APPLICATION FORM WHERE THE CHILD IS A DAY SCHOLAR FOR
ACADEMIC SESSION 2014-15
Certified that Shri / Kumari ________________ Son of/Daughter of Shri/Smt___________________ is a bonafide regular student of class _______________________ (Class to be indicated in figure as well as in words) of this school/college) __________________________________________ (name of Institution with complete postal address) during the year i.e. academic session _____________________(academic session is to be indicated in words and figures) and finished on ________________________.
2. Shri/Kumari _____________ Son of/Daughter of Shri/Smt _____________________Joined class ___________ on __________________during the ____________________(session).
3. The following charges are being paid by the child/student:- a) Tuition fee __________ per month from ______________ to ________________.
b) Any other charges _____________ per month from ___________ to ______________. 4. Is the the student is getting merit scholarship the same may please be indicated separately:- a) Scholarship as a help Rs. ____________________(mentioned the amount in figure/words) b) Scholarship on basis of merit Rs.______________(Rupees ____________________) 5. Certified that the school/institution is recognized by the state/Central Govt._________________. 6. Certified that the above information is correct and as per records of this school/institution.
Signature of the Head of the School/Institution with seal Date: __________
Appendix - B BORDER SECURITY FORCE EDUCATION FUND SERVING/ DECEASED BSF PERSONNEL (ALL RANKS).
S.No. Name in block letters and age of student. Fathers Name in block letters, basic Pay, Name of Unit & Place of Posting in BSF. Name and place of institution in which the student is studying Standard or class in which the child is studying Total fees required to be paid during academic session Total amount of scholarship to be received from Govt/ Pvt agencies during the academic session. Tuition Fee
Total amount of Children education allowances/ subsidy to be recd during academic Session. Percentage of marks obtained during 3 Years Year Name of Board University Percentage of marks obtained Classes Whether failed or passed Indicate name of unit from which transferred in present Unit/HQ with date 10 11 12 13 14 15 16
Signature of the Applicant (with name in Block letters) Signature of controlling Officer
Counter Signature Appendix C BORDER SECURITY FORCE EDUCATION FUND
1. Certified that the child for who I have applied for grant of financial assistance for the academic session ___________ is neither married nor an earning hand, and is below 24 years of age.
2. Certified that I have _______ children and that through this application I have claimed for the grant of financial assistance for the education of my second/third/fourth in order of age.
3. Certified that none of my other children is a boarder student or getting free ship as a day scholar at the BSF residential school, Jammu, Jalandhar, Tekanpur, Kadamtala or in any other institution run by the BSF.
4. Certified that my child for whom I have applied for grant of financial assistance, is not studying in the BSF Residential School as a border or day scholar.
5. Certified that I am a member of the BSF Welfare fund and am regularly contributing subscription since __________. 6. a) Certified that I am not eligible to draw the children education allowances/subsidy/hostel subsidy for the children for whom I have applied for grant of financial assistance for session _________for the following reasons:-
b) In case the applicant is eligible to get children education allowances/subsidy/hostel subsidy/scholarship in respect of the child for whom the has applied for the grant of financial assistance the amount of children education subsidy/hostel subsidy to which he is entitled from Government funds, should be indicated as shown below :-
S.NO DESCRIPTION RATE PER MONTH ADMISSIBLE 1. Children education allowances 2. Subsidy 3. Hostel subsidy 4. Scholarship (other than merit scholarship from state/Central Govt.)
7. In case the incumbent is not eligible to receive the children education allowance but is eligible to claim re- imbursement of tuition fee from the Government fund in respect of the child for whom he has applied for scholarship, then the following information must be furnished :- a) Amount of tuition fee reimbursable per month @ Rs. _________. b) Date from _________________to ____________________ reimbursable.
8. Certified that my child is not paying tuition fee. Reasons for not payment the tuition fee may be also indicated i.e. Whether be cause of being SC/ST or due to some other reasons.
9. Certified that my child is getting free education/not getting free education. If getting free education give reasons for free education.
10. In case the child has been granted free ship, what he would have paid as tuition fee had he not been granted free ship (Indicate the amount per month).
11. Certified that I am claiming benefit for only one child
12. Certified that I _____________________________________ under take to inform the unit education committee in case my ward leaves the studies/hostel in the middle of the session.
13. Certified that the above information is correct to the best of my knowledge and belief.
Signature of the Commandant with Office Stamp Appendix D
BORDER SECURITY FORCE EDUCATION FUND SERVING/DECEASED BSF PERSONNEL (ALL RANKS).
S.No. Name of the applicant in block letters Unit to which posted or unit to which deceased was last posted Basic pay Unit Name Name of child Relation of child with applicant Current session in which child is regularly studying Name of the institution in which studying 1 2 3 4 5 6 7 8 9
Whether Day Scholar or Boarder Tuition fee/ charges per month In case of boarder indicate the following information Remarks Boarding charges (Messing being paid per month ) Lodging (Room Rent/Charges being paid per month ) Total including tuition fee Name of the hostel and name of the auth who is running the said hostel (whether recognized by the School/College). 9 10 11 12 13 14 15
Certified that the above information is correct.
Signature of the Applicant (with name in Block letters) Signature or controlling Officer