GOVERNMENT OF GUJARAT Submit Date : 25/10/2024

Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 242500000000049434
India Scheme)
Renewal Application

Previous Application No: 232400000001036731

Previous Paid Scholarship:

Student Basic Details

Name of Student : BADIYA BHAVIK RAMESH

Name of Student (As per Aadhar) : BADIYA BHAVIK RAMESHBHAI
Mother's Name : LAXMIBEN
Date of Birth : 22/09/2007 Gender : Male
Category : SC(7ȵkɅl‡ISĤiS  Religion :Hindu
Caste : Hindu Meghwal ˆeƛȳk\pGah` 

Aadhaar Status Verified: Yes(24/10/2024 12:17:16)

Ration Card No. : 101006011537456 Ration Card Member No. : 101006011537456004

Name As Per Ration Card: (Badiya Bhavik Rameshbhai / ZPŽ]h[hiaD^\pb[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 20-09-2024
Aadhar Number Matched With Ration Card: Yes
Consent Status: I hereby give my consent to use my personal data available with food and civil supply department. I hereby give my consent to
government of Gujarat for fetching my identity for the purpose of post matric scholarship.

Annual Income of Parents/Guardian/Husband (Rs): 35000 Habitation Type: Rural

Mobile Number : 8401578826 E-mail Address : [email protected]
Aadhar No : 77xxxxxx5994 Parent/Guardian occupation: Labour(\ȩl^Ž
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:

Current Address: Permanant Address:

State Gujarat State Gujarat

District Kachchh District Kachchh

Taluka Nakhatrana Taluka Nakhatrana

Village Village
PinCode 370665 PinCode 370665

Address:AT POST VIRANI MOTI TA NAKHATRANA DIST Address:AT POST VIRANI MOTI TA NAKHATRANA DIST
KACHCHH KACHCHH

Student Bank Account Detail/Aadhar Bank Detail

I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 77xxxxxx5994 Bank name : -
NPCI Date : 10/24/2024 12:00:00 AM NPCI Status : Accept
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 38xxxxxx1139 IFSC Code : BKID0003819
Student Name(As per Bank Name): BHAVIK RAMESH BADIYA

Name of Bank : BANK OF INDIA

Branch Name & Address : MOTI VIRANI

I hereby accept that
1.Details provided by me are correct to best of my knowledge

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 2.Shall not make any claims if amount is transferred to a wrong account due to incorrect details provided by me
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.

Student Academic Details

Present Course/Class/Trade Type: Engineering & Technology

Present Course/Class/Trade Name : DE (Diploma Engineering )

Present Course/Class/Trade Year : 2ND YEAR(3rd Semester/4th Semester)

Studying in : Gujarat Enrollment No: 236210309006

Present Institute District : Kachchh Present Institute : Government Polytechnic,Bhuj 621

Admission Type : Regular Seat(Government Quota) Present Branch Course : Electrical Engineering

Enter Your Research/Thesis Subject :

Present Class Start Date : 27-Jun-2024 Present Course Completion Date : 31-May-2026

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 1000
Misc.Fee(NonRefundable Fees) 600
Exam Fees(Rs) 1500

Total (Rs) 3100

Previous stream :DE (Diploma Engineering ) Previous Class/Course : 1ST YEAR(1st Semester/2nd Semester)
Previous Passing Year : 2024 Previous (%) : 6.25

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 GSHSEB C9029593 2023 75.66

Disablity Detail
Is Disability : No Type of Disability : -

Percentage of disability : - Required Guide/Coaching Guide: No

Guide Name: -
Guide Address: -

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

5 Std:10 Marksheet

6 School Leaving Certificate (If Any)

7 Other Marksheets/Last Year Marksheet (If Any)

8 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.

Page 2 of 3 242500000000049434 Print Date :25/10/2024

Date : 25/10/2024

Verify Mobile Number : Yes 25/10/2024

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.

This is to certify that student has regularly attended classes and maintained minimum attendance criteria till date for the A.Y. 2024
-2025. If student will irregular, than we will immediately reported to the said authority.

The actual School/College/University 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 :

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