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South Western Railway Divisional Office, Personnel Department, Bengaluru-560023. No.8/P.641/DSBF/2021-22 Dated: 03.01.2022. All Branch officers & Supervisory Officials, Bengaluru Division. Sub: Scholarship to wards of non-gazetted employees from Staff Benefit Fund: 2021-22, Applications are invited from non-gazetted staff of Bengaluru Division for grant of scholarship to ‘the wards of the employees pursuing Technical/ Professional courses (@ Rs.1500/- per month). The courses covered for the scholarship are like: (a) MBBS/ BDS/ B.V.Sc/ BHMS/ MBS/ BAMS/ BUMS (b)B.£,/ B.Tech/ B.Arch/ /BCA/MCA/ M.Tech (c) ICWA/CA/MBA /BBA (d) B.Sc,(Agrl.)/ B.Sc. (Home Science}/ 8.Pharmacy (e) Any other integrated courses of four years and above. The scholarship is granted for the actual period of study. For illustration, student of Engineering course will be eligible for the scholarship in |, Il, Ill and IV year of the course only. The parameter(s) observed will be the previous year(s) mark sheet of the present course. The student of 1" year BE has to furnish the 12" standard marks sheet and same analogy is followed for the subsequent years of study, till the last year. The employees can claim only one scholarship (one child) ata time. The committee may withhold/not consider the award of Scholarship, without assigning any reason, what-so-ever. Decision of the Committee in this regard is final and no correspondence will be entertained The last date for receipt of application, in the prescribed format and complete in all aspect will be 04.02.2022, The above notification is available in SWR website, URL:Https://swr.indianrailways.gov.in. (About us->Divisions->Bangalore->Personnel Branch->Welfare Section) All are requested to give wide publicity. (ArurRévichettu) Chairman/SBF & Sr.0PO/Co-ord/SBC Copy to: PSs to DRM & ADRMs /SBC for kind infn, of DRM & ADRMs All POs DS/SWRMU, AISCTREA & AIOBCREA /SBC for infn. All CS&WI/S&Wis may give wide publicity. SOUTH WESTERN RAILWAY BENGALURU DIVISION (APPLICATION FOR TECHNICAL/PROFESSIONAL SCHOLARSHIP FROM DSBF 2021-22) ‘The Chairman, DSBF Committee, Bengaluru Division, Fresh Renewal T [Name of the employee (in BLOCK Letters) 2 | Designation Office/Station 3 | PF No. /Employee No. Bill Unit, (11 Digits, £x-42506712345) 4 | Grade Pay (VI CPC) Tevel (VI CPC) 3 | Bank Account No. Bank Address: IFSC: MICR: © | Employes belongs to SC ST ‘OBC UR SCIST/OBC/UR category (Tick the relevant column) soi 7 [Name of the ward Relationship 8 | Date of Birth worn | Day: Month: Year: Ex.0101200 ‘9 | Name of the institution University affiliated to__| 10 | Course studying during Course 7 Year 2021-22, if any (ecMBBs, completed during BE, BDS. Bhar, MCA, MBA #e) 2020-21 TTP Details of backlog, if any, % of marks or during the entire course of GPA during study __| 2020-21 12 | Whether the student is | YewNo already in receipt of scholarship awarded by SBF? if so, furnish details. 13 | Whether the child has | Yes/No applied for NIS& wishes to avail the same or at present availing the same? 14 | Whether the student is | Yes/No exempied from payment of tuition fee?, if 50, amount 1S] Whether applied for | YesINo scholarship for any other ward, under SBF? at Thereby declare that Thave read the notification and all the particulars furnished above are true and if they are found incorrect ata later date, am liable for disciplinary action. Date: Signature of the employee: Name: Contact Number: Scholarship/DSBF/SBC:2021-22 {APPLICATION FOR TECHNICAL/PROFESSIONAL SCHOLARSHIP FROM DSBF 2021-22) WITNESS: We hereby declare -~—that_-~=—=the_~—=— particulars. furnished by Shri/Smt..... Designation Station claiming scholarship from SBF, in favour of his/her ward are correct to the best of our knowledge. ‘ST | Namie in (Block letters) PFYNPS No. Designation’ | Signature Office! Station Memo No. Date: Forwarded to, Chairman/DSBF/SBC: It's certified that the particulars furnished by Sri/Smt¢... .. has been verified and found correct. Designation/Station Signature & Designation of the Supervisory Official with Seal Documents to be enclosed alongwith the appli 1, Attested copy(ies) of Marks list of the qualifying examination(s), viz. all the exams, passed in context to the present course. 2. Certificate from the College/Insttution studied (Annexure-1. (Please note that all the columns in the application to be filled clearly/egibly, including the contact number.) Scholarship/DSBF/SBC:2021-22 Annexure-1 CERTIFICATION FROM THE INSTITUTION (To be furnished by the College/Institution under seal and signature) Master/Miss. --+++-Son/Daughter of SrisSmt is a bonafide student of this college/institute, 01. | Name of the Institution/College University to which it is affiliated 03. | Course undertaken 04, | Duration of the course 05. | Date of joining the present course 1 pe, | Present year ofthe course (AWAY year) (07, | Whether the student is exempted from “| payment of tuition fee. (0g, | Whether student has applied for National * | Level Scholarship? If'so, the details. 9, [5 the student in receipt of any other | 00 | scholarship? If'so, the amount per annum. To, [Whether the student has passed in all subjects in the previous year(s). Date: It is certified that all the above particulars of above student are verified by College authorities and found correct. Signature of the Head of the College’ Institution with Seal Scholarship/DSBF/SBC:2021-22

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