Cash Award Form

Checklist of the documents required for Cash Benefit Form.

1. ABOCWWB Id Card
2. Applicant's Photo
3. Signature of the Parent
4. Signature of the Applicant Student
5. Attested Copy Of The Pass Certificate From The Head Of The Institution
6. Attested Copy Of The Marksheet Of The Exam
7. Copy Of Payslip Of Account Paybook
8. Caste Certificate (Other than General category)

All * Textbox are mandatory

Date*

District Office *

Upload Photo*

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Name Of The Examination Passed*

Year*

Name Of The Applicant Student*

Gender*

Male Female

Mobile Number*

Address*

Date of Birth Of The Student*

Name Of The Father/Mother*

Registration Number Of The Father/Mother*

Date Of Registration Of The Father/Mother*

Id Card*

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Details Of Monthly Contribution

#	Date Of First Payment Of Contribution	Date Of Last Payment Of Contribution	Name Of The Branch Of Bank Where Remitted The Contribution
1

Caste Category *

Name of The School, Where From Passed The Exam*

Address of The School, Where From Passed The Exam*

Year Of Study*

Month And Year Of Passing Exam*

Marks Obtained In The Exam

#	Subject	Marks Obtained	Maximum Marks
1

Name Of The Bank Where Cash Amount to be Deposited*

Address Of Bank*

Account No*

IFSC Code *

Signature Of The Applicant*

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Declaration By The Parent - the facts mentioned above are true to my knowledge and information*

Signature Of The Parent*

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Attested Copy Of Id Card Of Father/Mother*

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Attested Copy Of Pass Certificate From The Head Of The Institution*

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Attested Copy Of The Marksheet Of The Exam*

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Copy Of Payslip Of Account Paybook*

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Caste Certificate*

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Maximum File size allowed is 150 kb
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