APPLICATION FORM: FORM No. (I) Deptt. Of Education(S) EXAMINATION FORM NATIONAL SCHOLARSHIP AT SECONDARY STAGE FOR TALENTED CHILDREN FROM RURAL AREAS: DISTRICT CODE BLOCK/TEHSHIL Two passport size Photographs Roll No.......... 1. Name.................... (In Block Letters) 2. Date of birth............ Sex....... 3. Permanent Address .......................... 4. Father's name......................... 5. Name of school........................... 6. Class......... Section....... . Roll Number..... 7. Type of School Management(Govt./Aided/Recognised)........... 8. Name of guardian.......................... 9. Occupation of Father/Guardian............... 10. Category in which the student belongs to : (Please write down the Alphabet in BOX) (A) General Category. (B) Children of Landless Labourer (C) Scheduled Caste (D) Scheduled Tribe Name of the District........... Block/Tehshil......... Medium of examination:-Manipuri/English I declare that the entries in this form are correct to the best of my knowledge and belief. ............ Signature of the student Countersigned by the Head of the Institution with Office seal ADMIT CARD Deptt. Of Education (S) (National Scholarship at Secondary Stage For Talented Children from Rural Areas) Roll No........ Name of Centre.......... Photograph Name of student ..................... School (where studied).................. Date of Examination.............. Signature of student Officer-in-charge INSTRUCTION 1. The scholarship is eligible only for students who had passed Class VII and reading in Class VIII in schools located in Community Development Block/Tribal Development Block. Students reading in schools under the management of Central/State Govt. or Aided/ Private recognised schools will be eligible for the scholarship. However, those students enjoying any scholarship from the State/Central Govt. are not eligible. 2.Only those students selected at School Level are allowed to submit the Examination form. Children of landless labourers/Scheduled Caste/Scheduled Tribe should submit relevant certificates from SDO/SDC concerned along with the Examination form. PROGRAMME Date Subject Time 1) Mental Ability Test 10.00 hrs----11.30 hrs 2) Scholastic Aptitude Test 12.00 hrs----13.30 hrs. INSTRUCTION 1.Candidates are not allowed to enter the Examination hall after 20 minutes of the commencement of the examination. 2.The Admit Card should be produced as and when he is asked to do so during the Examination.
