Ekkuo Lalk/Ku Fodkl Ea=Ky;, Hkkjr Ljdkj Ds Vk/Khu ,D Lok;Rr Laxbu

RkkjluCkkslsd fnYyh--92

Gram: CENBOSEC,Delhi-92

Email:

Website:

dsUnzh; ek/;fed f’k{kk CkksMZ

Ekkuo lalk/ku fodkl ea=ky;, Hkkjr ljdkj ds vk/khu ,d Lok;Rr laxBu

f’k{kk dsUnz 2 leqnk; dsUn izhr fogkj fnYyh-110092

CENTRAL BOARD OF SECONDARY EDUCATION

(An autonomous organization under the Union Ministry of Human Resource Development, Govt. of India)

“SHIKSHA KENDRA”, 2, COMMUNITY CENTRE, PREET VIHAR, DELHI-110 092

No. CBSE/CSSS-09/2009 Dated:- 27th May, 2009

The Principal

______

______

______

Subject:- Submission of Application for Central Sector Scheme of Scholarship for College and University Students-2009 who have passed AISSCE in year 2009 : Last Date 30th Sept 2009

As you are aware that Ministry of Human Resource Development, Department of Higher Education, Govt of India has introduced a scholarship scheme titled “Central Sector Scheme of Scholarship for College and University Students” from the year 2008 with the objective to provide financial assistance to meritorious students from low income families to meet day to day expenses while pursuing higher studies.

The Result of the AISSCE 2009 conducted by the Board has already been declared. This year also a certain number of scholarship have been ear-marked for the students of CBSE who have passed AISSCE in the year 2009.

An illustrative list of the eligibility criteria and the revised form to be used for applying the scholarship for the year 2009 is enclosed herewith. The students who have secured 80% marks and above(in first five subjects) in the AISSC Examination conducted by the Board during March/April 2009 and have taken admission in regular undergraduate(not open or distance mode) course in 2009-10 besides fulfilling other eligibility conditions mentioned in the enclosure may apply for the scholarship. It may please be noted that the students who have completed their Senior Secondary examination from other State Boards need not to apply to CBSE and should apply to the State Board only. Further who have done their XII prior to year 2009 need not apply under this scheme.

The detailed guidelines of the Central Sector Scheme of scholarship-2009, eligibility criteria, application form and instructions may be seen in the Board’s website Students may be advised to go through the guidelines carefully before sending the application form.

The application form duly complete in all respects should reach the CBSE latest by 30th Sep, 2009.

(B. M. Gupta)

Head( Computer Centre)

CENTRAL SECTOR SCHEME OF SCHOLARSHIP FOR

COLLEGE AND UNIVERSITY STUDENTS-2009

ELIGIBILITY

Application Form No. /

Form No. F-10

Type: / Central Sector Scheme of Scholarship for College and University Students-2009
Eligibility*:
*(Detailed Scheme is available on the website) / (i) The applicant should be an Indian national and
(ii) The applicant should have passed in All India Senior School Certificate Examination (AISSCE) 2009 conducted by CBSE and secured a minimum of 80 % marks and
(iii) Pursuing regular course (not correspondence or distance mode) from recognized educational Institutions and
(iv) Students should not be availing any other scholarship scheme and
(v) Income of parents from all sources should not exceed Rs 4.5 lakh per annum and
(vi) Should not belong to creamy layer as defined by DoP&T from time to time..
Value per month: / Rs.1000/- for graduation level (10 months per academic year)
Rs 2000/- for post graduate level (10 months per academic year)
Duration: / 3 years for degree level and 2 years in the post graduation programme (To be renewed on year to year basis subject to eligibility) For renewal applicant has to apply on separate renewal form.

Note:

1. Those students who have done their Class –XII in year 2008 need not to apply using this Form No F-10 form.

2. Mere submission of the application form shall not entitle the applicant for the award of Scholarship.

CHECKLIST

Signature:

All the applications must be signed by the applicant. Unsigned applications will be rejected.

Attestation:

All the applications must be certified alongwith signature / stamp of the Principal / Dean of the Institute where the student has taken admission.

Bank Account Details:

Applicants should write their Bank Account number with detailed address of the Bank alongwith Bank Code, MICR Code and RTGS/NEFT code of the Bank. Applicant should open Bank Account in their name only. Scholarships will be sent by ECS mode directly to Bank Account of the selected candidates. In case the Bank details as mentioned above are not complete and in prescribed format the application will be rejected.

Documents to be sent with the Application:

1.Annexure-I: Statement of particulars cum Joining report from HOD of Institute (Form No.F-10)

2.Annexure-II: Marksheet of AISSCE-2009 and Caste Certificate

3.Annexure-III: An Income affidavit from the parent in prescribed format on a non-judicial stamp paper of Rs.10/- duly sworn in before Notary Public/First class Executive Magistrate/Revenue Officer should be submitted alongwith the application. Applications without Affidavit as mentioned above will be rejected summarily and no correspondence will be entertained in this regard. (Proof of Income of Parents i.e Income Tax Returns of the parents should be attached alongwith the affidavit.)

Where to send Duly filled up Application Forms

1. For applicants who have done XII from CBSE Board in year 2009:-

The duly filled in proforma be sent in an envelope super scribing “Application for CSSS-2009” should be sent to the “Deputy Secretary(A&V), CBSE, Shiksha Kendra, 2 Community Centre, Preet Vihar, Delhi-110092”.

1. For applicants who have done XII from Other Boards:-

Applicant who has done XII from Other Boards(like ICSE, UP, Uttranchal, Karnataka, Haryana Board etc) are requested to their forms to his/her State Board only.

Change in Address And Bank Details

Any change in address and Bank Details must be immediately reported to “Deputy Secretary(A&V), CBSE, Shiksha Kendra, 2 Community Centre, Preet Vihar, Delhi-110092” alongwith the Name and Roll No,. of the applicant and copy of the form submitted.

Note: Those students who have done their Class- XII from CBSE prior to 2009 need not apply under this scheme.

Last Date of Receipt of Application for the year 2009 :30st Sept, 2009

(Annexure-I) Form No. F-10

GOVERNMENT OF INDIA

MINISTRY OF HUMAN RESOURCE DEVELOPMENT

DEPARTMENT OF HIGHER EDUCATION

CENTRAL SECTOR SCHEME OF SCHOLARSHIP FOR COLLEGE AND UNIVERSITY STUDENTS

STATEMENT OF PARTICULARS CUM JOINING REPORT

Note: LAST DATE FOR SUBMISSION : 30TH SEPTEMBER, 2009

Paste here
Recent Color Photograph of the Applicant attested and stamped by Principal of Institution where student is presently studying

1. Please read checklist carefully before filling up the form. Each column should be carefully filled. No change in the information provided will be permitted subsequently. If any entry is found to be incorrect, the scholarship, if awarded, is liable to be cancelled forthwith.
2. It may be ensured that dully filled up form is sent after due attestation from Head of the Institution.
3. Incomplete statement or statement received after the prescribed date will not be considered.

1. / a / Name of the Candidate (In block letters)
(As per Class XII Certificate)
b / Nationality
2. / Date of Birth (DD/MM/YY)
(As per Class X Certificate)
3. / Sex : Male / Female
4. / a / Category: SC/ST/OBC/ General
(If Yes, Pl. attach proof thereof)
b / Are you suffering from any of the disabilities (PH/HH/OH) YES/NO
(If Yes, Pl. attach proof thereof)
5 / Details of Class XII Examination passed by the Candidate:
a / Name of the Examination passed
b / Roll Number of AISSCE-2009 / c / Year of Passing / 2009
d / Name of the Board which conducted the examination of the candidate(with headquarters.)
e / State in which School ( from where done XII) was located
f / Total aggregate marks obtained in the examination (in First five subjects) / g / Stream
h / Percentage of marks obtained in aggregate
6. / Details of Father / Guardian/husband (as the case may be):
a / Name
b / Nationality / c / Occupation
d / Permanent Home Address
Pin:
7. / a / Name of Mother / b / Nationality of Mother
8. / Details for Communication (Present Address for Postal Communication):
a / Address for Correspondence
Pin:
b / Tel No. with STD Code / c / Mobile No.
d / E Mail ID
9. / a / Annual Income of Father (attach proof/ITR) / Rs.
b / Annual Income of Mother (attach proof/ITR) / Rs.
10. / Is the candidate in receipt of any other scholarship from State Government or other institution or person? Yes / No
If Yes, particulars should be given including the monthly amount and date from which the scholarship is being drawn.
11. / a / Name and Address of the Institution where admitted for Graduate course
b / Website address of the present Institute (if available)
c / Name of the Course Joined / Duration …………… Yrs
Type of Institution
Central Govt.
State Govt.
AICTE
UGC approved
Private
……………(Others) Pl specify / Type of Programme
Degree
Diploma course
Integrated Degree cum
Masters Degree / Mode of Study
Regular Classes
Evening Classes
Distance Mode
Correspondence
Non Collegiate
Open Learning / Pattern of Examination
Annual
Semester
Trim nester
Bi-Annual
12. / It is further certified that (Please tick as applicable)
My father is directly recruited Class I/Group A officer. My Mother is directly recruited Class I/Group A officer.
My father is directly recruited Class II/Group B officer. My Mother is directly recruited Class II/Group B officer.
My father was promoted to Class I/Gp ‘A’ officer at age of 40. My Mother was promoted to Class I/Gp ‘A’ officer at age of 40.
One of my parent died/suffers permanent incapacitation. My father/mother retired from a Group A/Group B post.
I do not fall in definition of creamy layer as per DOPT OM No. 36033/5/2004-Estt(Res) dated 14.10.2004.
13. / Particulars of Savings Bank Account (Mandatory; Application will be rejected if all the columns are not filled)
a / Account Number
b / Name and Address of the Bank
c / Bank Code Number
d / MICR Code
e / RTGS:NEFT:IFSC Code (11 digit Code of the Bank)
14. / Certified that the statement made by me in this form is correct.
I declare that in case I am selected for a scholarship, I shall devote my full time to the course of study, and that I shall not receive any other stipend/scholarship from any other source.

Signature of candidate

JOINING REPORT

This is to certify that Shri/Smt./Kumari ………………………………………………………………………. S/o,W/o,D/o Shri/Smt. …………………………………..………………………………………………………………… has been granted admission as per above particulars in this institution on the …….…………….. day of …………………… for the ……………………………………………………………………………………………… course. He/She has started attending the First Year class with effect from ………………………...…., 2009.

Head of Institution ______

Name & Designation ______

Tel. & Mobile No. ______

Email ID ______

Seal ______

Place …………………

Date: …………………

ANNEXURE – III

INCOME AFFIDAVIT

Declaration of income of Parent/Guardian for the year (ending on 31st March,2009) for purposes of scholarships granted under the “Central Sector Scheme of Scholarship for College and University Students”.

I, ______son/daughter of Shri/Smt ______presently residing at ______solemnly affirm and say as follows:-

1.That my son/daughter/dependent Shri/Kumari ______who has been provisionally selected for Scholarship under the “Central Sector Scheme of Scholarship For College and University Students”, is studying in ______(here give the name of institution)

2.That my annual income in the preceding year ending the 31st March, 2009 is Rs. ______as per details furnished in the Scheduled here under written, I also affirm that particulars of property held by me is as shown in the Schedule and that I have correctly indicated the amount on various taxes/cesses and land revenue paid by me. I make myself personally responsible for the accuracy of the facts and figures furnished

3.That the statements made in the foregoing paragraphs are true to my knowledge.

4.That I further undertake that in the event of the particulars given in this declaration being found false, I shall refund to the President of India DOUBLE the amount of the scholarship to the said scholar(s) and the Government’s decision on whether the declaration of particulars is false shall be final and binding on me.

Signature

Name in full

To be signed in the presence of Notary Public or a Magistrate/Ist Class Magistrate Executive/ Revenue Officer/ who would also affix his signature and seal.

SCHEDULE

I Extent of Land held and Income

(a) Independently as owner / (b) Jointly as owner / (c) Independently as tenant
(i) Area
(ii) Village
(iii) Survey No.
(iv) Land Revenue Assessment
(v) Annual Income / Rs. / Rs. / Rs.

II Property held and income (Houses, Shops, Buildings, House sites etc.)

(a)House No.______

(b)Street/Road______

(c)Village/Town/City______

(d)Area of Site______

(e)Rent derived if any______

(f)House Tax Rs.______

(a)Sanitary cess or otherRs.______

(b)Net Annual Income Rs.______

Whether the whole or part of land has been given out to tenants:. If ‘yes’ particulars.

III Income from Shops:

(i)Address of shop______

(ii)Nature of trade______

(iii)Sales Tax, Income Tax paidRs.______

(iv)License No.______

(v)Annual IncomeRs. ______

IV Salaries Drawn, by father and mother:

(i)Name of the Employer ______

(ii)Office/Unit in which working and designation______

(iii)Address of Office ______

(iv)

(a)Annual Basic Pay for 2009 without deduction of Income TaxRs ______

(Certificate from the employee/Income Tax Authority/Revenue Authority may be attached)

(b)Special Pay/Bonus.Rs ______

(c)Deputation allowance and honoraria including NCC honoraria.Rs ______

(d)Total of (a), (b) and (c)Rs ______

(e)Amount of contribution to Provident FundRs ______

(f)Payments towards LIC/CTDRs ______

(g)Total of (e) and (f)Rs ______

(h)Whether belonging to non-creamy layer : YES / NO ______

If Yes, attach certificate from employer.

V Other benefits like house rent allowance, free house and other perquisites ______

VI Other source of Income :

(i)Income from subsidiary industries part-time occupationRs. ______

(ii)Amounts drawn as wages Rs. ______

(iii)Any other Income Rs. ______

VII Annual income of wife/husband and of the Scholar’s Income from any source Rs. ______

(a)Annual Basic Pay for 2009 without deduction of Income Tax Rs ______

(Certificate from the employee/Income Tax Authority/Revenue Authority may be attached)

(b)Special Pay/Bonus. Rs ______

(c)Deputation allowance and honoraria including NCC honoraria.Rs ______

(d)Total of (a), (b) and (c)Rs ______

(e)Amount of contribution to Provident Fund Rs ______

(f)Payments towards LIC/CTDRs ______

(g)Total of (e) and (f)Rs ______

Signature of Parent/

Guardian of the Scholar

N.B.

1. Total income of the family should include income only of father & mother of the Scholar and of no other members though they may be earning,
2. If father is dead, mother’s income will be shown alongwith the income, if any, in the Scholar own name from shares, property etc.
3. If both father and mother of the scholar are deceased the income, if any, in the scholar’s name only will be shown, and not the income of the guardian who may be supporting the scholar.
4. Income for the purpose of Means Test is defined as under:-

1. In the case of salaried class, basic pay plus income if any form other sources and would not include allowance like Dearness Allowance, City Compensatory Allowance etc.
2. In the case of income from source liable to income tax, income computed (after deduction for rebate able items) for the purpose of assessment of income tax, as per Income Tax Rules for the year.
3. In the case of income not liable to income tax, such as income from Agriculture, etc. the net income that is arrived at after deduction expenditure incurred for earning that income.