~ INDIAN INSTITUTE OF TECHNOLOGY (ISM), DHANBAD OFFICE OF DEAN (STUDENTS WELFARE) No: DSW/08/ MCM/2019-20 Dated: 13.08.2019 NOTICE for all 1" 2" Year 3" Year & 4" MSecTech, & MBA, students for AWARD OF MERIT CUM MEANS SCHOLARSHIP including Freeshi Year M: Applications in prescribed format from eligible students ate invited for award of the MCM scholarship/freeship so as to reach the office of the undersigned on or before 13.09.2019, as per details below. Delayed/Iucomplete applications will not be considered. 1. For the purpose, family ineome certificate is required instead of individual income certificate and income affidavit in the prescribed proforma. Those who can not submit family income certificate may submit individual income certificate of parents (father and mother separately) supported by Income Tax Retum. Certificate issued from proper issuing authority of the concerned state with proper seal. Only Affidavit or copy of ITR will not be considered as income proof. 3. In case, where single parents is surviving, income certificate of survivor will be sufficient. In such ‘cases the applicant has to submit death certificate/alfidavit of the deceased Copies of grade sheet. Copy of fee receipt. 6. First Year students admitted through IIT JEE (Advanced) should submit copy of JEE Rank Card & Mark sheet of last qualifying examination. 3, Documents related to CML (Common Merit list? Admi (for M.Sc./ MSc. Tech & MBA students) ELIGIBILITY CRITERIA () Income of the family should not be more than Rs. 6,00,000/- during the financial year (2018-19). Income Certificate must be issued on or after 01.04.2019. (Financial year 2018-19 and Income Tax Assessment year 2019-20). we ion test ranking for other than JEE students (ii) ‘The merit criteria for awarding the MCM Scholarship to the B.Tech Integrated M.Tech, Dual Degree M.Se/M.Se.Tech and MBA students will be based on the OGPA 6.0 minimum obtained by the students up to the semester proceeding the semester in which the scholarship will be awarded. (Xerox copy of all semesters academic OGPA cards must be attached). For students having Summer/Special examination, minimum OGPA requirement is 7.00 out of 10. Students having disciplinary action against them will be debarred from award of Scholarship/Freeship. (iii) Students qualified under this scholarship will not be eligible for any other Scholarship. TELE, Associate Dean (SI&W) Ce: DTIRG All Deans’ All Associate Deans/All HODs/ Chief Warden (AII Hostels) = DR(E&A) / DR(F&A) DSW - Notice Board All Hostel Notice Boards! MIS wel ANYINDIAN INSTITUTE OF TECHNOLOGY (ISM), DHANBAD Office of Dean (Students Welfare) Application for award of IIT(ISM) MCM Scholarship/Freeship for 1* Yr, 2” Yr, 3° Yr & 4" Yr B.Tech/Dual Degreelintegrated M Tech / 2/3 YrM Sc/M Sc Tech & MBA students for the Session 2019-20 (to be submitted along th iment (All the fields MUST be filed) S.No Particulars 1. | Name ofthe student Gn block letters) 2 3, [ Name of te Departmen Branch | 7. | Went and course caegery 5 lipo Sees 6. ‘Student's Mobile numbers (maximum two), | 7. | Stadens E-mail (i) Category (Gen/OBC/) - 9. | Latest CGPA-60 and above (copy ta be attached) 10] Whether appeared in Summer Semester /Spectal : Exam (OGPA requirement is 0° & above) 11, _ | Hr@Be Advance RANK) (upload copy) for frst yearstudeat for JEE ndmlted student CML (Common Merit list! Admission test | Fanking for other than JEE students (or M.Sed Msc. Tech & MBA students), TH] Percentage of marks in T5072 eopy te tated (for fist year TT JEE adaited students only) 75. | Percentage of Marian Graduation CGPA (eopy tobe attached) fort yer M Se-Teeh M.SC/MBA Students 14. Fee waiver availed in the current year Please mention — Full Awo third TS. _] Whether ptng applied fr any ther Scola (NO), 75, SBI Account Naniber af ie student and IFSC Cae] Account No; TC Code This feds mandatory [| Partonton Gusts parician oF SapSTE Maer Taker | (a) Name (0) Silaed Clas Pare imation whom serie either Govt Semi GovUPavate or ‘hers (Please menion) Ty NonSslaried Cass {Pensioner Fay peon[assent oF Gran anal ncome oily from a 04 authorized by District Magistrate 24 Nagaland By. Commissioners, addl. Dy. Commissioners and | | Sub-Divisional Officers (C) 25 | Odkha__ Revenue Officers 26 Punjab | CRO (Tehsildar/Naib Tehsildar concerned) 27 Pondicherry | Tehsildar, Deputy Tehsiidar 28 Tiajasthan a Tehsildar 29 ‘Sikkim Special Executive Magistrate (Block Development | Officers, Rurat Management & Development| | Dept.) | 30____| Tami Nak _ | Zonal Deputy Tehsiidar [31 [Tripura =| beputy Commissioner of Respective Batic 32 [Uttar Pradesh Tehsiidar [3B Uttaranchal Tehsildar/SDM/City Magistrate