Paste coloured
photograph
L
a
s
t
P
r
e
s
e
n
t
Year
Grade/Total marks
of last exam.
Age
Brother/Sister
Occupation / Class
Annual Income
11. Are you interested in social works? Yes No : Field of interest: ______________________________________________
______________________________________________________________________________.
I do hereby declare that the above mentioned particulars are correct and promise to abide by the terms and conditions, printed
overleaf, for the Stipend.
________________
Counter signed by
Parent/Guardian
________________
Signature of Student
Date ____________
For Official Use
He/She has been granted Taka ___________ for (a) Admission/Annual Fee (b) Tuition Fee (c) Test/Exam Fee (d) Text Books
& Stationery (e) Exam Entry Fee (f) Monthly (g) Yearly Stipend as per approval of the meeting of the Committee held on
________________.
_______________
Presiding Member
Contributors : (1) Maung Saw Nyunt, Ramu (2) Maung Rhee, Moheshkhali (3) Maung Rhee Frue, Moheshkhali
(4) May Du, Moheshkhali (5) Dr. Ma Yin Nu, Coxs Bazar (6) U Phoe Thein, Japan (7) Maung Fru Rhee, Canada
(8) Kyaw Zan Oo, USA. (9) Rakhita & Shekhinah, Australia (10) Aung Than Hla (Maung Tin), Maheshkhali. (ExMaung U Shang, Harbang, Pu Mya Khine, Bandarban, U Tun Kyaw Marma, Japan & Hla Sein, Patuakhali)
,
Note:
a) The stipend shall be for one year.
b) The student should apply for continuation of his/her stipend with fulfillment of
above mentioned terms and conditions.
c) Testimonial/Academic Transcript/Result Sheet of last examination/semester
must be attached with the application.
d) Original receipt of admission/readmission for the current year must be attached.
e) The application form must be filled in by the applicant.
f)
g) The filled-in application must reach the following address within 30 days from
the date of admission/readmission in the new academic session/year :
Maung Rhee
3/H Sheltech Mohana,
155 Monipur ipara,
Tejgaon, Dhaka-1215
Mobile: 01817636857, 01705184945
http://rsef und.blogspot.com
RECEIPT
I have received from Rakhine Students' Education Fund :
Amount
In words
Tk.
Taka
Tk.
Taka
Tk.
Taka