CWS Scholarships Form

AWARD OF SCHOLARSHIP FROM NCC CADETS WELFARE SOCIETY
APPLICATION FORM
PART I
Passport size
photograph in
uniform
(to be attested by ANO)
1. Name in full :
2. (a) Date of birth :
(b) Place,Dist & State of birth :
3. Particulars of father:-
(Guardian if father not alive)
(a) Name in full :
(b) Home address :
(c) Profession, stating designation :

(if any) and address
4. Whether father guardian is a citizen of :

India
5. Whether belongs to scheduled caste :

Scheduled Tribes/OBC(Attach certificate)
(In the format at Annexure-4)
6. Total Annual Income of both parents :

(Income certificate in the format at
Annexure-5 to be attached)
7. Particulars of School/College/Institutions
last attended:-
(a) Name of Institution :
(b) Date of entry :
(c) Date of leaving :
(d) Last examination passed :
with the name of Board/University :
(e) Roll No. total marks, marks obtained,
Class/division and percentage of marks
In the aggregate
8. Details of any other scholarship being received:
with amount and date of receipt
9. Particulars of NCC cadetship:-

(a) Enrolment No. :
(b) Rank/Division/Wing :
(c) Name of the institution :
(d) Name of the NCC Unit :
(e) Period of cadetship:-
(i) In Junior Div/Wing :
(ii) In Senior Div/Wing :
10. Details of NCC Camps/Course attended :
11. Did you receive any scholarship from :

NCC in the past if so give details
12. Certified that the statement made by me in this form is correct.
List of Documents enclosed 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/Tribe/OBC
certificate issued by the State Govt authority.
Date: (Signature of applicant)
Station:
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 ____________________

________________ have been verified and found correct.
2. It is certified that the applicant has undergone training in NCC for 2 years and
details of year wise training attendance are as under:-
Academic year Total Training Periods attended Percentage of

Period attendance
Station: (Signature of Associate NCC Officer)
Date:
PART-III
(To be completed by the CO Unit)
1. The particulars of Cadet__________________________regarding NCC

activities listed in Part I and II have been verified and found correct.
2. Attested photocopies of Cadet’s Enrolment and Nomination Forms are

enclosed.
Station: (signature of CO unit with seal)
Date:
PART-IV
(separate sheet to be used)

(Recommendations 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.
2. The conditions laid down for award of scholarship have been fulfilled and grant
of scholarship to cadet ___________________________ is recommended.
Station: (Signature of the NCC Group Commander)
Date:
PART-V
(Recommendation of the DDG)
1. The conditions laid down for award of scholarship have been fulfilled and grant
of scholarship to Cadet________________________ recommended.
Station: (signature of the Deputy DG NCC)
Date:
Note:
(i) Incomplete applications not be forwarded to the society.

(ii) Only one copy of each document is required.
CERTIFICATE
(To be signed by the ANO of the School presently being attended by the applicant)
1. Kumari __________________________D/O______________________ is a
bonafide student of Class_____________________ of the School/College
since___________________
2. The School/ College provide 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 Enrolment form enclosed.
Date: (ANO of the institution with seal indicating

The name of School/College)
INCOME DECLARATION
Declaration of income of parent/Guardian as on 31st March of the Year for

consideration grant of scholarship.
1. Shri/Smt______________________Son/daughter of __________________ at
present residing at _________________________________declare/say as follows.
2. That my son/daughter Shri/ Kumari__________________________________

is studying___________________________________________(here give the name
of institute.)
3. That my Annual income in the preceding year ending the 31st March 2017 was
Rs._____ ________ as per details furnished in the schedules here-under written. I
also declare that particulars of property held by me are as shown in the schedule and
that I have correctly indicated the amount on various counts.
SCHEDULE
I. Extent of land held and Income per annum.
II. Property held and income per annum (Houses,shop,buildling house sites etc.,)
III. Annual Income from shops.
IV. Salaries drawn by father and mother per annum. (Other benefit like house rent
allowance, Free house and perquisites).
V. Other sources of income.
VI. Annual income of the applicant from any source.
Date: Signature of Parent/ Guardian of the applicant

SC/ST/OBC CERTIFICATE
1. This is to certify that Shri/Kumari___________________Son/Daughter

of____________ village/town_____________in District/Division______________ of
the state/union Territory__________ belongs to the Caste/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 ordinary reside(s) in

village/town
of____________ District/Division of the State/Union Territory of ________________.
Place: Signature, Designation with seal of Office
Notes:-
1. The term “Ordinary residence” used where 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:-
(a) District Magistrate/Additional District Magistrate/Collector/Deputy

Commissioner/ Additional Deputy Commissioner/Deputy Collector/1st Class
Stipendiary Magistrate/City Magistrate/Sub Divisional Magistrate/Taluka
Magistrate/ Executive Magistrate/Extra Assistant Commissioner.
(b) Chief Presidency Magistrate/Additional Chief Presidency

Magistrate/Presidency Magistrate.
(c) Revenue Officer not below the rank of Tehasildar.
(d) Sub-Divisional Officer of the are where the candidate and/or his family
normally reside.
(e) Administrator/Secretary to Administrator / Development Officer

(Lakshadweep Islands)

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AWARD OF SCHOLARSHIP FROM NCC CADETS WELFARE SOCIETY

(to be attested by ANO)

2. (a) Date of birth :

(b) Place,Dist & State of birth :

(b) Home address :

(c) Profession, stating designation :

4. Whether father guardian is a citizen of :

5. Whether belongs to scheduled caste :

6. Total Annual Income of both parents :

9. Particulars of NCC cadetship:-

10. Details of NCC Camps/Course attended :

11. Did you receive any scholarship from :

12. Certified that the statement made by me in this form is correct.

List of Documents enclosed along with the Application Form

Date: (Signature of applicant)

(Separate sheet to be used)

1. It is certified that the particulars furnished by cadet ____________________

Academic year Total Training Periods attended Percentage of

Station: (Signature of Associate NCC Officer)

1. The particulars of Cadet__________________________regarding NCC

2. Attested photocopies of Cadet’s Enrolment and Nomination Forms are

Station: (signature of CO unit with seal)

(separate sheet to be used)

1. It is certified that Cadet_________________ __________________ has duly

Station: (Signature of the NCC Group Commander)

(Recommendation of the DDG)

Station: (signature of the Deputy DG NCC)

(i) Incomplete applications not be forwarded to the society.

3. He/ She maintains exemplary discipline.

4. A photocopy of Enrolment form enclosed.

Date: (ANO of the institution with seal indicating

Declaration of income of parent/Guardian as on 31st March of the Year for

2. That my son/daughter Shri/ Kumari__________________________________

I. Extent of land held and Income per annum.

III. Annual Income from shops.

V. Other sources of income.

VI. Annual income of the applicant from any source.

Date: Signature of Parent/ Guardian of the applicant

1. This is to certify that Shri/Kumari___________________Son/Daughter

2. Shri/Kumari_______________ and/or his/her family ordinary reside(s) in

Place: Signature, Designation with seal of Office

2. The certificate will be signed by any of the following officials:-

(a) District Magistrate/Additional District Magistrate/Collector/Deputy

(b) Chief Presidency Magistrate/Additional Chief Presidency

(c) Revenue Officer not below the rank of Tehasildar.

(e) Administrator/Secretary to Administrator / Development Officer

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1. It is certified that Cadet_ __ has duly