Pre-Matric Scholarship Scheme for minority 2015

Pre-Matric Scholarship Scheme

      Scheme Details

   The scholarship at pre-matric level will encourage parents from minority communities to send their school going children to school, lighten their financial burden on school education and sustain their efforts to support their children to complete school education.The scheme will form the foundation for their educational attainment and provide a level playing field in the competitive employment arena. Empowerment through education, which is one of the objectives of this scheme, has the potential to lead to upliftment of the socio economic conditions of the minority communities

SCHEME OF PRE-MATRIC SCHOLARSHIP FOR STUDENTS BELONGING TO THE MINORITY COMMUNITIES SAMPLE FORMAT OF APPLICATION FOR OFFICIAL USE ONLY Sl. No. of application Year Class Income Selected/ Not Selected Part – I [To be filled up by applicant.] 

1. Full name (in block letters):

 2. Father’s/ Mother’s Name: 

3. State/UT of domicile:

 4. Full Address for Correspondence:

 5. Contact: Telephone/Mobile (if any) Email ID (if any):

 6. Date of birth (Please enclose certificate): D D M M Y Y Y Y

 7. Whether male or female or other:

 8. Aadhaar No. (if available) Fresh Renewal (Tick) √ Male Female Other (Tick) √ Affix a selfattested passport size photograph

 9. Nationality:

 10. Religion:

 11. Details of school/institute, including residential ones: (i) Class and Name of the school/institute studying: ……………………………………………………………………………………………….. (ii) Full Address of school/institute: ………………………………………………………………………………………………… …………………………………………………………………………………………………

 12. Whether Day scholar or Hosteller:

 13. Total Annual course fee: Rs…………….. (Break up of course such as Admission fee, Tuition fee and Maintenance Allowance) S.No. Item Amount (Rs.)

 1. Admission Fee 2. Tuition Fee 3. Maintenance Allowance Total 14. Details of bank account of student: (These details would be required only after sanction of scholarship and before disbursement of scholarship amount) (i) Name of the Bank ……………………………. (ii) Bank Branch (full address)_____________________________ _________________State___________District__________Pin_________ (iii) Branch Code number ……………… (vi) Bank Account Number________________________ (vii) Type of bank Account_____________Saving/Current (viii) MICR code of the Bank___________________ (ix) IFSC code of the Bank___________________ 15. Annual Income of parents/guardian of the students: Rs………… Day scholar Hosteller (Tick) √ 16. Documents enclosed with the application: (i) Self-attested passport size photograph with signature. (ii) Income Certificate; Income certificate from the employer for employed parents/guardian or Certificate to be issued by the Competent Authority declared by the State Government/ UT Administration. (iii) For Community Certification, student can submit Self declaration. 17. Declaration of Student: (i) I hereby declare that the information given above is correct. (ii) I am not availing any other scholarship for this purpose from any State/Central Govt. (iii) I shall abide by the terms and conditions for sanction of the Pre-matric Scholarship. (iv) If the information given by me is found to be false/incorrect, the scholarship is sanctioned to me, may be cancelled and the entire amount of scholarship will be refunded by me or recovered from me, apart from such penal action as warranted 

Date: Place:

 Signature of the student

 (Signature/Thump impression of student’s parents/guardian for students of Class I to V) Part–II [to be filled up by the Head of the school/institute]

 18. Verification/information to be furnished by the Head of school/ institute:

 (i) It is certified that the information filled in the above mentioned columns (1 to 17) by Shri/Kumari________________s/o / d/o Shri ________________ who is studying in class ________________________________ for the academic session _______________ in this school/institute is correct. Date: Place: Signature of Head of the school/institute with official seal