SCHOLARSHIP FOR HIGHER EDUCATION APPLICATION FORM

Application Status: Submitted

Advertisement No: SHE-2023
Application Ref. #: DST/INSPIRE/02/2023/004090
IVR No: 202300024800

Personal Particulars
Salutation: Mr.

First Name: RAJDEEP Middle Name: Last Name: MANDAL

Date Of Birth: 1/15/2006 Gender: Male Father's Name/Male Guardian

Name: RANAJIT MANDAL

Mother's Name/Female Guardian Name: SUMANA MONDAL

10th Class Certificate or Marksheet as Proof of Date of Birth: Attached Place of Birth: Rural
Below

Email Address: mandalrajdeep2006@gmail.com

Social Community: General

Differently Abled: No Other:

Enrollment Information (B.Sc. / Integrated M.Sc. Level)

Program Enrolled: B.Sc. Honors

Course Enrolled: Microbiology

Enrollment/Admission Year: 2023 Admission No:

State (In which college is located): WEST BENGAL

University Type: University University Name: West Bengal State University

University Address:

College Name: Rama Krishna Mission Vivekananda Centenary College : Rahara

District (In which college is located): North 24 Parganas

Endorsement Certificate: Attached Below

Senior Secondary Performance Information (12th Standard)

Name of the Board: West Bengal Council of Higher Secondary Education

Passing Year: 2023 Rank in Class 12th: 4211263754 Board Roll Number: 4453111327

Eligibility Note: N/A 12th Marksheet: Attached Below

Marks Information

19/06/2024 22:04 Page 1/3

Subjects Marks Obtained Maximum Marks Grade

BENGALI 90 100 O

ENGLISH 93 100 O

CHEMISTRY 74 100 A

MATHEMATICS 99 100 O

BIOLOGY 95 100 O

Other Subjects

Subjects Marks Obtained Maximum Marks Grade

PHYSICS 73 100 A

Total Marks Obtained: 451 Maximum Marks: 500 Overall Percentage(%): 90.2

School Name: SARGACHI RAMAKRISHNA MISSION HIGH SCHOOL

School Address: VILL - SARGACHI, PO - SARGACHI ASHRAMA, PS - BELDANGA

State (In which school is located): WEST BENGAL

District (In which school is located): Murshidabad

PinCode: 742408

National Level Competitive Examinations

Rank
Examination Year Rank
Certificate/Certificate

Other Details
Year of Passing Class X:2021 Parents Annual Income:

Have you attended INSPIRE If Yes, please provide details. N/A

Science Camps:No

Contact Information
Permanent Address
Address: VILL - SARGACHI, PO - SARGACHI ASHRAMA, PS - BELDANGA

Town/City: Murshidabad State: WEST BENGAL Pincode: 742408

Telephone Number (with STD Mobile Number: 9883690941

code): N/A

Communication Address
Address: VILL - SARGACHI, PO - SARGACHI ASHRAMA, PS - BELDANGA

Town/City: Murshidabad State: WEST BENGAL Pincode: 742408

Telephone Number (with STD Mobile Number: 9883690941

code): N/A

19/06/2024 22:04 Page 2/3

Are you availing any other scholarships: N/A

Identification Proof : Aadhaar Card No :

Aadhaar Card XXXX XXXX 7914

Declaration: It is certified that all particulars given by me in columns above are true to the best of my
knowledge. If any particulars are found false, I am aware that my application for scholarship are liable for
cancellation.

Place: SARGACHI Submitted Date: 6/19/2024 State: WEST BENGAL

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 Department of Science & Technology
INSPIRE Program
Scholarship for Higher Education(SHE)
Endorsement Form (B,Sc.)
College/University/institute)
(Attested from the Head/Principal/Registrar/Director of
(Efective from 04. 10.2017)

.son/daughter
It is certified that MsMr. Rajdecp M
on dad.
of.
Ranarit Man dl is pursuing the following

Int. M.Sc.
course B.Se.(Hons)| 7 Bse Bs
since 9023 ..(Yearof admission) with the following main subject(s):
ick
(For 6.Sc Hons nt MSc &B.S., please tick only the major subject For B.Sc. General, please
at least twO subjects trorn the given subjects'combination)

D
PHYSICS MATHEMATICS BOTANY

CHEMISTRY 1 STATISTICS ZOOLOGY

ASTRONOMY GEOLOGY BIOCHEMISTRY

ASTROPHYSICS GEOPHYSICS MICROBIOLOGY

ELECTRONICS GEOCHEMISTRY BIOLOGY

ATMOSPHERIC SCIENCES oCEANIC SCIENCES J ANTHROPOLOGY

Narne of the College Ranakrishna Mission V'nckamnda Cotonory (olleg

Rahay
Name of the Universitylnstitute: .est Dengal.Stote Universit (wBsU)

Signature and Starnp of Principal of College/Head of Institution:

Irindpal
Ramakrishn Mission
Date:
Vivekananda Centenary College
t4,6 202, Kolkata-700 118
Place: