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Award of Scholarship from NCC Cadets Welfare Society Application Form Part - 1 Passport size Photograph in NCC Uniform

(To be attested by Associate NCC Officer) 1. 2. 3. Name in full : (a) Exact date of birth (b)Place , Distt and State of birth Particulars of father (Guardian if father is not alive) (a) Name in full : (b) Home Address : (c) Profession, Stating designation (if an) and address : 4. 5. Whether father /guardian is a citizen of India Whether belongs to Scheduled Caste/Scheduled Tribes /OBC (Attach Certificate in the format) Total annual income of both parents (Income certificate in the format to be attached) : : :

: :

6. 7.

Particulars of School /College Institution 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. 9.

Particulars of NCC Scholarship being received with amount and date of receipt Particulars of NCC Cadetship (a) Enrolment No. (b) Rank/Div/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 (f) Date of joining the NCC (g) Date of leaving the NCC Details of NCC Camps /Courses attached Did you receive any scholarship from NCC in the past, if so give details

: : : : : : : : : : : : :

10. 11. 12.

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

List of Documents enclosed alongwith the Application Form (Please strike out that which is not applicable) (a) A certified true copy of Marks Sheet for the qualifying examination. (b) Attested copies of the NCC Certificates, 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.

Date : Station :

(Signature of the applicant)

BEST CADET COMPETITION Passport size Photograph in NCC Uniform

Unit : Wing : Army/Nary/Air Force Div : SD/JD/SW/JW 1. 2.. 3. 4. 5. 6. No. Rank & Name of Cadet : Institution Academic Qualification : : :

Father's/Guardian's Name & Profession Present Home Address Date of enrolment in : (a) Senior Division /Wing (b) Junior Division /Wing : : :

7. 8. 9. 10. 11. 12.

Percentage of Attendance on Normal Parade during the Current training session : No. of Camps attended : Yes/No & (Details) Yes/No & (Details) Yes/No-First/Second /Third

Attended RDC/RD Banner/TSC/VSC/ NSC : Participated in Mountaineering Expedition : Participated in NCC Games Medal/ Posn : (a) Name of Camp (b) Medal /Posn : : :

13.

Grading in Course/Camp (a) Course : (b) Grading :

14. 15. 16. 17.

Merit Certificate : Camp /Courses : Attended YEP : Blood donation (details) : Pen picture by OC unit (Not exceeding 10 lines) :

Notes :1. 2. For every cadet separate sheet will be used and forwarded in triplicate. Performance details should be previous trg year only.

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