Prime Minister's Scholarship for Ex Servicemen for 2010

Dear Friends,
Jai Hind.
Reference advertisement regarding Kendriya Sainik Board Prime Minister’s Scholarship Scheme is appended below.
I tried to locate the application form for the scholarship on the website: http://mod.nic.in. It is very difficult to find it from that website.
I made a general search and found the brochure and the form is available at:Click Here
At this website click on PM'S Scholarship Scheme for wards of ex-servicemen/ widows to download the brochure and the application form.

Brig C Kamboi (Retd)

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PRIME MINISTER’S SCHOLARSHIP SCHEME


ACKNOWLEDGEMENT SLIP

OFFICE COPY


Your Application Form dated_________ has been received on__________. The application will be examined for eligibility. The dak receipt number ____________ is to be mentioned for further correspondence with this office.




Office Seal: (Signature of RSB)




Tear off Tear off



ACKNOWLEDGEMENT SLIP

STUDENT COPY


Your Application Form dated_________ has been received on__________. The application will be examined for eligibility. The dak receipt number ____________ is to be mentioned for further correspondence with this office.




Office Seal: (Signature of RSB)



Note: This copy duly stamped and signed by RSB given to the student by hand or by post. (Envelope enclosed along with the application may be used.)



MINISTRY OF DEFENCE
Department of Ex-Servicemen Welfare
PM’S SCHOLARSHIP SCHEME
FOR
DEPENDENT WARDS OF EX-SERVICEMEN / WIDOWS

Brochure-Cum-Application Form

For Academic Year 2009-10



Application Form consists of Col No 1 to 20, Renewal Form and list of RSB at state and UT level. (Brochure-Cum-Application consists of 31 pages)

KENDRIYA SAINIK BOARD
West Block-IV, Wing-VII, 2nd Floor
R K Puram, New Delhi-110066
Website: www.mod.nic.in
Tele : 011- 26715250
E-Mail : jdpmscholarshipksb@gmail.com

Note: This application form (page number 13 to 22 alongwith required documents only) is to be deposited by individual to RSB. Applications duly recommended by RSB’s shall only be considered by KSB. Therefore, candidates are advised not to forward applications direct to KSB as the same shall not be considered.

PRIME MINISTER’S SCHOLARSHIP SCHEME

1. Introduction.

To encourage higher technical and professional education for the dependent wards of ESM and their widows (below officer rank only) and dependent wards / widows of ex-servicemen who died in harness due to causes attributed to military service, irrespective of the rank, Prime Minister’s Scholarship Scheme has been introduced from the Academic year 2006-07.


2. Scholarships Available.

A total number of 4000 scholarships will be allotted.


3. Students eligible for the scholarship.


(a) Dependent wards of ex-servicemen and their widows (below officer rank only)

(b) Dependent Wards/widows of ex-servicemen who died in harness due to causes attributed to military service, irrespective of the rank.

(c) The scheme is open only for widows and wards of ESM.

Note: (i) The candidate irrespective of his marital status is eligible for PMSS. However, an earning / serving candidate is not eligible.

(ii) For dependent wards of widows and widows of personnel died in harness due to causes attributable as at (b), there will be no rank restriction.


4. How to Apply For Scholarship.

One candidate to submit only one application form for one course, if any candidate submit two application for more than one course, both the applications will be rejected. Forms are to be downloaded from the website www.mod.nic.in. Application forwarded on any other format will not be considered.

Application to be forwarded on plain A4 size paper (typed or handwritten) in the prescribed format duly completed in all respects with superscription on the envelope “Prime Minister’s Scholarship Scheme.”

Documents to be attached alongwith PMSS application form are as follows:-

(a) Photocopy of ESM valid I card duly certified by RSB / ZSB.
(b) Extract of ESM discharge book as per specimen. (Refer page number 22)
(c) Matriculation certificate duly attested.



(d) Minimum Entry Qualification certificate duly attested. (10+2 Marksheet or full Graduation Marksheet which ever is applicable)

(e) Bonafide studentship certificate from Collage in original as per specimen. (Refer page number 21)
(f) Demand Draft of Rs. 30/- not made before 20th December 2009.

Note: Failure to attach any above mentioned documents / certificate will lead to rejection.

5. Selection Procedure.

Applications will be short listed based on Ex-servicemen category (as given in para 6) and percentage of marks obtained in minimum entry qualification (MEQ).

6. PRIORITY for Grant of Scholarship.

Order of preference for allotment of scholarships will be as under:-

Category 1 Wards/ widows of defence personnel killed in action.

Category 2 Wards of ex-servicemen disabled in action and boarded out of service with disability attributable to military service.

Category 3 Wards/widows of defence personnel who died while in service for causes attributable to military service.

Category 4 Wards/widows of Defence personnel disabled in service with disability attributable to military service.

Category 5 Wards of ex-servicemen in receipt of gallantry awards.

Category 6 Wards of ex-servicemen (PBOR).

7. Eligible Courses.

First year professional degree programme in BE, B Tech, BDS, MBBS, B Ed, BBA, BCA, B Pharma, etc. duly recognized by the respective government regulatory bodies, such as All India Council for Technical Education, Medical Council of India, UGC etc. The scheme is open for courses mentioned above in recognized institutions (in India only). Students studying abroad are not eligible for this scheme. Students getting stipend for the professional degree course are also not entitled. The candidates may avail only one time facility for first degree course (Professional) i.e. graduate level only under PMSS.


8. Scholarship for Integrated Courses.

The facility under PMSS is restricted for professional courses only duly recognized by the respective Government regulatory bodies such as All India Council for Technical Education, Medical Council of India etc.



9. Minimum Eligible Marks in 10+2 or Graduation.
(Minimum Educational Qualification for Entry) should be 60%.

Minimum educational qualification (MEQ) for entry to different professional course is different e.g. for MBBS and B E it is 10+2 where as it is graduation for B Ed and MBA. A candidate must have minimum 60% marks in MEQ to be considered for scholarship.

10. Duration of Scholarship.

Two to five years as approved by the concerned regulatory body (Except one year for B Ed and five and half years for MBBS).

11. Amount of Scholarship.

a) The amount of scholarship would be as follows:

(i) Rs. 1250/- per month for boys Paid after successful completion of each
academic year.
(ii) Rs. 1500/- per month for girls

12. Renewal of Scholarship.

Candidate shall submit new Renewal Form along with two acknowledgement slip and Bonafide Certificate duly signed by the Principal / Dean / Registrar of the institution / college to the respective RSBs either in person or by post for renewal of scholarship for the subsequent academic year. RSBs will scrutinize and check the application forms and forward the same complete in all aspects to KSB immediately. RSBs will issue acknowledgement slip to the candidates at the time of submission of the application in person otherwise dispatch by post to them. Candidate to attach a self addressed envelope, duly stamped to receive the acknowledgement of renewal form by post. For easy comprehension an illustration has been given below:-
Student admitted in B Tech. September 2008
Marks in 10+2. 61%
Applied for PMSS. Before 31 December 2009
Finds his name in the list of 4000 successful candidates selected for grant of PMSS. June 2009
Applied for first renewal of Scholarship by submitting first year / first two semester result. October 2009
Granted first installment. December 2009
Applied for second renewal of Scholarship by submitting second year / second two semester result. October 2010
Granted second installment. December 2010
Applied for third renewal of Scholarship by submitting third year / third two semester result. October 2011
Granted third installment. December 2011
Applied for fourth renewal of Scholarship by submitting fourth year / fourth two semester result. October 2012
Granted fourth installment. December 2012

* Dates given above are to illustrate an example for easy comprehension and the same may not be quoted as authority.

IMPORTANT INSTRUCTIONS FOR PM’S SCHOLARSHIP SCHEME






(a) “PM SCHOLARSHIP SCHEME” is to be written in superscript on top of the Envelope for any correspondence with KSB & RSB.

(b) Checklist duly signed by student & parent is to be attached on the top of the application form.

(c) Applications alongwith relevant documents & certificates are to be deposited to respective Rajya Sainik Board, “latest by 15th Feb 2010. Incomplete application form and non submission of required document is liable to be rejected and will be returned unactioned. The application will be received by the RSBs and will be acknowledged with a seal and date of receipt.

(d) The concerned RSBs may scrutinise / check the application forms with regard to their eligibility criteria from all aspects prior to forward the same to KSB.

(e) Candidates and RSB’s to note that all applications received after the due date will not be considered and returned unactioned.

(f) List of selected candidates will be forwarded to RSBs after the merit list is finalized by the BOO at KSB.

(g) Three stamped (Rs. 5 each) blank envelopes of 27x12 cms and one stamped (Rs. 35) blank envelope of 35x25 cms are to be attached with each application so as to facilitate correspondence with the candidate by KSB/RSB.

(h) The scholarship is admissible for only two children of ESM. Particulars of all children should be indicated in column 17 of application form. This should be in uniformity with the discharge book / certificate of the ESM.

(i) The amount of scholarship, including any other scholarship or financial assistance from any other source will not exceed the total grant of assistance available under this scheme.

(j) The payment of scholarship will be granted after the successful completion of each academic year and on the submission of the renewal form (in original), as per the percentages mentioned in ‘Criteria for eligibility’. In case, KSB ask a student to submit the mark sheet for the full year, a student is liable to produce the same, failing which the scholarship will be held up.

(k) Candidature of a student shall stand automatically rejected if, at any stage, it is discovered that he / she has secured scholarship fraudulently by making false statement or misrepresentation of facts. Candidate shall have to refund the amount already given, if any.

(l) The attached photocopies of the supporting documents should be duly attested by gazetted officer (unattested documents will not be considered). In case of legally adopted son/daughter or child born after retirement, the certificates are to be attached with the application form duly attested by Secretary, RSB / ZSB.

(m) If the marks in the qualifying examination are expressed in grades only, then equivalent percentage (100 point scale) duly certified by the concerned college / Board must be furnished (RSB & KSB will not be calculating the percentage of marks).

(n) All candidates to open individual bank accounts in the nearest State Bank of India branch or Punjab National Bank which has “electronic clearance system” / Core Banking, to facilitate transfer of the scholarship amount. Account number of the sister concern bank will not be accepted. i.e State Bank of Travancore, State Bank of Bikaner & Jaipur, etc. Candidate to attach a attested photocopy of passbook, showing name and account number of the individual. A cancelled leaflet of a blank crossed cheque will duly authenticate the account number. A joint account with parent will also fulfill the requirement.

(o) The candidates should have secured a minimum of 60% marks at 10+2 / MEQ level or equivalent and have to secure minimum of 50% marks, uninterrupted for continuation of scholarship in every year for the duration of course up to a maximum period of 5 years as prescribed for that programme of study. A person granted scholarship for one programme would not be entitled for scholarship for another programme.

(p) In case of change of any address, course, college, it is to be intimated immediately to Kendriya Sainik Board & Rajya Sainik Board in writing. Always mention selection serial number, name of applicant and ESM particular for any correspondence with KSB & RSB after getting selected for the scholarship.

(q) The Ministry of Defence, Government of India can suitably modify these instructions to remove anomalies, if any, for successful implementation of the scheme, as may be necessary from time to time and will be applicable to all students under the scheme.

(r) Ex-servicemen entitlement will be governed as per the existing definition of ex-servicemen, as amended from time to time. The definition is available in the guide book available with the RSB/ZSB.

(s) The application form should be downloaded from the official website of MOD, i.e. www.mod.nic.in. The application form should be submitted to the respective Rajya Sainik Board, (List of RSBs is attached along with the brochure) duly completed, along with a Demand Draft (Repeat) Demand Draft only for Rs.30/- in favour of Secretary, Kendriya Sainik Board, payable at New Delhi. In case of any difficulty in obtaining the form, the same can be obtained from the Secretary / Director Rajya Sainik Board. The Demand Draft should not be issued before 20th December 2009 (the Demand Draft is not refundable in any case).

(t) While filling the application form, leave 1 (one) box blank between 2 (Two) words. Column wise guidelines are explained further for filling up the application form.

COLUMN WISE GUIDE LINES FOR FILLING UP OF APPLICATION FORM

(i) Column -1. Fill your name as in matriculation certificate only:-
(Not to be filled in any other format.)

1st Name A J A Y
Middle Name S I N G H
Surname R A N A

(ii) Column -2. Put a tick (√) mark as shown.

Male √ Female

(iii) Column – 3. Date of Birth as shown in matriculation certificate only. For Example:- (10 June 1982)

D D M M Y Y Y Y
1 0 0 6 1 9 8 2

(iv) Column – 4. Mention your Rajya Sainik Board and Zila Sainik Board name, from where your father / mother have registered and have obtained ex-servicemen / widow identity card.

(v) Column – 5. Write your permanent address and correspondence address in block letters.

(vi) Column – 6. Write phone number along with STD code and email ID for any query (email ID is must).

(vii) Column – 7. Category as per para 6 to be written (attach the required document, if any). Category 1 (One).

Category - 1 O N E

(viii) Column – 8. Full Particulars of Father/ Ex-Serviceman is to be mentioned as per the discharge book. A blank space to be provided between names. (Example: - KAMLESH CHANDRA CHOUDHURY)

K A M L E S H C H A N D R A C H O U D H U R Y

1 4 5 2 3 6 K

S E R G E A N T

A I R F O R C E


(ix) Column – 9. Details of 10+2 or MEQ. Leave blank space between words. Marks to be shown in words and figures.

a. Total Marks O N E T H O U S A N D
(in words) T W O H U N D R E D
(in figure) 1 2 0 0

b. Marks obtained N I N E H U N D R E D
(in words) F O R T Y
(in figure) 9 4 0

c. % of marks scored S E V E N T Y E I G H T
(in words) P O I N T T H I R T Y
T H R E E
(in figure) 7 8 . 3 3


(x) Column – 10. Tick as applicable.

Yes √ No

(xi) Column – 11. The student is to specify the course which he / she is presently studying. (Example:- B TECH)

B T E C H


(xii) Column – 12. Duration of the course both in numbers and figures to be mentioned. For example 5 years 6 months.



(In figure)
Y Y M M
0 5 0 6

(In word)
F I V E Y E A R S A N D S I X
M O N T H S


(xiii) Column – 13. Write date of commencement & completion of course as shown below:

(Course Commencement / Date of Admission)
D D M M Y Y Y Y
0 1 0 7 2 0 0 7

(Course completion)
D D M M Y Y Y Y
3 1 1 2 2 0 1 2


(xiv) Column - 14 Write the full name and address of the college with email ID and phone number of principal.
Name of Student A J A Y S I N G H R A N A


Roll No. 0 8 E A T I T 0 4 3

Name of College A J M E R I N S T I T U T E
O F T E C H N O L O G Y


Full Address P U S H K A R B Y P A S S A
of college J M E R



State R A J A S T H A N

Pin Code 3 0 5 0 0 4


Tel No. (with STD Code) 0 1 4 5 - 2 3 0 0 6 2 8

E-Mail ID (if any) a i t _ a j m e r @ r e d i f f m a i
l . c o M

College Website w w w . a i t a j m e r . c o m


(xv) Column - 15 Write the regulatory body of your college.

A I C T E

(xvi) Column – 16. Furnish the particulars of your all children as per specimen given:-

Sl. No. Name of Child Gender Date of Birth Age
1 Prakash Singh Rana M 10/10/1982 27 Years
2. Satish Singh Rana M 12/05/1984 25 Years
3. Ajay Singh Rana M 03/07/1987 22 Years
4. Komal Rana F 14/02/1989 20 Years



(xvii) Column – 17. Given details of the scholarship availed by your brother / sister in the past, if not availed write Not Applicable.

Sl. No. Selection Serial No. given by KSB Name of the brother/sister Course of Study Academic year in which applied Amount received so far
1. 6359 Satish Singh Rana B Tech 2007-09 15000


(xviii) Column - 18 Please write the full details of bank account of the student and attach the photocopy of passbook and cancelled cheque as required to verify the correctness of the account number (individual student account is preferred. However, a joint account with the father / mother is also accepted).

Name of account holder A J A Y S I N G H R A N A



Bank Name S T A T E B A N K O F I N D
I A

Branch Name A J M E R


Branch Address A J M E R I N S T I T U T E O F T
E C H N O L O G Y



State R A J A S T H A N


Bank Tel. No. 0 1 4 5 - 2 3 0 0 6 2 2


Branch Code 0 5 1 4

MICR (9 digit) No. 5 1 8 0 0 2 0 0 7

(PLEASE ATTACH A PHOTOCOPY OF CHEQUE & PASS BOOK)

Account No. 3 0 2 0 0 1 5 2 4 6 8

REPEAT

Account No. 3 0 2 0 0 1 5 2 4 6 8


(xix) Column – 19. Fill up attached Demand Draft particulars.
Issue D D M M Y Y Y Y
Demand Draft No. 0 2 3 1 5 0 Date 1 4 1 2 2 0 0 9

Amount (Rs.) in figure 3 0

Amount (Rs.) in word T H I R T Y

Issuing Bank Name S T A T E B A N K O F I N D I A

Issuing Bank Branch A J M E R



Note: Application form from page number 13 to 22 along with required documents only to be forwarded.











CHECK LIST OF DOCUMENTS TO BE ATTACHED WITH
THE APPLICATION FORM

1. Candidates / ESM are to ensure that the following documents are attached (as applicable) along with the Application Form (non submission of these certificate will lead to rejection and application will be returned unactioned).


(a) Attested copy of Ex-Serviceman/Widow I-card issued by RSB/ZSB. This is an important document to be attached.


(b) Extract of ESM discharge book as per specimen.


(c) If child born after discharge then affidavit is to be submitted by ESM, that child is dependent on him and he / she is a ward of ESM.


(d) Additional Certificates – Attested copy of following documents.


(i) Category 1: Part II Order Equivalent of other
(ii) Category 2: Part II Order services i.e. Army /
(iii) Category 3: Part II Order Navy / Air Force
(iv) Category 4: Part II Order
(v) Category 5: Award Certificate


(e) Attested photocopy of matriculation or equivalent examination certificate for verification of date of birth.


(f) Attested photocopy of mark sheet of MEQ as applicable (e.g. 10 plus 2, graduation / diploma etc). In case the MEQ is graduation / diploma, then complete mark sheet is required to be submitted.


(g) In case of MBA/MCA applicants, attested copy of minimum entry qualification certificate. i.e Graduation


(h) Bonafide studentship certificate to be issued by Registrar/Dean/Principal of College/Institution pertaining to course for which scholarship is claimed (As per specimen attach).


(i) Demand Draft of Rs. 30/- (Rupees Thirty only) attached. (Application form without Demand Draft will not be processed and Demand Draft should not be made before 20th December 2009.)





(j) Photocopy of passbook showing name, account number with photograph of individual and cancelled leaflet cheque. (Scholarship will not be sent in absence of photocopy of passbook)








Date: _____________________


_______________________________
Place: ____________________ Full Name & Signature of Candidate






_______________________________________
Checked / counter singed by ESM / Widow




























Selection Serial Number
(To be allotted by KSB) ......................

APPLICATION FOR PRIME MINISTER’S SCHOLARSHIP FOR THE YEAR 200_ - ___.


Note: 1.) Please read column wise guide lines carefully before filing the application
2.) Application Form to be filled in Capital letters except email ID.
3.) Checklist must be attached on the top of application duly tick marked.
4.) One candidate to submit only one application form for one course.




1. NAME:-
First Name


Middle Name


Surname




Male Female
2. Put a tick mark (√)


3. Date of Birth (please attach proof of age) (i.e : Matriculation certificate)
DD MM Y Y Y Y


4. Your Rajya Sainik Board or Zila Sainik Board (Where ESM is registered and obtained Ex-servicemen Identity card)

RSB




ZSB




5. Full Address:
a) Present Correspondence Address: - (Where you want your letter to be sent in case of selection / rejection)
House No.


Street No. & Name





LEAVE BLANK SPACE BETWEEN WORDS
Tehsil


District


State



Pin Code

b) Permanent Address :-
House No.


Street No. & Name





Tehsil


District


State



Pin Code

6. Telephone Number.

STD Code

Land Line No.

Mobile No.


E-Mail (mandatory)


7. Ex-servicemen Category - (Mention category as per Para 6 of the brochure and attach supporting documents duly attested).




LEAVE BLANK SPACE BETWEEN WORDS

8. Ex-serviceman’s Particulars:-

a) Name of ex-serviceman



b) Service No.

c) Rank

d) Type of Service (Tick one) Army Air Force Navy


9. Details of MEQ / course for qualifying examination for scholarship (10+2/equivalent or minimum entry qualification)

a. Name of Course/MEQ


b. Year in which exam passed

c. Total Marks (in words)


(in figure)

d. Marks obtained (in words)



(in figure)

e. % of marks scored (in words)


(in figure)

10. Whether the applicant is in receipt of any other financial assistance/scholarship/ fellowship from any govt. / Private source for the course to which the scholarship applied for. If yes, then state the amount and source

Yes No


Amount


Source



11. Name of the Course
(as per specimen)


LEAVE BLANK SPACE BETWEEN WORDS

12. Duration of Course in Years in figure
and months
in words


13. Date of Commencement and Approximate Date of Completion.
D D M M Y Y Y Y
a) Course commenced on


D D M M Y Y Y Y


b) Course completion date
approximately

14. Details of College / Institute.

Name of Student


Roll No.

Name of College



Full Address
of college



State

Pin Code

Tel No. (with STD Code)

E-Mail ID (if any)


College Website


15. Regulatory bodies/ Council. (For example all engineering degrees and management degree courses are recognized by AICTE & UGC and all medical degree are recognized by Medical Council of India or Dental Council of India, specify as per case).



16. Furnish particulars of all children in order of age, as reflected in the discharge certificate or attached by the RSB/ZSB/Record Office.


LEAVE BLANK SPACE BETWEEN WORDS


Sl. No. Name of Child Gender Date of Birth







17. Details of brother/sister availing the PM’s Scholarship, if any. (Including yourself if granted earlier)

Sl. No. Selection Serial No. given by KSB Name of the brother/sister Course of Study Academic year in which applied Amount received so far



18. Details of Student’s Bank account for payment of Scholarship through Electronic Clearing Service.

Name of account holder



Bank Name



Branch Name



Branch Address



State


Bank Tel. No.


Branch Code

MICR (9 digit) No.

(PLEASE ATTACH A PHOTOCOPY OF CHEQUE & PASS BOOK)

Account No.

REPEAT

Account No.

LEAVE BLANK SPACE BETWEEN WORDS

19. Details of Demand Draft.
Issue D D M M Y Y Y Y
Demand Draft No. Date

Amount (Rs.) in figure

Amount (Rs.) in word

Issuing Bank Name

Issuing Bank Branch


20. Declaration: “Certified that the particulars given by me in the application are correct and any false statement made by us will disqualify me / my ward for award of PM’s Scholarship Scheme, besides recovery of scholarship already paid. I also undertake to abide by the conditions mentioned in the general instructions of the scheme.”




Place: (Signature of ward) ________________________

Date: (Full Name of Ward) _______________________


Place: (Signature of Parent) _______________________

Date: (Full Name of Parent) ______________________


CERTIFICATE FROM RSB / ZSB



“It is certified that PM Scholarship application form for academic year 20___ - ___ in respect of Mr. / Ms. __________________________________________________________
S/o / D/o Ex -____________________________________________________ has been checked, found correct as per check list provided by KSB and the applicant is eligible to apply as per rules of the scheme”.

Office seal: Director, RSB / ZSB


Place : ________________

Date : ________________

SPECIMEN COPY OF BONAFIDE CERTIFICATE



CERTIFICATE FOR PM SCHOLARSHIP


1. It is certified that Ms. / Mr ._____________________ is Bonafide student of __________________________________ college. His / Her roll number is __________ and he / she is studying in the I / II / III / IV / V year or ______ semester of the One / Two / Three / Four / five years _______________ course in ____________________ branch (if any). He / she has joined this college in the academic year 20___ - ___ and the course will be completed in the month of ____________ 20___ -___.

2. This is also certified that _____________ course is a professional degree course and this college is approved by ________________________________________________.

3. This is also certified that student is getting Rs.__________________ (If not getting write N/A) stipend from this Institute / College or any other sources. l

Office Seal: Signature of Principal / Dean / Registrar


Date:- ______________

Place:-_____________



SPECIMEN COPY OF EX-SERVICEMEN CERTIFICATE

EX-SERVICEMEN CERTIFICATE
(In lieu of Discharge Book)

1. Type of Service (Army, Navy or Air Force) : _______________________________________

2. Service No. : _______________________________________

3. Rank : _______________________________________

4. Name & Initials : _______________________________________

5. Trade : _______________________________________

6. Date of enrolment : _______________________________________

7. Date of Discharge : _______________________________________

8. Reason for Discharge : _______________________________________

9. Duration/Length of Service : _______________________________________

10. Regular : _______________________________________
Reserve

11. ESM died on (if applicable) : _______________________________________

12. Cause of death & : _______________________________________
Whether Attributable

13. Particulars of dependent children:-
Sl. No. Name Gender Date of Birth

1.
2.
3.
4.
5.
6.
It is certified that the above information is duly checked from the discharge book of Ex-servicemen and found to be correct.

Office Seal: Dir RSB/ZSB/OI/C Record Office



Date: ________________________

Place: ______________________


PRIME MINISTER’S SCHOLARSHIP SCHEME


ACKNOWLEDGEMENT SLIP

OFFICE COPY


Your Renewal form dated_________ has been received on__________. The application will be examined for eligibility. The dak receipt number ____________ is to be mentioned for further correspondence with this office.




Office Seal: (Signature of RSB)




Tear off Tear off



ACKNOWLEDGEMENT SLIP

STUDENT COPY


Your Renewal form dated_________ has been received on__________. The application will be examined for eligibility. The dak receipt number ____________ is to be mentioned for further correspondence with this office.




Office Seal: (Signature of RSB)



Note: This copy duly stamped and signed by RSB given to the student by hand or by post.



Selection Serial Number......................

PROFORMA FOR RENEWAL OF SCHOLARSHIP UNDER PRIME MINISTER’S SCHOLARSHIP SCHEME
(To be send only if selected for scholarship)
1. Name of the applicant (Ward/widow):




2. Selection serial No. given by KSB:


3. Particular of ESM:

Name of ESM

Rank
Service Number

4. Present address (where you want your letter is to be sent)
(To be filled up only in case of change from previous address or write N / A)
House No.

Street No. & Name

Tehsil & Post

Distt
RSB

Pin Code

5. Details of Bank account of SBI or PNB for Electronic Clearing Services ((PLEASE ATTACH A PHOTOCOPY OF PASS BOOK, CROSSED BLANK CHEQUE SHOWING YOUR ACCOUNT NUMBER TO BE FORWARDED, EVEN IT IS SUBMITTED EARLIER).

Name of account holder
and account number




Place: ________________________________

Date: Full Name & Signature of the ward / widow

It is certify that the information submitted by my child / Self is correct.



Place : _____________________________

Date : Full Name & Signature of the Parent

LEAVE BLANK SPACE BETWEEN WORDS


SPECIMEN COPY OF BONAFIDE CERTIFICATE FOR RENEWAL



CERTIFICATE FOR RENEWAL OF PM SCHOLARSHIP


1. It Is certified that Ms. / Mr ._____________________ is a Bonafide student of __________________________________ college. His / Her roll number is __________ and he / she is studying in the I / II / III / IV / V year or ______ semester of the two / three / four / five years _______________ course in ____________________ branch (if any). He / she had joined this college in the academic year 20___ - ___ and the course will be completed in the month of ____________ 20___ - ___.

2. This is also certified that Ms. / Mr. ___________________________
__________ has successfully completed his / her 1st / 2nd / 3rd / 4th / 5th year and scored ________ % / Grade__________ (Total marks obtained were _____________ out of ____________) and he / she is continuing the course in 2nd / 3rd / 4th / 5th year .
Office Seal:
Signature of Principal / Dean / Registrar

Date: ________________
Place: _______________


CHECKLIST FOR RENEWAL OF SCHOLARSHIP

DOCUMENTS TO BE ATTACHED:

(a) A Bonafide certificate from the College/Institute indicating that the candidate continues to study in the subject course and showing his / her percentage of marks for which the Prime Minister’s Scholarship has been sought (As per the specimen attach).

(b) Candidate to attach a self addressed envelope, duly stamped to receive the acknowledgement of renewal form by post.




________________________________
Full Name & Signature of the Candidate

DEPTT OF SAINIK WALFARE/RAJYA SAINIK BOARDS

Sl No Address of RSB For Detail, Pl contact RSB
1 ANDAMAN & NICOBAR
ISLANDS (UT) Col KV Cherian (Retd)
Secretary
Rajya Sainik Board
A & N Administration, Secretariat
Port Blair - 744 101 Port Blair-

03192-235621 (O)
03192-235621(F)
03192-320360 (R)
09434281518 (M)

secrsbandnic@gmail.com
2 ANDHRA PRADESH Brig CS Vidyasagar (Retd)
Director
Deptt of Sainik Welfare
Block IV, II Floor, Gruhakalpa Complex, MJ Road, Nampally, Hyderabad - 500 001 Hyderabad

040-24736890 (O)
040-27990144 (R)
040-24747991 (F)
09440401470 (M)

apsainik@gmail.com
3 ARUNACHAL PRADESH Shri K Kholie
Director
Dte of Relief, Rehabilitation & Settlement, Govt of Arunachal Pradesh, New Itanagar-791110 Itanagar-

0360-2212282 (O)
0360-2290778 (R)
0360-2212282 (F)
0360-2213615 (F)
09436041927 (M)
4 ASSAM
Cmde K C Choudhury (Retd)
Director
Dte of Sainik Welfare, Sainik Bhavan, Lachit Nagar
Guwahati - 781 007
Guwahati-

0361-2522229 (O)
0361-2412196 (R)
0361-2522229 (F)


dkc2000@rediffmail.com
5 BIHAR
Shri Md. Saood, BAS
Director
Sainik Kalyan Nideshalaya
Home Deptt, Old Secretariat Barrack No.10, Patna – 800015
Patna

0612-2217301 (O)
0612-2217301 (F)
0612-2280333 (R)
6 CHANDIGARH (UT) Lt Col Raj Kumar Singh (Retd)
Zila Sainik Welfare Officer
Zila Sainik Welfare Office (UT)
Opposite Aroma Hotel, Sector-21-D, Chandigarh - 160 022 Chandigarh

0172-2701947 (O)
0172-2700317 (O)
0172-2726325 (F)
0172-2721064 (R)
09888880566 (M)


zswochd@gmail.com
7 CHHATTISGARH Col K L Yadav (Offg) (Retd)
Director
Deptt of Sainik Welfare, CG
Near Collectorate Parisar, Behind Home Guard Office
Raipur - 492 001 Raipur

0771-2445165 (O)
0771-2427449 (O)
0771-2352529 (R)
0771-2420084 (F)
09893164219 (M)


dsw.cg@nic.in
8 DELHI Gp Capt RK Sharma (Retd)
Secretary
Rajya Sainik Board
Opp Tis Hazari Court
No.1, Rajpur Road, Delhi-110 054 Delhi-

011-23991876 (F)
011-23969260 (O)
09818953191 (M)

rsbdelhi@nic.in
9 GOA Maj Venugopal Nair (Retd)
Secretary
Deptt of Sainik Welfare
Collectorate Building
Panaji - 403 001 Panaji

0832-2227138 (O)
0832-2443236 (R)
0832-2227138 (F)
09420686834 (M)

secyrsbgoa@gmail.com
10 GUJARAT Lt Col Kishor Sinh Gohil (Retd)
Director
Distt Sainik Welfare office & Resettlement, Bachat Bhawan, Ground Floor, Opp - Jyoti Sangh, Relief Road, Ahmedabad-380001 Gandhinagar

079-23251295 (O)
079-23251296 (O)
079-23251298 (O)
079-23251294 (F)
079-23245346 (R)
079-25508539 (O)

rsb_guj@rediffmail.com
11 HARYANA Brig KS Budhwar (Retd)
Secretary
Rajya Sainik Board
Sainik Bhawan, Sector 12, Shaheed Capt Rohit Kaushal Marg, Panchkula - 134 109 Panchkula

0172-2560462 (O)
0172-2562102 (R)
0172-2560462 (F)
0172-2560321 (O)
09888527189 (M)

sainikparivar@yahoo.com
12 HIMACHAL PRADESH Maj Jogi Dass Mankotia (Retd)
Director
Deptt of Sainik Welfare
Govt of Himachal Pradesh
Hamirpur - 177 001 Hamirpur-

01972-221854 (O)
01972-224659 (O)
01972-225961 (R)
01972-225643 (F)
09418090708 (M)
13 JAMMU AND KASHMIR Brig RS Langeh, VSM (Retd)
Director
Deptt of Sainik Welfare
Ambphalla, Jammu - 180005 Jammu

0191-2561547 (O)
0191-2465141 (R)
0191-2575362 (F)
09419180672 (M)
14 JHARKHAND Col AP Singh (Offg) (Retd)
Director
Sainik Kalyan Nideshalaya
Ranchi (Jharkhand) Ranchi-

0651-2330178 (O)
0651-2330469 (R)
0651-2331434 (F)
09431105964 (M)

jharkhand_skn@yahoo.in
15 KARNATAKA Col CM Uthaiah (Retd)
Director
Deptt of Sainik Welfare & Resettlement,
Fd Mshl KM Cariappa, Bhavan, No 58, Fd Mshl KM Cariappa Road, Bangalore - 560 025 Bangalore-

080-25589459 (O)
080-28445706 (R)
080-25589459 (F)
09886205130 (M)

sainikblr@rediffmail.com
16 KERALA Shri KK Govindan Nair
Director
Deptt of Sainik Welfare
Vikas Bhavan, Thiruvananthapuram - 695 033 Thiruvananthapuram

0471-2304980 (O)
0471-2472401 (R)
0471-2304980 (F)
0471-2329279 (R)


govindan.nair@yahoo.com
17 MADHYA PRADESH Brig Pramod Kumar (Retd)
Director
Deptt of Sainik Welfare
Southern Shopping Centre
Guru Teg Bahadur Complex, TT Nagar, New Market,
P.B.NO 364, Bhopal - 462 003 Bhopal-

0755-2553992 (O)
0755-2666081 (R)
0755-2577209 (F)
09993030601 (M)


dirrsb@mp.gov.in
18 MAHARASHTRA Col Suhas S Jatkar (Retd)
Director
Deptt of Sainik Welfare
Maharashtra State ‘Raigad’, Opp National War Memorial, Solapur Road, Ghorpadi, Pune-411 001 Pune-

020-26332763 (O)
020-26332764 (O)
020-26850613 (F)
09422314276 (M)


dsw@mahasainik.com
19 MANIPUR
Lt Col H Sharat Singh (Retd)
Secretary
Rajya Sainik Board
Sainik Rest House
Opp. Lamphel Police Station, Imphal-795004
Imphal-

09862672547 (M)
20 MEGHALAYA Brig WJB Sturgeon, YSM, SM (Retd)
Director
Dte of Sainik Welfare
Public Service Commission Building Beyond DC Building
Shillong - 793 001 Shillong-

0364-2225613 (O)
0364-2536574 (R)
0364-2225613 (F)
09436101551 (M)


rsbmegha@rediff.com
21 MIZORAM Col John Zama, SM (Retd)
Director
Deptt of Sainik Welfare & Res,
Tuikual ‘A’, PB No. 119
Aizawl - 796 001 Aizawl-

0389-2322732 (O)
0389-2322732 (F)
0389-2325811 (R)
09436142593 (M)

rsbmizoram@yahoo.in
22 NAGALAND Brig Brij Pal Singh (Retd)
Secretary
Rajya Sainik Board, Home Deptt, Home Br, Nagaland Civil Sectt., Kohima - 797 001 Kohima-

0370-2270029 (O)
0370-2270029 (F)
0370-2221991 (R)
09436830124 (M)


secyrsb-ngl@nic.in
23 ORISSA Col (Dr) DK Das (Retd)
Secretary
Rajya Sainik Board, Nageswar Tangi, Lewis Road, Bhubaneshwar-751002 Bhubaneshwar

0674-2432268 (O)
0674-2435998 (F)
0674-2721156 (R)
09937940807 (M)


rsbbbsr@gmail.com
24 PUDUCHERRY (UT) Col Jacob Mathen Anand (Retd)
Director
Deptt of Sainik Welfare
Jawan Bhavan Complex, Lawspet Main Road, Pakkamudayanpet, Puducherry - 605 008 Puducherry

0413-2253107 (O)
0413-2250575 (F)
09443228260 (M)


dswpuducherry@gmail.com
25 PUNJAB Brig IS Gakhal (Retd)
Director
Dte of Sainik Welfare, Punjab
Punjab Sainik Bhawan, Sector 21-D, Chandigarh - 160 022 Chandigarh

0172-2701845 (O)
0172-2740991 (R)
0172-2707345 (F)
09814297113 (M)


dswpb@rediffmail.com
26 RAJASTHAN Col Phool Singh Mehla (Retd)
(Offg) Nideshak
Sainik Kalyan Vibhag
Secretariat Building, North Block, Jaipur - 302 005 Jaipur-

0141-2227897 (O)
0141-2227650 (F)
0141-2356464 (R)
09314933120 (M)


rajasthansainik@yahoo.com
27 SIKKIM Lt Col PB Gurung (Retd)
Secretary
Rajya Sainik Board, Paljor Stadium Road, Gangtok-737 101 Gangtok-

03592-202534 (O)
03592-221456 (O)
03592-202156 (R)
03592-221456 (F)
09434448861 (M)
28 TAMIL NADU Capt S M Aslam, (Retd)
Joint Director
Dte of Ex-Servicemen’s Welfare
22, Raja Muthiah Salai, Choolai
Chennai - 600 003 Chennai-

044-26691747 (O)
044-26691342 (O)
044-22331052 (R)
044-26691886 (F)
09444823182 (M)

mdossc@gmail.com
29 TRIPURA Lt Col Mohit Ghosh (Retd)
Secretary
Rajya Sainik Board, Nehru Office Complex, Gorkhabasti, P.O. Kunjaban, Agartala - 799 006 West Tripura Agartala

0381-2326507 (O)
0381-2323795 (F)
0381-2319005 (R)
09436510584 (M)

rsb.tripura@gmail.com
30 UTTAR PRADESH Shri AK Chaturvedi, PCS
(Additional Charge)
Director
Dte of Sainik Kalyan Evam Punarvas, Kariappa Bhawan, Kaiserbagh, Lucknow - 226 001 Lucknow-

0522-2625354 (O)
0522-2625354 (F)
0522-2305107 (F)
0522-2391701 (R)
09415404142 (M)
31 UTTARAKHAND Brig AN Bahuguna, KC, YSM, VSM (Retd)
Director
Nideshalaya Sainik Kalyan Uttarakhan, Kalidas marg
P O- Haathi Badkala
Dehradun - 248121 Dehradun-

0135-2744208 (O)
0135-2743773 (F)
0135-2741481 (O)
0135-2670813 (R)
09358254621 (M)

dskddn@gmail.com
32 WEST BENGAL Col PR Pal (Retd)
Secretary
Rajya Sainik Board, Block 'F'
(First Floor), Writers’ Building
Kolkata - 700 001 Kolkata-

033-22141347 (O)
033-22144643 (F)
033-22143220 (O)
09874535628 (M)

rajyasainikboardwestbengal@gmail.com



Note:

Dadar Nagar Haveli: ESM of these states can submit their Prime Minister application form to
Gujrat RSB.
Daman & Div

Lakshadweep: ESM of this state can submit their Prime Minister application form to Kerala RSB.