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    2122128, 807 PM pout blank [APPLICATION ID. [ws202122000022652 [RENEWAL DATE ra0w/2022 [APPLIED FOR SCHEME, [POST MATRIC SCHOLARSHIP SCHEME: 'S MINORITIES Gi SCHOLARSHIP [POST MATRICITOP IsTATE OF DOMICILE Rrecony. erase ach Y DATE OF BIRTH nzi2008 NAME OF STUDENT Noprstntyyvyy 17/12/2003, [GENDER MALE [RELIGION Must [COMMUNITYICATEGORY [OBC [FATHERS NAME IMD NISAR AHMED : EE a ANNUAL FAMILY MOTHERS NAME |SAYEEDA KHATOON come l4s000 IAADHAR NUMBER JKXXNXXRNSSOT MOBILENUMBER [1980750683 5 “a n Day 5 lEMAnL.ID CAMDENTESHAM@GMAIL.COM PNG enosrener [PAY SCHOLAR SHYAMAPRASAD COLLEGE (C-11872) 92, S.P. MUKHERJEE ROAD, KOLKATA-26KOLKATA, IPRESENT INSTITUTE Weer OrNCar. coursp BACHELOR OF COMMERCE, : 7 JPRESENT CLASSICOURSE TAC GUTS AND FINANCE ] crass starr pare — [01/03/2021 IROLLNO. f2ri016-21-0006 [SECTION [PRESENT YEAR b MODE OF STUDY IREGULARFULL TIME |PREVIOUS BOARD/UNIVERSITY NAME, [PREVIOUS CLAS NAME, }COURSE BACHELOR OF COMMERCE, ACCOUNTS AND FINANCE J 1 [PREVIOUS CLa® 7) loa OTH CLASS ROLL NO, [sa055a5 OTH CLASS PASSING YEAR)2019 horn ci NAME BOARD COUNCIL FOR THE INDIAN |SCHOOL CERTIFICATE EXAMINATIONS 2TH CLASS PASSING SIGNATURE OF CANDIDATE, H2THCLASSROLLNO. {6895535 WeAR 1202 [COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE h21H CLASS BOARD NAME EXAMINATIONS ISORPHAN No is DISABLED NO PE OF PERCENTAGE OF Iryreorpisasiity — | PERCENTAC . MARITAL STATUS, [ON MARRIED, > CODE 5 53 BANK ACCOUNT ¥ 08 lyse CODE [sprvoo11s34 ReMBER lsaszesa606: [STATE [WEST BENGAL, pisTRICT KOLKATA BLOCK KOLKATA ADDRESS 9/S, BROAD STREET PIN CODE froo0ry SIGNATURE OF HEAD OF SCHOOL/NSTITUTE/COLLEGE WITH STAMP. [FROM ACADEMIC YEAR 2020-21, FEES OF THE STUDENTS WILL BE ENTERED DIRECTLY BY THE INSTITUTE, about blank

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