APPENDIX –A

APPLICATION FORM FOR GRANT OF FINANCIAL ASSISTANCE FOR EDUCATION TO THE WARDS OF BSF SERVING/ DECEASED PERSONNEL FOR THE ACADEMIC SESSION :

APPLICATION WHERE THE CHILD IS A DAY SCHOLAR

Certified that Shri/Kumari ______S/O, D/O, Shri ______(Name in block letters) is a bonafide regular student of class ______(Class in words) during the year i.e., Academic session ______(Academic session to be indicated in words) of this school/ college ______which starts from ______to ______

2. Shri/ Kumari ______S/O, D/O Shri ______joined class ______(Name of class) (Exact date student join in class) during ______.

3. The following charges are being paid by the student.

a) Tuition fee Rs. ______per month from ______to ______

b) Any other charges Rs. ______per year/months from ______to ______

4. Is the student getting any scholarship/ stipend?

In case the student getting scholarship the same may indicated separately..

a)Scholarship as a help Rs. ______

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/ College.

Signature of the Head of School/ Institution.

With Office Seal.

Place :

Dated, the ____

Note: Certificate may be signed by the Head of the Institution/ Head Master/ Head Mistress/ Principal.

7. a)Certified that I am actual eligible for the re-imbursement of Tuition Fee of the following reasons: -

b) In case the incumbent is eligible to receive children education allowances, but is eligible to claim re-imbursement of tuition fee from the Govt fund in respect of the child for whom he has applied for scholarship then the following information must be furnished.

c) Amount of tuition fee reimbursable per month.

d) Date from ______to ______reimbursable

8. Certified my child is not paying tuition fee. Reasons for not paying the tuition fee may be also indicated i.e., whether because of being SC./ST of due of some other reason.

9Certified that my child is getting free education/ not getting free education ( In case child is getting free education, give reasons for getting free education. )

10. In case the child has been granted free ship, what he would have paid as tuition fee had not been free ship ( indicate the amount P.M).

11. Certified that I am claiming benefit for one child only.

12. Certified that I ______undertake to inform the Unit Education Committee in case my ward leaves the studied/Hostel in middle of the session.

13. Certified that the above information is correct to the best of my knowledge and belief

______

(Signature of the applicant)

______

(Name in block letter )

Rank ______No. ______

Unit/HQrs ______

COUNTERSIGNED

APPENDIX “B”

BORDER SECURITY FORCE EDUCATION FUND

S/No / Name in block letter & age of student / Father name in block letter & basic pay, name of the unit & place of posting in BSF / Name & place of institution in which the student is studying / Standard of class in which the child is receiving education. / Total fees required to be paid during the academic session / Total amount of scholarship to be from govt / pvt agency during the academic session. / Total amount of children education allowance/ subsidy to be received during academic session. / Percentage of marks obtained during 3 years / Indicate name unit from which transferred in present unit with date.
Tuition fees / Boarding (Mess Charge) / Lodgings (Rent charge) / Year / Name of board / University / Percentage of marks obtained / Classes / Whether failed or passed
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16

COUTERSIGNED

Signature of the applicant Signature of the Controlling officer

APPENDIX “C”

Certified that the child for whom I have applied for grant financial assistance for the academic session ______neither married, nor on earning hand and is below 24 years age.

2. Certified that my child for whom applied for financial assistance is not studying in BSF school.

3. Certified that none of my other children is boarding student or getting fee-ship at the BSF residential school Jalandhar/ Tekanpur or any other institutions run by BSF.

4. Certified that I am member of BSF welfare fund and I am regularly contribution subscription since ______.

5. Certified that I am not eligible for the children education allowance/ hostel subsidy for the child whom I have applied for financial assistance for Rs.______.

6. In case the incumbent is eligible for the children education allowance/ hostel subsidy in r/o of the child for whom he has applied for scholarship, the amount the children education allowance/ subsidy/ hostel subsidy to which he is eligible a the rate ______per month from the Government fund should be indicated.

(a) Children education allowance admissible.

(b) Subsidy.

(c) Hostel subsidy.

7.Certified that my child is not paying tuition fee. Reason for not paying the tuition fee may be also indicated in case child is paying tuition please indicate the amount and date from which paying.

8. Certified that my child is getting free education/ not getting free education (in case getting free education give reason for getting education).

9. In case child has been granted free-ship but he would have paid as tuition fee had been granted free-ship (indicate amount P.M).

10. In case the incumbent is not eligible to draw the children education allowance but eligible to claim re-imbursement of tuition fee from the Government fund in r/o the children for whom he had applied for the scholarship then the following information may be furnished.

(a) Amount of tuition fee reimbursable per month.

(b) Date from and to ______.

11. Certified that I am claiming benefits for the child only.

12. I ______undertake to inform to unit education committee in case of ward leaves study/ hostel in the middle of the session.

13. Certified that above information is correct to the best of my knowledge and belief.

Signature of the applicant.

No.

Rank:

Name

Unit/HQ

APPENDIX “D”

SERVING / DECEASED BSF PERSONNEL ( ALL RANKS)

S/No / Name of the applicant in block letter / Unit which posted or name of Unit to which deceased was posted / Basic pay / Unit name / Name of child / Relation of child with applicant / Child in which studying current session / Name of institution in which studying / Whether day scholar or boarded / Tuition fee charges per month / In case of boarding please indicate the following / Remarks
Boarding charges (messing) being paid per month / Lodging (Room rent) charges being paid per month / Total including tuition fees / Name of the hostel and name of the authority who is running hostel ( whether recognized by the school/ college )
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16

Certified that above information are correct.

Signature of the applicant Signature of the Controlling officer

(Name in block letter)