West Bengal minorities' Development & Finance Corporation

Under Minority Affairs & Madrasah Education Department, Govt. of West Bengal
Amber, DD-27/E, Sector - 1, Salt Lake City, Kolkata - 700064

Merit Cum Means (MCM) Scholarship for Minorities, 2022-23

Institute Verification Form
Verification / Information to be furnished by the Head of Institute / College

It is to certify that the information provided by AJMERI KHATOON, a student of DINABANDHU Self attested passport size
ANDREWS INSTITUTE OF TECHNOLOGY & MANAGEMENT (Name of the Institute / College) who photo
is admitted in BACHELOR OF BUSINESS ADMINISTRATION (BBA) (Name of the Course) 1st / 2nd /
3rd / 4th (tick out) year for the academic session 2022-2023 is correct.

1. Percentage of marks obtained last year :

2. Fee details for the current year :

Date - 06-03-2023
Place - Signature of the Head of
the Institute / College with official seal

Note :
1. The Verification by institution is mandatory for consideration of the Application.
2. Students are requested to take a print out of 'institute Verification Form' get it verified by the Head of the institution, scan &
upload it in JPEG Format.

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