West Bengal Chief Minister (Nabanna) Scholarship Application Form - 2017 To, The Honourable Chief Minister’s Govt. Of West Bengal ‘Nabanna’ 325, Sarat Chatterjee Road Howrah - 711 102 Name- Father's Name- Date of Birth- CAST- GEN[ ]scf ]st{ ] osc Gender- Male |__| Female Religion- Permanent Address- P.O PS Dist/_ciTy PIN Details of Education Qualification: Name of Exami 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 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. [RS tssesninea .. (Rupees... sseisetnsseseeeenee) POF 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. ‘Signature of the Student Competent issuing authority Signature with Seal ‘Application Download from www.examdrive.inSELF DECLARATION tam - ., Son. / Daut. of oi Vill. Post. Dist. ... Pin... and My here by decleared that | have been reading in Class Current academic seasion is 2017-2018 at - (School / College / University Name & Address). | have not received any kind of scholarship of financial assistance for my education from any Govt. Department or any private agencies during this year. ‘Signature of the Student Counter singed bt Head of Institution with Seal ‘Application Download from www.examdrive.inEligibility & Others Details Assistance from Chief Minister's Relief Fund and Chief Minister's 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. > Whe has got 65% marks in aggregate in Madhyamik Examination [for H.S. level] or 603% in aggregate in H.S. Examination [ for U.G. level] or 85% 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/-, Required Document: All Document Are Required To Attested By Group-A Government Officer, Document List Given Below- Copy Of Mark Sheet (All Previous Year). Copy Of Rank Card / Allotment Latter (For Jee Or Equivalent Examination). Copy Of Monthly Family Income Certificated {Issued By Dm /Sdo / Bdo / Group A Government Officer). Copy Of Recommendation Of Mp/ Mla To The Honorable Chief Minister Stating Monthly Family Income Of Student Self Declaration Of Student With His / Her Signature Regarding Present Course Of Study Mentioned Year / Semester And Receipt Of Any Scholarship / Aid / Assistance, Duly Signed By Head Of Institution With Seal ¥ Self Bank Account Details (Isc Code, Branch Code, Branch Name, Account Number, Bank Name) With Photo Copy Of Bank Pass Book. Photocopy Of Tuition / Admission Fee Book. Contact Details With Self Mobile No. S888 S How to Apply Visit Unofficial website- www.examdrive.in Click to Scholarship Tab. Download and Print Application Form 2017. Read all offical eligible details carefully and apply for this scholarship, ‘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. Ifyou incomplete application will be canceled peoene ‘Any Others Information Visit Official Website - www.wbemo.gov.in ‘Application Download from www.examdrive.in