND. ELIGIBILITY CRITERIA The candidate must have secured 1st class or equivalent grades in I.Sc./10+2 examination for B.Tech, Dual Degree and in Graduation examination for 2/3 years M.Sc./M.Sc.Tech & MBA. Income of the Parents/Guardian should not be more than Rs. 2,00,000/- during the financial year ending 31.03.2011. Application should be accompanied with Photocopy of fee receipt, Marksheet of Previous exam and original income certificate of Parents/Guardian of the applicant issued from the office of SDO (Civil)/DM/DC/ADM/SDM/RDO with proper seal, in the prescribed format available in Office of respective Hostel Warden as a proof of their income. Income certificates from any other like MRO, Tahshildar, Sub Collector, Judicial Magistrate, Upakhand Collector etc. WILL NOT BE ACCEPTED.

(Prof. S. Laik) Dean (Students Welfare) Cc : DT/RG : DR(Acad & SW) /DR(Exam) /AR(Acad) : DSW, CHW Notice Boards : Opal Hostel/Diamond Hostel/Jasper Hostel/Ruby Hostel : General Notice Board : Web/ MD

INDIAN SCHOOL OF MINES , DHANBAD Office of Dean (Students Welfare)

Application for award of ISM Scholarship/Freeship for 1st year B.Tech, Dual Degree, 2/3 Years M.Sc./M.Sc.Tech and 1st Year MBA (New Entrants) for the Academic Session 2011-12
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17

Name of student (in capital letters) Admission No. Course & Year Duration of Course (2yrs/3yrs/4yrs/ 5yrs) IIT JEE Rank (copy to be attached) Percentage of Marks in I.Sc./10+2 (copy to be attached) Fathers /Guardians Name Occupation/Profession of Father/Guardian If salaried, employment details of father/Guardian Gross Annual Income of father/guardian (attach income certificate) Mothers Name (capital letters) & Occupation If salaried, Employment details of mother Gross Annual Income of mother (attach income certificate) Familys Gross Annual Income Whether getting any other scholarship S.B.I. Account No. of applicant Contact Number (M)

NOTE: Income certificate, in original, issued from the office of DM/DC/SDO(Civil)/ADM/SDM/RDO with proper seal is to be attached. The application without the supporting income certificate, Marks sheet (Xerox copy) & Fee receipt (photo copies) as above will be rejected. Incorrect information will entail disciplinary action. Income Certificate from any other like MRO, Sub-Collector, Tahsildar, Judicial Magistrate, etc. will not be accepted. I certify that the particulars furnished above are true and correct to the best of my knowledge and belief. I also undertake to abide by the Rules & Regulations of the Scholarship awarded by ISM from time to time. Enc: As above. Signature______________________ Date:_________________________