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FORMAT FOR INDIVIDUAL APPLICATION FOR JBNSTS - DST (WB) SCIENCE CAMP 2019

Name of the Candidate : _______________________________________________________________

Guardians’ Name : ____________________________________________________________________

Name of School : _____________________________________________________________________

Percentage of marks obtained in 10th Board Examination held in 2018 : _________________________

Board Name : _______________________________________________________________________

Contact number : ____________________________________________________________________

Email Address (if any) : ________________________________________________________________

Do you need accommodation during the camp? ___________ (Yes / No)

Endorsement by Head Master / Head Mistress / Principal / Class Teacher :

I do hereby recommend Shri / Smt. ______________________________________________________ of


class _____ in our school to participate in JBNSTS - DST (WB) Science Camp during March 15 - 19, 2019.

As per my knowledge he / she is a very good student and has enthusiasm towards science and
technology.

____________________________________________________________________

Signature of the Head Master / Head Mistress / Principal / Class Teacher with seal

Name and contact Number of Head Master / Head Mistress / Principal / Class Teacher :

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