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: SSP2022050402230720 Application Date: 27-01-2024
BASIC INFORMATION
Student's Name: TAUFIQUE UMAR Father's Name: MOHAMMED MHASIN
Date of Birth: 22-06-2003 Mother's Name: AFROJA BIBI
Gender: Male Annual Family Income: 48000
Marital Status: Unmarried Guardian's / Husband's Name: MOHAMMED MAHASIN
E-mail Id: umartaufique216@gmail.com Religion: Muslim
Mobile No: 9547385448 Aadhar No: XXXXXXXX1753
Class X Registration No: 1207295/010 Name as per Aadhaar: Taufique Umar
ADDRESS INFORMATION
Permanent Address Present Address
Domicile State: WEST BENGAL State: WEST BENGAL
Domicile District: SOUTH 24 PARGANAS District:SOUTH 24 PARGANAS
Block/Municipality:Bhangar - II(BLOCK) Block/ Municipality:Bhangar - II(BLOCK)
Permanent Address: UTTAR KASHIPUR
Present Address: UTTAR KASHIPUR
Post Office: UTTAR KASHIPUR
Post Office: UTTAR KASHIPUR
Police Station: UTTAR KASHIPUR
Pin: 700135 Police Station: UTTAR KASHIPUR
Pin: 700135
ACADEMIC INFORMATION
Previous Academic Information Present Academic Information
Previous Institute Name: Bhangar Mahavidyalaya Institution District :SOUTH 24 PARGANAS
Previous Class / Course Name: BACHELOR OF ARTS Institution Name: Bhangar Mahavidyalaya
(B.A) Current Class / Course Name : BACHELOR OF ARTS (B.A)
Previous Year of Study: 1st Year
Current year of Study :2nd Year
Name of the Board of
Are you a Hosteller: No
last Exam Passed: CALCUTTA UNIVERSITY
Year of Passing Last Exam: 2023 Name of the Board / Council / University : CALCUTTA
% of Marks Obtained UNIVERSITY
in Last Examination: 69.25 Course Duration : 3 Year
BANK ACCOUNT DETAILS
IFSC: BARB0GHATAK
Savings bank account no.: XXXXXXXX6976
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 TAUFIQUE UMAR 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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