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Application For Scholarship Scheme Form No-34

The document is an application form for a scholarship scheme run by the Punjab Building and Other Construction Workers Welfare Board. The multi-page form requests information such as applicant details, service details, general information, banking details, documents required, and a feedback section. It collects personal information to determine eligibility and disburse scholarships to the children of registered construction workers in Punjab.

Uploaded by

Shubjot Singh
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
7K views4 pages

Application For Scholarship Scheme Form No-34

The document is an application form for a scholarship scheme run by the Punjab Building and Other Construction Workers Welfare Board. The multi-page form requests information such as applicant details, service details, general information, banking details, documents required, and a feedback section. It collects personal information to determine eligibility and disburse scholarships to the children of registered construction workers in Punjab.

Uploaded by

Shubjot Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Scholarship Application Details: Forms and instructions for applying to the scholarship, including personal and service details, and banking information.
  • Required Documents Checklist: Lists the mandatory documents needed to support the scholarship application, detailing each item clearly.
  • Declaration Statement: A declaration to be filled by the applicant confirming residency and information accuracy abiding by UIDAI guidelines.
  • Feedback Form: Feedback form allowing applicants to specify any discrepancies or suggestions regarding the form or process.

PUNJAB BUILDING AND OTHER CONSTRUCTION WORKERS WELFARE BOARD

Application for Scholarship Scheme


Official Use Only ਕੇਵਲ ਦਫਤਰੀ ਵਰਤ ਲਈ nko Nh n?; ;oft; e'v /RTS Service Code:

Application Number / ਅਰਜੀ ਨੰਬਰ : Date of Application / ਅਰਜੀ ਦੀ ਿਮਤੀ


Name of Block & Tehsil /ਬਲਾਕ /ਤਿਹਸੀਲ ਦਾ ਨ

Fields marked with asterisk (*) are mandatory/ ਿਜਹੜੇ ਫੀਲਡ ਤੇ ਤਾਰਾ fuzB (*) ਲਿਗਆ ਹੈ, T[j ਭਰਨ ਜਰੂਰੀ ਹਨ

Part – 1 Service Details / ਸੇਵਾ ਦਾ ਵੇਰਵਾ

Application Details / noIh ਦਾ ਵੇਰਵਾ

□ Sewa Kendra / ਸੇਵਾ ਕਦਰ


1. Mode of Delivery of Service/ ਸੇਵਾ ਦੀ ਅਦਾਇਗੀ ਦਾ ਤਰੀਕਾ *
□ By Post/ ਡਾਕ ਦੁਆਰਾ

2. Application processing Office / ਅਰਜੀ ਕਾਰਵਾਈ ਦਫ਼ਤਰ

Service Details / ਸੇਵਾ ਦਾ ਵੇਰਵਾ

3. Registration Number

4. Name of the Beneficiary


5. Father’s/Husband’s name
6. Date of Registration

7. Address

General Information
8. Type of work

9. Contribution paid up to *
10. Student Name *
11. Admission Date *
12. Mobile No
13. Name of the Institute
14. Address of the Institute
15. Previous class/semester passed
16. Class for which the Scholarship is applied
17. Session

Banking Detail
18. Bank Name
19. Branch Name
20. Account No.

21. IFSC No.

Last Rev: October 2017 Page 1 of 4


Provide details in case of living in hostel

22. Period of stay from *


23. Period of stay To *
24. Hostel Fee *
25. Total Fee *

Signature of beneficiary

Part -2 List of Required Documents / ਜ਼ਰੂਰੀ ਦਸਤਾਵੇਜ ਦੀ ਸੂਚੀ . Please tick (√) the document attached / ਿਕਰਪਾ ਕਰਕੇ ਨੱਥੀ ਦਸਤਾਵੇਜ ਨੂੰ ਿਟੱ ਕ (√) ਕਰੋ

1 Attached scanned copy of last year class passed Mandatory


certificate.

2 Scan proof of stay in hostel. Mandatory

3. Certificate issued by Institute regarding your admission in Mandatory


the present class/semester.

4. ID proof – Aadhar Card. Mandatory

Last Rev: October 2017 Page 2 of 4


I confirm that I have been residing in India for at least 182 days in the preceding 12 months & information
(including biometrics) provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that
my information including biometrics will be used for generation of Aadhaar and authentication. I understand that
my identity information (except core biometric) may be provided to an agency only with my consent during
authentication or as per the provisions of the Aadhaar Act. I have a right to access my identity information
(except core biometrics) following the procedure laid down by UIDAI . / w?A s;dhe eodk jK fe w?A fgSb/ 12

wjhfBnK ftZu xZN'FxZN 182 fdBQK s'A Gkos ftZu ofj fojk jK ns/ w/o/ tb'A :{ankJhaJ/avhankJh B{z fdZsh rJh
;{uBk (;w/s pkfJUw?fNqe) mhe tk do[Z;s j? . w?A fJ; sZE s'A ikD{ jK fe w/oh ;{uBk (;w/s pkfJUw?fNqe)
gqwkfDe ns/ nXko pDkT[D bJh tosh ikt/rh . w?B{z gsk j? fe gqwkfDesk d'okB w/oh fJj ;{uBk (f;tkJ/
e'o pkfJUw?fNqe d/), fe;/ th J/iz;h B{z w/oh ;fjwsh Bkb iK nXko n?eN d/ T[gpzXK nB[;ko jh gqdkB ehsh
ikt/rh . :{ankJhaJ/avhankJh tb'A fBoXkos gqfefonk ngDkT[D T[gozs w?B{z nkgDh fJ; ;{uBk (f;tkJ/ e'o

pkfJUw?fNqe d/) sZe gj[zu dk jZe jk;b j? ਅਤੇ ਮ ਸੱਚੇ ਿਦਲ ਿਬਆਨ ਕਰਦਾ / ਕਰਦੀ ਹਾਂ ਿਕ ਉੱਕਤ ਵੇਰਵੇ ਸਹੀ

ਹਨ ਅਤੇ ਕੋਈ ਜਾਣਕਾਰੀ ਛੁਪਾਉਣ / ਗਲਤ ਿਬਆਨੀ ਲਈ ਮ ਿਨੱ ਜੀ ਤੋਰ ਤੇ ਿਜੰਮੇਵਾਰ ਹੋਵਾਂਗਾ / ਹੋਵਾਂਗੀ

Citizen’s Signature / ਿਬਨੈ ਕਾਰ ਦੇ ਹਸਤਾਖਰ

Last Rev: October 2017 Page 3 of 4


Feed Back Form/ ਫੀਡਬੈਕ ਫਾਰਮ

1. Is there any unnecessary information being asked in the Form?/ ਕੀ


□ Yes / ਹ
eh ਫਾਰਮ ਿਵੱ ਚ ਕੋਈ ਵੀ ਬੇਲੋੜੀ ਜਾਣਕਾਰੀ ਮੰ ਗੀ ਗਈ ਹੈ <
□ No / ਨਹ

If Yes, Please specify the detail/ ਜੇਕਰ ਹ , sK ਵੇਰਵਾ fdT[

2. Is any vague information being asked in the form?/ ਕੀ ਫਾਰਮ ਿਵੱ ਚ eh


□ Yes / ਹ
eh ਕੋਈ ਵੀ ਅਸਪ ਟ ਜਾਣਕਾਰੀ ਮੰ ਗੀ ਗਈ ਹੈ <
□ No / ਨਹ

If Yes, Please specify the details/ ਜੇਕਰ ਹ , sK ਵੇਰਵਾ fdT[

3. Is the space provided in the form sufficient for filling up the


required information?/ ਕੀ ਫਾਰਮ ਿਵਚ ਮੁਹੱਈਆ EK b'VhAdh ਜਾਣਕਾਰੀ ਭਰਨ ਲਈ □ Yes / ਹ
ਕਾਫ਼ੀ ਹੈ □ No / ਨਹ

If No, Please specify the details/ ਜੇਕਰ ਨ , sK ਵੇਰਵਾ fdT[

4. Any other suggestion you may like to make, Please specify / ਕੋਈ ਹੋਰ ਸੁਝਾਅ ਦੇਣਾ ਚਾਹੁੰ ਦੇ ਹੋ ਤਾ ਵੇਰਵਾ fdT[

Last Rev: October 2017 Page 4 of 4

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