Government of West Bengal
Backward Classes
Welfare Department


*Scholarship to the children of those engaged in Unclean Occupation. The beneficiaries of this scheme are the students of whose parents are flayers, tanners, scavengers, waste picking/collecting or engaged in similar other profession. The day scholars and hostellers of this category also get grants.
*এই প্রকল্পের সুবিধা সেই সমস্ত ছাত্র/ছাত্রী দের জন্য যাহাদের পিতা/মাতা উল্লেখিত পেশার সহিত যুক্ত flayers, tanners, scavengers, waste picking/collecting, অনুরূপ অন্যবিধ পেশায় নিয়োজিত।

*District
*Block/Municipality
Block Municipality
*Ward/G.P.
*Name of the School
*Title Sri   Smt.   Kumari
*First Name
Middle Name
Surname
*Father's/Guardian's Name
*Date Of Birth
*Caste
*Religion
Aadhaar No
*Address(Line 1)
Address(Line 2)
*Post Office
*Police Station
*Pin Code
*Present Occupation of Guardian
*Monthly Income of Guardian
*Relationship with Guardian
(এই প্রকল্পের সুবিধা সেই সমস্ত ছাত্র/ছাত্রী দের জন্য যাহাদের পিতা/মাতা উল্লেখিত পেশার সহিত যুক্ত flayers, tanners, scavengers, waste picking/collecting, অনুরূপ অন্যবিধ পেশায় নিয়োজিত।)
*Present Class of Study
*Section
*Roll No.
*Date Of Admission
*Last Class Passed
*Hosteler / Day Scholar  Hosteler     Day Scholar
*Name of the Hostel
*Address of the Hostel
*Date of Admission to Hostel
*Bank Name: *Branch Name:
*Bank A/c No.: Type of Account: Saving Current
IFSC Code: 9 Digit Micr Code:
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I hereby declare that the above information are true to the best of my knowledge and i shall be entirely responsible for these information. I understood that the grant amount will be forfeited if any of the information is found incorrect & I will bound to refund any granted amount paid in this time to the Government.