 West Bengal Student Credit Card  Logout (https://wbscc.wb.gov.

in/Logout)

Personal Details

Name of Student* SUKANYA MIDDLE NAME BANERJEE

Name of Father GOPAL KRISHNA BANERJEE

Name of Mother FIRST NAME MIDDLE NAME LAST NAME

Co-borrower/Legal guardian’s name* GOPAL KRISHNA BANERJEE

Students Mobile No:* 9749127376 Relationship with Co-Borrower* FATHER

Date of Birth* 19-07-2002 Gender* FEMALE

Student Caste* GENERAL Whether physically challenged:* No

Do you have Aadhaar Number?: Yes Student’s Aadhaar Card No: 873681264433

Last Qualification* HIGHER SECONDARY/EQUIVALENT

Student’s PAN Card:* No  Download Undertaking Document (https://wbscc.wb.gov.in/Applicant/Pan_Do

Co-borrower Details

Co-Borrower’s Occupation* DAILY WAGER Co-Borrower’s Mobile No:* 8820340900

Co-Borrower’s Caste* GENERAL Co-Borrower’s Gender* MALE

Co-Borrower’s Address Proof:* Aadhaar Card Address Proof Document/ID Number* 417481835269

Co-Borrower’s PAN Card:* Yes Co-Borrower’s PAN Card No:* PAN NO.

Present Address Details

House No: HOUSE NO Street Name:* STREET NAME

PIN Code:* PIN Code

State* ----Please Select State---- District* ----Please Select District----

Permanent Address Details

House No: HOUSE NO Street Name:* STREET NAME

PIN Code:* PIN Code

State* ----Please Select State---- District* ----Please Select District----

Assembly* ----Please Select Assembly----

Course & Income Details

 Whether received/receiving any scholarship/free ship from any agency: *

-----Please Select-----

Annual income of co-borrower (all sources):*

Total Income of Co-borrowe

Programme:* UG Course Name:* B.A.

(Course fee + tuition) (Indicative):* Course Fees Approx Whether received any Institutional brochure/ document detailing the
Course/Tuition fees : *

-----Please Select-----

Year of Commencement:* Commencement Year Year of Completion:* Completion Year

Loan amount required:* Total Loan Amount Required Loan amount In words:* LOAN AMOUNT IN WORDS

Bank Details of the Student

IFS Code:* IFSC code Name of Bank* Bank Name

Branch Name:* BRANCH NAME A/C No:* A/C No

Bank For Loan* -----Please Select----- Bank Branch For Loan* -----Please Select-----

Bank Details of the Co-borrower

IFS Code:* IFSC code Name of Bank* Bank Name

Branch Name:* BRANCH NAME A/C No:* A/C No

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