Nabanna Scholarship Application Form – [PDF Download]

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Howt to Apply Nabanna Scholarship Application Form

Personal Details

  1. Candidate Name: Debashis Naskar
  2. Guardian’s Name: D. Naskar
  3. Date of Birth: 01-01-2001
  4. Religion: Hindu
  5. Gender: Male
  6. Sub-Caste: Rajbanshi
  7. Contact Details

  8. Permanent Address: Kolkata,
  9. District: Kolkata
  10. Pin: 0000000
  11. Mobile: 90077185**
  12. Email: [email protected]
  13. Academic Details

  14. Name of Exam: Madhyamik
  15. Board/University: WBBSE
  16. Year of Passing: 2020
  17. Grade:
  18. % of Marks: 80.00
  19. Current Course Details

  20. Course Name: Class 11
  21. Course Duration: 2 Years
  22. Season: 2020-21
  23. Name of Institution: Your School/Institution Name
  24. Address of the Institution: Your School/Institution Address
  25. Bank Details

  26. Account Number: 90011111000**
  27. IFSC Code: SBIN001402*
  28. Bank Name: State Bank of India
  29. Branch Name: Kolkata

Note: I hereby declare that all the above information is correct & true to the best of my knowledge and behalf.

Place:_____________________
Date:______________________

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Signature

Self Declaration (1st Time)

I am Debashis Naskar, Son of/Daughter of D.Naskar. My current Address is Kolkata, District Kolkata and PIN Code 0000000, do here by declare that I have been reading in Class 11. My current academic session is 2021-22 at Your Address and I have not received any kind of Scholarships or Financial assistance for my current course from any Department or any Private Agencies during this year.

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Signature of the Applicant

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Counter Signed by the Head of
the Institute with Seal

Howt to Apply Nabanna Scholarship Application Form

To Whom It may Concern

I am Debashis Naskar, Son of/Daughter of D.Naskar. My current Address is Kolkata, District Kolkata and PIN Code 0000000 in the State of West Bengal. My monthly family income is, Rs. 60,000/-

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Signature of the Applicant

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Counter Singed by the M.L.A with Seal

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