NKGSB CO-OPERATIVE BANK LTD

(MULTI STATE SCHEDULED BANK)

Regd. Office: 361, Laxmi Sadan, V P Road, Girgaum, Mumbai, 400 004.

APPLICATION FORM FOR FELICITATION OF MERITORIOUS WARDS OF MEMBERS

UNDER MEMBERS WELFARE FUND

Date -

Membership No - L/F

Membership Date -

Academic year – 2015 - 16

The Manager,

______Branch

Dear Sir/Madam,

I give below particulars of meritorious achievement of my ward for purpose of felicitation under Members Welfare Fund Scheme

1) Name of the Member

First NameMiddle Name Surname Sex Relation to Ward

F/M

2) Residential Address


PIN

Phone No. - (O)______(R)______/ E mail ID______

3) Name of the ward

First Name Middle Name Surname Sex Age

F/M

4) Particulars of Merit Achievement of the ward

Name of University / Board / Examination Level / Year / % Marks Obtained / Date of Result

Proof submitted

a)Copy of Share Certificate / Membership No.______

b)Certified True copy of Marksheet

c) Passport size photograph of ward

DECLARATION

“I/We hereby state that I/We have read the Rules of Members Welfare Fund mentioned overleaf and agree to abide to the same. The above information is true to the best of my/our knowledge and belief.”

Yours faithfully

Signature of the Member

------

FOR OFFICE USE ONLY

Being eligible as per scrutiny, we recommend the above case under Members Welfare Fund Scheme for awarding Prize.

______

BRANCH MANAGER

Date: ______

NKGSB CO-OPERATIVE BANK LTD

(MULTI STATE SCHEDULED BANK)

RULES OF THE MEMBERS WELFARE FUND

FOR

FELICITATION OF MERITORIOUS WARDS OF MEMBERS

(amended w.e.f. 08.07.2010)

Donation or Prizes shall be given/ awarded to the meritorious children of the eligible members under following scheme.

Prizes will be awarded to the meritorious children of members securing marks at different examinations at first attempt. Similarly prizes/donations will be awarded by the Bank to the member, achieving distinction in sports, fine arts or any literary work. The norms laid down are as follows –

Examination LevelMinimum Marks % Regular Handicapped

S.S.C. 85%80%

H.S.C 80%75%

Graduate70%65%

Post Graduate 60%60%

Sports, fine arts or any literary

Work at District, State levelDistinction -----

At National levelDistinction ------

The above prizes will be given with the certificate from the Bank at a special function effective from the preceding academic year. The eligible candidates shall make an application within two months from the date of the results.

ELIGIBILITY:

A member should be Shareholder of the Bank for a minimum one year as on 31st March of academic year in which the Felicitation will be done.

A Co-operative year will be from 1st April to 31st March.

60% criteria will not be applicable in case of Post – graduates having Professional degree viz Doctor, Chartered Accountant, Cost Accountant, MBA’s, CFA’s or any other professional (degree) qualification.

PROCEDURE FOR ASSISTANCE:

An eligible member will have to submit his application to the Chief Executive Officer of the Bank directly or through any of the Branches of the Bank, together with Attested copies of mark-sheets of the ward for examination passed or of certificate of distinction achieved.

The applications of the handicapped students will be considered only on submission of Original Certificate of their disability (handicap) which should be certified by a physician, surgeon, oculist as the case may be of Government Hospital.

GENERAL :

The Board decision to sanction or reject will be final.

The Scheme will be strictly subject to availability of amount from the Members Welfare Fund in the co-operative year.

Board shall have absolute power at any time or from time to time to add, to amend or modify or delete any of the schemes herein and to consider on merit any deserving cases.