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    Government of Gujarat: Student Basic Details

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    Setu Chauhan
    Setu Kishorbhai Chauhan, a 21-year old male student from Rajkot, Gujarat has applied for a Post S.S.C scholarship for boys from the SEBC category. He is currently enrolled in the 4th year of a B.E. in Instrumentation and Control Engineering at the Government Engineering College in Rajkot. His family's annual income is Rs. 120,000 and they live in a rural area. He has provided details of his bank account, academic qualifications, documents attached and certified that the information provided is correct.

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    Government of Gujarat: Student Basic Details

    Uploaded by

    Setu Chauhan
    38 views3 pages
    Setu Kishorbhai Chauhan, a 21-year old male student from Rajkot, Gujarat has applied for a Post S.S.C scholarship for boys from the SEBC category. He is currently enrolled in the 4th year of a B.E. in Instrumentation and Control Engineering at the Government Engineering College in Rajkot. His family's annual income is Rs. 120,000 and they live in a rural area. He has provided details of his bank account, academic qualifications, documents attached and certified that the information provided is correct.

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    BKC81

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    Setu Kishorbhai Chauhan, a 21-year old male student from Rajkot, Gujarat has applied for a Post S.S.C scholarship for boys from the SEBC category. He is currently enrolled in the 4th year of a B.E. in Instrumentation and Control Engineering at the Government Engineering College in Rajkot. His family's annual income is Rs. 120,000 and they live in a rural area. He has provided details of his bank account, academic qualifications, documents attached and certified that the information provided is correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views3 pages

    Government of Gujarat: Student Basic Details

    Uploaded by

    Setu Chauhan
    Setu Kishorbhai Chauhan, a 21-year old male student from Rajkot, Gujarat has applied for a Post S.S.C scholarship for boys from the SEBC category. He is currently enrolled in the 4th year of a B.E. in Instrumentation and Control Engineering at the Government Engineering College in Rajkot. His family's annual income is Rs. 120,000 and they live in a rural area. He has provided details of his bank account, academic qualifications, documents attached and certified that the information provided is correct.

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    of 3

    GOVERNMENT OF GUJARAT Submit Date : 28/12/2021

    Application No:
    BCK-81 Post S.S.C Scholarship For Boys(SEBC) 212200000001481081

    Fresh Application

    Student Basic Details


    Name of Student : Chauhan Setu Kishorbhai
    Name of Student (As per Aadhar) : Setu Kishorbhai Chauhan
    Mother's Name : Rekhaben Kishorbhai Chauhan
    Date of Birth : 19/07/2000 Gender : Male
    Category : SEBC Religion :Hindu
    Caste : Kadiya Kumbhar(DPŽ]hȢk5[h^ 
    Aadhaar Status Verified: Yes(09/12/2021 10:46:00)

    Annual Income of Parents/Guardian/Husband (Rs): 120000 Habitation Type: Rural


    Mobile Number : 7874788448 E-mail Address : [email protected]
    Aadhar No : 85xxxxxx7319 Parent/Guardian occupation: Pvt-Service(EhWFjWsD^Ž
    Is Orphan: NO Day Scholar / Hosteller : Hosteler
    Marital Status : Unmarried Hostel Type: Government Hostel

    Current Address: Permanant Address:


    State Gujarat State Gujarat

    District Rajkot District Ahmadabad

    Taluka Rajkot Taluka Asarava

    Village Kankot Village


    PinCode 360001 PinCode 382350

    Address:Government Engineering College Boy's Hostel Address:33,pathik ro-house, muktidham estest, nikol gam road,
    jivanvadi,Ahmedabad
    382350

    Student Bank Account Detail/Aadhar Bank Detail


    I voluntarily give my consent to use my Aadhaar details.
    Aadhar Number : 85xxxxxx7319 Bank name : -
    Mandate Date : - Status :
    I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
    Account No : 35xxxxxx9685 IFSC Code : SBIN0060434
    Student Name(As per Bank Name): SETU KISHORBHAI CHAUHAN

    Name of Bank : STATE BANK OF INDIA

    Branch Name & Address : BAPUNAGAR, AHMEDABAD


    I hereby accept that
    1.Details provided by me are correct to best of my knowledge
    2.Shall not make any claims if amount is transferred to a wrong account due to incorrect
    3.Shall refund the amount transferred to someone else¶s account due to incorrect details provided by me
    4.I will refund the excess amount credited to my account, if any.
    5.I voluntarily give my consent to use my Aadhaar details
    6.I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar

    Student Academic Details


    Present Course/Class/Trade Type: Engineering & Technology

    Present Course/Class/Trade Name : B.E. (Bachelor of Engineering)

    Present Course/Class/Trade Year : 4TH YEAR(7th Semester/8th Semester)

    Courtesy :: National Informatics Centre, Gujarat Page 1 of 3 212200000001481081 Print Date :28/12/2021
    Studying in : Gujarat Enrollment No: 190203117004

    Present Institute District : Rajkot Present Institute : GOVERNMENT ENGINEERING COLLEGE,


    RAJKOT 020
    Admission Type : Regular Seat(Government Quota) Present Branch Course : Instrumentation & Control Engineering

    Enter Your Research/Thesis Subject :


    Present Class Start Date : 02-Aug-2021 Present Course Completion Date : 10-May-2022

    Fees Amount
    Admission Fees (Rs) 0
    Tution Fees (Rs) 1500
    Misc.Fee(NonRefundable Fees) 1400
    Exam Fees(Rs) 1450

    Total (Rs) 4350

    Previous stream :B.E. (Bachelor of Engineering) Previous Class/Course : 3RD YEAR(5th Semester/6th Semester)
    Previous Passing Year : 2021 Previous (%) : 7.21

    Educational Break : No No. Of. Year in Break :

    Previous Education Detail


    Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
    9th Std/10th Std 10TH SSC A1146651 2015 68

    Engineering & Technology DE (Diploma Engineering ) Instrumentation and D607644 2019 7.18
    control engineering

    List of documents which you have attached :

    1 Caste Certificate From the Competent Authorities

    2 First Page Of Bank PassBook/Cancelled Cheque

    3 Fee Receipt of Current Course Year

    4 Self Attested Certificate of Previous academic marksheet

    5 Hostel Certificate(Only For Hosteller Student)

    6 Income Certificate (Competent Authority)(Form no.16 required For Govt. Employee)

    7 School Leaving Certificate

    8 School/College Current Year Bonafide Certificate

    9 Identity Card (College/School)

    I have read all above terms and conditions and understand them fully, I hereby declared that here I am submitting only one
    application for scholarship and I haven¶t received any other scholarship/stipend or fellowship in this current session under any other
    central/state government scheme. I further state that all information furnished by me is correct to my knowledge in case of any the
    false information or suppression of necessary data proved in my application is liable to get cancelled at any stage of the scholarship
    process and the entire amount of scholarship will be refunded by me or recovered from me. Government decision shall be final and
    binding on me.

    Date : 28/12/2021
    Verify Mobile Number : Yes 28/12/2021
    Place : Signature of the applicant
    It is certified that the information filled in the above mentioned fields by the students are correct to the best of my knowledge and
    all the Documents has been checked.

    It is also certified that in case the applicant leaves institution or otherwise discontinues the studies or detained or accepts any other
    regular scholarships/stipend/ fellowship the fact will be immediately reported to the said authority

    Certified that the student is eligible for scholarship amount subject to Central/State government rules and the student is
    recommended for sanction of scholarship.

    Courtesy :: National Informatics Centre, Gujarat Page 2 of 3 212200000001481081 Print Date :28/12/2021
    This is to certify that student has regularly attended online/blended education and maintained minimum attendance criteria till date
    for the A.Y. 2021 ±

    The actual School/College/University online/blended education year began on ________________________ and will be ended on
    ________________________

    Signature Of Head Of The School/College/Institute/University With Official Seal

    Place :
    *Note : Stamp Signature will not be accepted

    Date :

    Courtesy :: National Informatics Centre, Gujarat Page 3 of 3 212200000001481081 Print Date :28/12/2021

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