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INDEX : CCL COVID CRISIS SCHOLARSHIP SCHEME
Page No
...
SCHEME FOR CCL COVID CRISIS SCHOLARSHIP SCHEME……………………………………
...
APPLICATION FORM FOR CCL COVID CRISIS SCHOLARSHIP (ENGLISH)………………
...
APPLICATION FORM FOR CCL COVID CRISIS SCHOLARSHIP (HINDI)…………………… 7 - 10
4
...
11 - 12
CCL Scheme for Covid crisis Scholarship
CCL Covid crisis scholarship scheme for students is an exclusive scholarship opportunity for students
who have lost either of their parent or primary earning member of the family due to Covid-19 and are
studying in Class I to Undergraduate courses
...
The aim of this scholarship is to provide financial support to the students belonging to the marginalized
sections of the society whose education has been hampered due to Covid
...
20000/- to Rs
...
Eligibility Criteria
A
...
Students must be school or college going students from 1st standard upto Diploma (3 years) or
Graduation from a Government recognized school/institute
C
...
8
...
of
period
annum (₹) Applicants
Total
amount
under
each
category
(₹)
20000
25000
30000
50
25
25
2
2
2
2000000
1250000
1500000
40000
50000
20
30
150
2
2
1600000
3000000
9350000
Terms and Conditions:
i
...
The Scholarship shall be awarded to the applicants for two consecutive years and the amount
shall be released once in a year
...
In addition the students studying in the final year of Graduation /
Diploma courses shall also be allowed for this scholarship for 2nd year if he continues studying
in higher class or any other professional course, and the amount shall be same as the 1st year
...
1
iii
...
v
...
vii
...
ix
...
xi
...
g
...
) issued by Central/State Government Authority
stating the residence of the deceased as the districts linked to CCL command areas should be
submitted by the applicants for the address of reference
...
Valid EWS Certificate issued by the Competent Authority to be submitted along with application
...
Admission
receipt for the year and/or Certificate from the head of the Institute certifying that the applicant
is enrolled in the said school/college should be submitted for each consecutive year
...
A declaration to be submitted by the applicant / guardian in case of minor stating scholarship
received under any other Govt
...
scheme duly attested by a Gazetted officer
Wards of CCL employees / any Govt
...
Amount shall be transferred to the bank account of students, with operational mode as below:
operated singly by the student in case of above 18 years
operated jointly by the student and either parent/guardian in case of minor students
In absence of (a) & (b) above, the cost will be transferred to the concerned educational
institute account
...
Application procedure:
i
...
Applications shall be received through offline or online mode
...
Online
applications shall be received through mail in a designated email id created for the purpose
managed at HQ level
...
Selection Procedure:
Candidates fulfilling the eligibility criteria shall be shortlisted on first come first serve basis however if
applications beyond 150 candidates, decision shall be taken by the Scrutiny Committee constituted at
CCL, HQ Level
...
Occupation …………………………………
...
Type of Identity Proof enclosed : ………………………………
...
Residential address :……………………………………………………………………………………………………………………………
...
Type of Address proof enclosed : …………………………………Address Proof No
...
/ Alternate No 1
...
Email id………………………………………………………………………………………………………
...
Class (1-10)/ Year (I/II/III) : ………………………
...
:……………………………………………………………
Academic Session……………………………………………………………………………
...
Address of deceased : …………………………………………………………………………………………………………………………
Relation with the applicant (Please Tick ✔) : Father / Mother / Others
Date of death : ………………………………………
Copy of document certifying death from Covid enclosed (Please Tick ✔)
3
: Yes / No
Type of document enclosed : ……………………………………………… Issued by : ………………………
...
DECLARATION BY REFERENCES
I hereby declare that the deceased person was the primary earning member of the family and the
applicant was dependent on the deceased person
...
Name : ………………………………………………………………………
...
: …………………………………………………………………………………………………………
Copy of Address & Id Proof : …………………………………………………………………………………………………
...
2
...
Address & Contact No
...
Signature……………………………………………………………………
...
Income Certificate enclosed (Please Tick ✔)
: Yes / No
Bank Account Details
Name of A/c Holder : …………………………………………………………………… A/c No
...
IFSC Code : ………………………………………………………
...
( If available) –………………………………………………………………
...
Stamp of the institute
Signature of Principal / Head of Institution
4
Declaration by the Applicant / Guardian (In case of Minor)
I hereby state that :i
...
I am / my candidate is receiving a scholarship amount of Rs……………………………………………
...
for education purpose
...
All details provided in this application form are true to the best of my knowledge and if
found false at any stage, the scholarship amount provided under the scheme shall be
refunded to CCL and my / my candidates eligibility to receive scholarship under the scheme
may be cancelled
...
Date of receipt of application: ………………………………………
...
Checklist of Documents (Please Tick ✔)
Identity Proof
E- mandate Form
Address proof
Copy of School / College Id Card
Copy of document certifying death due
to Covid
Copy of previous year Mark Sheet
Income Certificate
Copy of Admission receipt
Copy of Bank Passbook
Copy of ID & Address proof of references
5
Instructions for filling of Application Form – CCL Covid Crisis Scholarship Scheme
The application form can be downloaded from CCL website
...
covid
...
scholarship@ gmail
...
Photocopy of all documents as per checklist to be enclosed with the application form for
both mode of application ( online / offline)
On being shortlisted under the scheme, the candidate shall be required to produce the
documents in original for verification prior to finalization of candidature
...
व्यवसाय ……………………………………
जन्म�त�थ (DD/MM/YYYY): …………………………
...
पहचान प्रमाण पत्र सo
...
�नवास प्रमाण पत्र का प्रकार: …………………………………�नवास प्रमाण पत्र सo
...
………………………………… 2……………………………………
...
वगर् (कृपया ✔ �टक कर� ) : अनुसू�चत जनजा�त / अनुसू�चत जा�त / अन्य �पछड़ा वगर् / अन्य
शै��क �ववरण
�वद्यालय/ महा�वद्यालय का नाम: ………………………………………………………………………………………………………
�वद्यालय/ महा�वद्यालय का पता : ……………………………………………………………………………………………………
क�ा (1-10)/ वषर् (I/II/III) : ………………………
...
:……………………………………………………………
शै��णक सत्र ……………………………………………………………………………
...
प्राथ�मक कमाई करने वाले सदस्य (माता-�पता के अलावा) क� मत्ृ यु के मामले म� आवेदक के आवासीय
स्थान से दो संदभर् प्रस्तुत �कए जाएँ।
संदभ� द्वारा घोषणा
म� एतद्द्वारा घोषणा करता हूं �क मत
ृ क व्यिक्त प�रवार का प्राथ�मक कमाने वाला सदस्य था और
आवेदक मत
ृ क व्यिक्त पर �नभर्र था / थी ।
1
...
पता और आईडी प्रमाण क� प्र�त: ………………………………………………………………………………………
हस्ता�र……………………………………………………………………
...
नाम: ………………………………………………………………………
पता और संपकर् नंबर: ………………………………………………………………………………………………………
...
आय �ववरण
वा�षर्क पा�रवा�रक आय (आय प्रमाण पत्र के अनुसार): ……………………………………………………………
...
शाखा कोड: …………………………………………………………… IFSC कोड: ……………………………………………………
...
पासबुक क� फोटोकॉपी संलग्न (कृपया ✔ �टक कर� )
ई-म�डट
े फॉमर् संलग्न
: हाँ / नह�ं
(कृपया ✔ �टक कर� )
: हाँ / नह�ं
प्राचायर् / संस्थान के प्रमख
ु से प्रमाण पत्र
एतद्द्वारा प्रमा�णत �कया जाता है �क श्री/सश्र
ू ी ………………………………… �पता …………………………………
स्कूल/कॉलेज
...
सीसीएल को�वड आपदा छात्रव�ृ � योजना के तहत प्रदान क� जाने वाल� छात्रव�ृ � रा�श का
उपयोग शै��णक खच� के �लए �कया जाएगा िजसम� �श�ण शल्
ु क, पस्
ु तकालय शल्
ु क, स्टे शनर�,
छात्रावास, बो�ड�ग खचर् और �श�ा जार� रखने के �लए आवश्यक अन्य प्रासं�गक खचर् शा�मल
ह�गे।
ii
...
……………………
...
इस आवेदन पत्र म� �दए गए सभी �ववरण मेर� जानकार� के अनस
ु ार सह� ह� और य�द �कसी भी
स्तर पर गलत पाया जाता है , तो योजना के तहत प्रदान क� गई छात्रव�ृ � रा�श सीसीएल को
वापस कर द� जाएगी और योजना के तहत छात्रव�ृ � प्राप्त करने के �लए मेर� / मेरे उम्मीदवार
क� पात्रता रद्द क� जा सकती है ।
स्थान :
आवेदक/अ�भभावक के हस्ता�र (अवयस्क के मामले म� )
तार�ख :
__________________________________________________________________________________
कायार्लय उपयोगाथर्
सीसीएल इकाई का नाम िजसम� आवेदन प्राप्त हुआ है : ……………………………………………………………
आवेदन प्राप्त होने क� �त�थ: ……………………………………
...
covid
...
scholarship@gmail
...
Darbhanga House
Ranchi 834 029
Dear Sir
AUTHORISATION OF ALL OUR PAYMENTS THROUGH ELECTRONIC FUND
REF
TRANSFER SYSTEM/RTasICBsINTRA BANK TRANSFER
...
hereby authorize Central Coalfields Limited to make al our payments against our bills,
Refund of Eamest Money Deposit end security deposit, through Electronic Fund Transfer
SystemRTGs/CBS//ntra Benk Transfer
...
TO BE FILLED IN CAPITAL LETTERS)
1
NAME OF THE BENEFICIARY
2
ADDRESS (wITH PIN CODE)
TELEPHONE NO
...
(WITH STD
CODE)
(C) BRANCH NAME
(D) BANK BRANCH CODE
E)BRANCH ADDRESS(WITH PIN
CODE)
F) BANK FAX NO
...
If the transaction
IWe hereby declare that the particulars gihven
of incomplete or incorrect information, Ile
reasons
is delayed or credit is not effected at all for
fo
f
also agree to bear the bank charges, any
would not hold the Company responsible
...
:
Name:
Official Stamp
Date
Scanned by CamScanner
12