JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Credit Card Form Fill up for Malda College Students
Developed by Scholarship Committee, Malda College
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please Fill up all the required fields carefully after application in Govt portal for West Bengal Student Credit Card and submit the print copy along with other documents in room No 106 as per time mentioned in notice.
Student ID (Mentioned in College I-Card & Acknowledgement Slip of 1st Year Admission)
*
For example ARBH19XX or BENG20XX
Your answer
STUDENT CREDIT CARD APPLICATION ID
*
After application in the Govt Portal you can get this application number like WBSCCXXXXXXXXX
Your answer
STUDENT NAME (IN BLOCK LETTER)
*
Your answer
Mobile Number (10 Digit)
*
Your answer
Choose your Current Semester/Year
*
1st Sem
2nd Sem
3rd Sem
4th Sem
5th Sem
6th Sem
3rd Yr
Other:
Address of the Students
*
Your answer
University Registration Number
*
Your answer
University Registration Session
*
2022-23
2021-22
2020-21
2019-20
2018-19
Other:
How much Course Fees you have already paid to College
*
Your answer
How much course Fees due /unpaid to College. (If you paid all fess then write 0 (zero).
*
If you are a student of 1st year then amount will be a sum of 2nd and 3rd Year fees. if you are a student of 3rd yr amount will be 3rd year fees
Your answer
Your Bank Details
Bank Account Number
*
As mentioned while applying for loan in Govt. Portal
Your answer
Bank and Brach Name
*
As mentioned while applying for loan in Govt. Portal
Your answer
Bank IFS Code (11 Alpha Numeric)
*
As mentioned while applying for loan in Govt. Portal
Your answer
Name of Co-borrower/ Guardian
*
As mentioned while applying for loan in Govt. Portal
Your answer
Mobile No. of the Co-borrower/Guardian (10 Digit)
*
Your answer
Amount of Loan Required
*
As mentioned while applying for loan in Govt. Portal
Your answer
Amount of Course Fees mentioned
*
As mentioned while applying for loan in Govt. Portal
Your answer
Remarks (if any)
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Malda College.
Report Abuse
Forms
