West Bengal Council of Higher Secondary Education

Scholarship-2008 Form for Renewal of scholarship for 2010-11 List no.E.C. no.Name of the student & e-mail id & Tele-phone no. Name of the Institute where studying Address of the Institute with Tele, Fax & e-mail id. Whether promoted to the next class & percentage of marks obtained in annual/semesters exams. Yes/No ……….% ……….% Percentage of attendance Remarks regarding discipline of the student including ragging etc. State & Board from which Class-XII Exam. appeared, year of passing & Roll no. Bank’s Name, Bank A/C no. with IFSC code in which initial scholarship was received.

Certified that the particulars given above are true. Signature of the Principal/ Head of the Institution with seal

To be sent toThe Deputy Secretary (Law) W.B. Council of H.S. Education Vidyasagar Bhavan, 9/2 Block-DJ, Sector-II Salt Lake, Kolkata-700091

N.B.- Please enclose with this form1) Photocopy of Entitlement Card(ANNEXURE-II) 2) Photocopy of H.S. Exam. Marksheet (2008) 3) Photocopy of 2nd year Marksheet of Graduate Course.

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