OFFICE OF THE WELFARE OFFICER (N/E/S/W) WELFARE DIVISION SOCIAL JUSTICE EMPOWERMENT AND WELFARE DEPARTMENT GOVERNMENT OF SIKKIM (APPLICATION FORM FOR PRE/POST- MATRIC SCHOLARSHIP FOR SC/ST/MBC) 1. Name of the application (in block letters):- 2. Father's Name: - 3. Occupation of father/guardian: - (Designation if in Govt. service):- 4. Name of the school with address :- ..... 5. Total annual income of parents:- 6. Permanent address:- ..... Tel. No 7. Present address ..... Tel. No 8. Class for which scholarship applied (year ):- 9. If handicapped, please give details:- . ..... Signature of Parent/Guardian Full Name Date Certified that the Information given above are verified and found to be correct. Signature &Seal of H.M/Principal Date . Telephone No Required documents; Attested copy of: i) Sikkim Subject/Domicile Certificate. ii) ST/SC/OBC Certificate. iii) Income certificate of parents, if in Govt. service salary certificate from the Head of the Office/Department may be produced/BPL card. iv) Copy of mark-sheet of the last examination passed by the student. Note: 1. Grant of scholarship is subject to eligibility and terms and condition as laid down in the guidelines. 2. The last date of submission of the application is 3. Incomplete application form and those submitted after the last date shall not be entertained.
