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Rakhine Students Education Fund (RSEF)

(Application for Stipend)
1. Name of Applicant: (In English)______________________________(In Rakhine)________________________

2. Father's Name : (In English)___________________________(In Rakhine)____________________Occupation_____________

3. Mother's Name : (In English)___________________________(In Rakhine)____________________Occupation_____________
4. Do you receive stipend from RSEF? Yes No (Mention year-wise) : __________________________________________
5. Educational Record :
Name of Institution/s

Class/Year/Semester & Subjects

L
a
s
t
P
r
e
s
e
n
t

Year

Grade/Total marks
of last exam.

6. Permanent Address: ________________________________________________________________________________

7. Present Address: ___________________________________________________________Contact No.______________
8. Guardian's Name : (In English)_________________________(In Rakhine)__________________Occupation______________
9. Annual Income of Parents/Guardian : ___________________
10. Other Members of Family : (Class must be mentioned in case of student)
Name in English & Rakhine
/
/
/
/

Age

Brother/Sister

Occupation / Class

Annual Income

11. Are you interested in social works? Yes No : Field of interest: ______________________________________________
______________________________________________________________________________.
I do hereby declare that the above mentioned particulars are correct and promise to abide by the terms and conditions, printed
overleaf, for the Stipend.
________________
Counter signed by
Parent/Guardian

________________
Signature of Student
Date ____________
For Official Use

He/She has been granted Taka ___________ for (a) Admission/Annual Fee (b) Tuition Fee (c) Test/Exam Fee (d) Text Books
& Stationery (e) Exam Entry Fee (f) Monthly (g) Yearly Stipend as per approval of the meeting of the Committee held on
________________.
_______________
Presiding Member
Contributors : (1) Maung Saw Nyunt, Ramu (2) Maung Rhee, Moheshkhali (3) Maung Rhee Frue, Moheshkhali
(4) May Du, Moheshkhali (5) Dr. Ma Yin Nu, Coxs Bazar (6) U Phoe Thein, Japan (7) Maung Fru Rhee, Canada
(8) Kyaw Zan Oo, USA. (9) Rakhita & Shekhinah, Australia (10) Aung Than Hla (Maung Tin), Maheshkhali. (ExMaung U Shang, Harbang, Pu Mya Khine, Bandarban, U Tun Kyaw Marma, Japan & Hla Sein, Patuakhali)
,

Terms and Conditions for Stipend

1. The student must be poor but meritorious;
2. He/She should be of good moral character and discipline;
3. He/She must be regular in classes with at least 90% of attendance;
4. He/She must appear in every examination/semester;
5. Student who is unsuccessful in any examination/semester will not be entitled for
further stipend;
6. Stipend money must be utilized in educational purposes;
7. He/She must not take part in any activity subversive either of the state or of the
discipline.

Note:
a) The stipend shall be for one year.
b) The student should apply for continuation of his/her stipend with fulfillment of
above mentioned terms and conditions.
c) Testimonial/Academic Transcript/Result Sheet of last examination/semester
must be attached with the application.
d) Original receipt of admission/readmission for the current year must be attached.
e) The application form must be filled in by the applicant.
f)

Incomplete and faulty application will not be accepted.

g) The filled-in application must reach the following address within 30 days from
the date of admission/readmission in the new academic session/year :
Maung Rhee
3/H Sheltech Mohana,
155 Monipur ipara,
Tejgaon, Dhaka-1215
Mobile: 01817636857, 01705184945
http://rsef und.blogspot.com

RECEIPT
I have received from Rakhine Students' Education Fund :
Amount

In words

Tk.

Taka

Tk.

Taka

Tk.

Taka

Sign & date