CWS FORM.docx

**[AWARD OF SCHOLARSHIP FROM NCC CADETS WELFARE SOCIETY]** **[APPLICATION FORM]** **[PART-I]** (To be attested by Associate NCC Officer) 1\. Name in full : 2\. (a) Exact date of Birth : 3\. Particulars of father (Guardian if father is not alive) a. Name in full : b. Home Address : c. P...

**[AWARD OF SCHOLARSHIP FROM NCC CADETS WELFARE SOCIETY]** **[APPLICATION FORM]** **[PART-I]** (To be attested by Associate NCC Officer) 1\. Name in full : 2\. (a) Exact date of Birth : 3\. Particulars of father (Guardian if father is not alive) a. Name in full : b. Home Address : c. Profession, stating designation : 4\. Whether father/guardian is a citizen : of India 5\. Whether belongs to Scheduled Cast/ : Scheduled Tribes/OBC (Attach Cert In the format) 6\. Total annual income of both parents : (Income certificate in the format to be Attached) 7\. Particulars of School/College Institution : Last attended a. Name of Institution : b. Date of entry : c. Date of leaving : d. Last Examination Passed : e. Roll No. total marks, obtained : -2- 8\. Particulars of NCC scholarships being : received with amount and date receipt 9\. Particulars of NCC Cadetship : a. Enrolment No. : b. Rank/Div/Wing : c. Name of Institution : d. Name of the NCC Unit : e. Period of Cadetship : i. in SW : ii. in JW f. Date of joining the NCC : g. Date of leaving the NCC : 10\. Details of NCC Camp/courses attended : 11\. Did you receive any scholarship from : NCC in the past is the past if so give Details 12\. Certified that the statement made by my in this form is correct. [List of Documents closed along with the Application form (Please strike out that which is not applicable)] a. A Certificate true copy of Marks Sheet for the qualifying examination. b. Attested copies of NCC certificate if any. c. Certificate from the Associate NCC Officer regarding studentship in recent class and continuance in NCC. d. Income Declaration. e. Attested photocopy of the scheduled Caste/Scheduled Tribes/OBC certificate issued by the State Govt authority. Station: Date : **(Signature of the applicant)** **[Part-II]** **[Separate Sheet to be used]** **[(To be signed by the Associate NCC Officer)]** 1\. It is certified that the particulars furnished by cadet **[OGILA POYAM]** Have been verified and found correct. 2\. It is certified that the applicant has underage tracking in NCC for 2 years and details of year wise training attendance are as under:- +-----------------+-----------------+-----------------+-----------------+ | **Academic | **Total | **Periods | **Percentage | | Year** | Training | attended** | of** | | | Period** | | | | | | | **attendance** | +=================+=================+=================+=================+ | 2023-24 | | | | +-----------------+-----------------+-----------------+-----------------+ Station: **(Signature of Associate Officer)** Date : **[Part-III]** **[(To be completed by the OC Unit) ]** 1\. The particulars of Cadet **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** regarding NCC activities listed is Part-I and Part-II have been verified and from correct. 2\. Attested photocopies of Cadet's Enrolment and Nomination forms are enclosed. Station: Parchanpal **(Signature of OC Unit with seal)** Date : **[Part-IV]** **[(Separate Sheet to be used)]** **[(Recommendation of the NCC Group Commander)]** 1\. It is certified that Cadet **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** has duly contributed membership fee of Cadets Welfare Society which was remitted to the Society on.................................... Station: Raipur **(Signature of NCC Group Commander)** Date : 1\. The conditions laid down for award of scholarship have been fulfilled and grant of scholarship to Cadet**[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]**is recommended. Station: **(Signature of the Deputy DG NCC)** Date : **[Note:]**- \(i) Incomplete applications not to be forwarded to the Society. \(ii) Only one copy of each document is required. **[Certificate]** **[(To be signed by the ANO of the School/College presently being attended by the applicant])** 1\. Shri Kumari **[\_\_\_\_\_\_\_\_\_\_\_\_\_]** S/O Shri **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** is a bonafide student of class **[\_\_\_\_\_]**of this school/College since **[\_\_\_\_\_\_\_\_\_\_]** 2\. The School/College provides NCC coverage and the above named student is a cadet of the NCC in this institution since **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** 3\. He/She maintains exemplary discipline. 4\. A photocopy of enrollment form enclosed. Station: (ANO of the Institution Officer seal Date : **[ST/SC/OBC/CERTIFICATE]** 1\. This is to certify that Shri/Kumari **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** Son/Daughter of Shri [ **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**] of village/town **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** in District/Division **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** of the State Union Territory **[\_\_\_\_\_\_\_\_]** belongs to the Cast/Tribe/OBC which is recognized as a Scheduled Caste/Scheduled Tribe/Other Backward Class Under the constitution. 2\. Shri/Kumari **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** and/or his/her family ordinarily Residents in Village/town of District/Division of the State/Union Territory of C.G. Place: Signature Designation Date: (with seal of office) **[Note:]**- 1\. The term ordinarily resides used here will have the meaning as in section 20 of the Representation of the People Act 1950. 2\. The certificate will be signed by any of the following officials: 1. Shri/Smt **[\_\_\_\_\_\_\_\_\_\_\_\_\_]** Son/daughter of **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** at present resident at **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** declare/say as follows. 2. That my son/daughter/dependant Shri/Kumari **[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]** is studying [\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_](There give the name of institute). 3. That my annual income in the preceding year ending 31 March............was Rs.**[\_\_\_\_\_\_\_\_\_\_]** as per details furnished in the schedule here-under written. I also declare that particulars of property held by me are as shown in the Schedule and that I have correctly indicate the amount on various counts. I. Extant of land held and income per annum. II. Property held and income per annum (Houses, shops, building, house sites etc.) III. Annual Income from shops. IV. Salaries drawn by father and mother per annum (Other benefits like house rent allowance, free house and periquistes). V. Other sources of income. VI. Annual income of the applicant from any source.