INDIAN INSTITUTE OF TECHNICAL SKILLS DEVELOPMENT

DEVEL OWebsite : www.iitsd.org

SARISAB PAHI, PANDAUL, MADHUBANI, NEAR DR. SIR GANGANATH JHA VAACHNALAY Mobile No /
Whatsapp No. – 7281840062, 9810774310

मख्
ु यमंत्री बालक/बालिका प्रोत्साहन राशि योजना
Name of Student:

Father’s Name: Affix recent

Passport size
photo here.
Mother’s Name:

Date of Birth: DD MM YYYY Gender : Male Female

Mobile No: Email ID:

Passing Year: Total Marks:

Cast: Category:

Adhar No:

Bank Name:

IFSC Code:

Bank Account No :

Confirm Bank Account No :

Residential
Address:

Note: (Include Photocopy of Matric Marksheet and Adhar Card)