APPLICATION FOR GRANT OF SCHOLARSHIP OUT OF CENTRAL WELFARE FUND FOR THE ACADEMIC YEAR ____________ 1. NAME OF APPLICANT WITH RANK : 2. NAME OF WARD : 3. CLASS FOR WHICH SCHOLARSHIP APPLIED : 4. BRANCH : 5. WHETHER THE APPLICANT GOT : ADMISSION THROUGH CPMFs QUOTA 6. BOARD EXAMINATION PASSED (PLEASE : ATTACH A CERTIFIED COPY OF THE MARK SHEET) NAME OF THE EXAMINATION PASSED BOARD YEAR OF PASSING DIVISION & %AGE OF MARKS OBTAINED High School i.e. 10th Sr. Secondary School i.e. 12th SIGNATURE OF APPLICANT