Education Scholorship Form

Checklist of the documents required for Education Scholarship Form.

1. ABOCWWB Id Card
2. Applicant's Photo
3. Signature of the Parent
4. Signature of the Applicant Student
5. Affidavit By The Parent
6. Letter From The Institute Signed By The Head Of The Institute
7. Attested Copy Of The Pass Certificate From The Head Of The Institution
8. Attested Copy Of The Marksheet Of The Exam
9. Copy Of Payslip Of Account Paybook
10. Caste Certificate (Other than General category)
11. Attested Copy Of Admission Slip
12. Attested Copy Of Certificate From The Institute Signed By The Head Of The Institute

All * Textbox are mandatory

Date*

District Office *

Name Of The Father/Mother*

Mobile Number*

Address*

Registration Number Of The Father/Mother*

Date Of Registration Of The Father / Mother*

ABOCWWB Id Card*

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

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	Number Of Total Subscriptions Paid	Total Amount Of Contribution Paid
1

Whether Father and Mother are Both Registered Beneficiary Under Welfare Board*

Yes no

Name Of Applicant / Student*

Upload Applicant's Photo*

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Maximum File size allowed is 1MB
Only png and jpeg images allowed

Name Of The Course*

Year*

Gender*

Male Female

Date of Birth Of The Student*

Caste Category *

Name of The College/School*

Affiliated University Board*

Date of The Admission To The Course*

Details Of The Qualifying Exam Passed

#	Name Of The Exam	Name Of Affiliated University/board	Year Of Passing Exam
1

Marks Scored In The Qualifying Exam

#	Subject	Marks Obtained	Maximum Marks	Percentage
1

Signature Of The Applicant*

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Signature Of The Parent*

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Affidavit By The Parent *

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Attested Document Signed By Appropriate Authority*

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Letter From The Institute Signed By The Head Of The Institute*

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

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Attested Copy Of The Marksheet Of The Exam*

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Copy Of Payslip Of Account Paybook*

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Caste Certificate

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Attested Copy Of Admission Slip*

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Attested Copy Of Certificate From The Institute Signed By The Head Of The Institute*

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Maximum File size allowed is 1MB
Only pdf, png and jpg images allowed

Declaration By The Applicant*

Name Of The Bank Where Cash Amount to be Deposited*

Address Of Bank*

Account No*

IFSC Code *