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

FOR ACADEMIC SESSION_200 - 200

APPLICTION WHERE THE CHILD IS A DAY SCHOLAR

_

Certified that Shir/Kumari______

( Name of student)

S/O, D/O Shri ______is a bonafide regular

Regular student of class ______of this School/College

(Class to be indicated in figure)

______

(Name of institution with complete postal address)

during the year ,i.e. Academic Session 2004-2005 ( Two thousand three to Two thousand

four) which starts from ______and finished on ______

( date ) (date )

2. Shri/Kumari ______S/O,D/O Shri ______

______joined the class ______

(Name of class

on ______(date on which student joined the class).

3. The following charges are being paid by the child :-

(a) Tuition fee Rs. ______( per month)

(Rupees ______from ______to ______

(Date) (Date)

(b) Any other charges Rs. ______

(Amount in words & figures)

from ______to ______

(date) (date)

4. Is the School /Institution recognized ______

Date______

Place______Signature of the Head of

Institution with office

Seal

Note:

Certificate must be signed only by the head of the Institution i,e., Head Master/Head Mistress/Principal

Score out which is not applicable

APPENDIX C

Certified that the child for which I have applied for grant of financial assistance for the academic session 2003-2004 is neither married nor an earning hand and is below 24 years of age.

2. Certified that I have ______children and that though the application I have claimed for the grant of financial assistance for the education of my ward name

______who is first/second/third/fourth in order of age.

3. Certified that non of my other children is boarder student of getting free ship as day scholar at the BSF Residential School Jalandhar/Tekanpur or any other institution run by the BSF.

4. Certified that my child for which I have applied for grant of financial assistance is not studying in the BSF residential school as a boarder day scholar.

5. Certified that I am a member of the BSF We3lfare fund and am regularly contributing subscription since ______

6. a) C certified that I am not eligible to draw the CEA/Subsidy/hostel subsidy for the child for whom I have applied for grant of financial Assistance for the session 2003-2004 for the following reasons :-

b) In case the applicant is eligible to get CEA/subsidy/hostel subsidy/Scholarship in r/o the child for whom he has applied for grant of financial assistance the amount of CEA/subsidy/Hostel subsidy to which he is entitled from Govt funds:

S/No. Description Rate per month admissible

i) Children education allowance

ii) Subsidy

iii) Hostel subsidy

iv) Scholarship (other than merit)

v) Scholarship from State/Central Govt.

7. In case the incumbent is not eligible to receive the CEA is eligible to claim re-imbursement of tuition fee from the CEA fund in r/o the child for whom he has applied for scholarship than the following information must be furnished:-

a) Amount of tuition fees re-impermeable.

b) Date from ______to ______

8. Certified that my child is not paying tuition fee, reasons not paying the tuition fee may also be indicated , i.e. whether because of being scheduled cast/Scheduled tribe or due to other reasons.

9. Certified 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 child has been granted free ship , that he would have paid as tuition fee and he not been granted free ship indicate the amount per month.

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

12. Certified that I ______undertake to into the unit education committee in case my ward leaves the study 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 applicant with

No. ______

Rank______

Name______

2. One set of application forms is enclosed herewith for your further necessary action.

APPENDIX B

NAME OF UNIT STC BSF TEKANPUR ACADEMIC SESSION 2005-2006

S/No / Name in block letter & age of student / Father name in block letters . Basic pay. Name of unit & place of posting in BSF / Name of place of institution in which the student is studying / Standard of class in which the student is studying / Total fees required to be paid during the academic session
Tuition fees / Boarding mess charges / Lodging (Room rent charges
(1) / (2) / (3) / (4) / (5) / (6) / (7) / (8)
Total amount of scholarship
To be received from Govt./Pvt agencies during the academic session / Total amount of CEA/Subsidy to be received during the academic session / Percentage of marks obtained during last three years / Remarks
Year / Name of board/university / Percentage of marks obtained / Class / Whether failed or passed
(9) / (10) / (11) / (12) / (13) / (14) / (15) / (16)

______

Signature of the applicant COUNTERSIGNED

(With name, No. Rank in block letters)

ADDL DIG/COMMANDANT

APPENDIX D

SERVING BSF PERSONNEL/DECEASED BSF PERSONNEL ( ALL RANKS)

Name of the applicant in block letters / Unit to which posted Name of Unit to which deceased was posted / Basic pay / Unit name / Name of children / Date of birth / Relation of child with applicant / Children in which regularly studying current session / Name of the Institution in which studying
(1) / (2) / (3) / (4) / (5) / (6) / (7) / (8) / (9)
Whether day scholar or board / Tuition Fee charges per month / IN CASE OF BORDER PLEASE INDICATE THE FOLLOWING INFORMATION
Boarding charges (Messing being paid per month) / Lodging (room rent)charges being paid per month / Total including tuition fee / Name of the hostel the authority who is running the said hostel ( Whether recognized by the school/College) / Remarks

______

Certified that the above information is correct.

Signature of the applicant Signature of the Head of Office/

(Name , Regt No. in block letters) ADDL DIG/COMDT

STC BSF TEKANPUR