West Bengal minorities' Development & Finance Corporation
Under Minority Affairs & Madrasah Education Department, Govt. of West Bengal
Amber, DD-27/E, Sector - 1, Salt Lake City, Kolkata - 700064
Merit Cum Means (MCM) Scholarship for Minorities, 2022-23
Institute Verification Form
Verification / Information to be furnished by the Head of Institute / College
It is to certify that the information provided by KAZI ABDUR RAHAMAN, a student of North Bengal Self attested passport size
Medical College (Id: C-16414) (Name of the Institute / College) who is admitted in BACHELOR OF photo
MEDICINE AND BACHELOR OF SURGERY (M.B.B.S)-5 YEARS (Name of the Course) 1st / 2nd / 3rd
/ 4th (tick out) year for the academic session 2022-2023 is correct.
1. Percentage of marks obtained last year :
2. Fee details for the current year :
Date - 23-12-2022
Place - Signature of the Head of
the Institute / College with official seal
Note :
1. The Verification by institution is mandatory for consideration of the Application.
2. Students are requested to take a print out of 'institute Verification Form' get it verified by the Head of the institution, scan &
upload it in JPEG Format.
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