Scribd Logo
Upload

Welcome to Scribd!

  • 2 views

    Kinjal Ben

    Uploaded by

    parmarajayj92

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Kinjal Ben

    Uploaded by

    parmarajayj92
    2 views3 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    Kinjal Ben

    Uploaded by

    parmarajayj92

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    GOVERNMENT OF GUJARAT Submit Date : 25/11/2024

    Application No:
    PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000001764347
    Students
    Fresh Application

    Student Basic Details

    Name of Student : SUTHAR KINJALBEN VIRJIBHAI


    Name of Student (As per Aadhar) : Suthar Kinjalben Virjibhai
    Mother's Name : VAKHUBEN
    Date of Birth : 17/03/2009 Gender : Female
    Category : SEBC Religion :Hindu
    Caste : Suthar Gurjar ɅkTh^ȤkȒ^ 

    Aadhaar Status Verified: Yes(25/11/2024 16:16:08)

    Ration Card No. : 102009007255262 Ration Card Member No. : 102009007255262006


    Name As Per Ration Card: (Suthar Kinjalben Virjibhai / ɅkTh^ˆD„K_ZpWia^ĥ[h9
    EKYC Status As Per Ration Card: Yes EKYC Date: 19-09-2024
    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): 85000 Habitation Type: Rural


    Mobile Number : 6354688422 E-mail Address : [email protected]
    Aadhar No : 67xxxxxx9644 Parent/Guardian occupation: Agriculture(EpSj
    Is Orphan: NO Day Scholar / Hosteller : Day Scholar
    Marital Status : Unmarried Hostel Type:

    Current Address: Permanant Address:


    State Gujarat State Gujarat

    District Banaskantha District Banaskantha

    Taluka Deesa Taluka Deesa

    Village Nesda Juna Village Nesda Juna

    PinCode 385530 PinCode 385530

    Address:NESDA JUNA Address:NESDA JUNA

    Student Bank Account Detail/Aadhar Bank Detail


    I voluntarily give my consent to use my Aadhaar details.
    Aadhar Number : 67xxxxxx9644 Bank name : -
    NPCI Date : 11/25/2024 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 : 80xxxxxx1713 IFSC Code : BARB0DBBLDI
    Student Name(As per Bank Name): Suthar Kinjalben Virjibhai

    Name of Bank : BANK OF BARODA

    Branch Name & Address : BHILADI


    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 details provided by me

    Page 1 of 3 242500000001764347 Print Date :25/11/2024


    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: 11th Std/12 Std

    Present Course/Class/Trade Name : 11TH

    Present Course/Class/Trade Year : 11TH

    Studying in : Gujarat Enrollment No:

    Present Institute District : Banaskantha Present Institute : GOVT. SEC SCHOOL NESADA (24020516003)

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

    Enter Your Research/Thesis Subject :


    Present Class Start Date : 18-Jun-2024 Present Course Completion Date : 30-Apr-2025

    Fees Amount
    Admission Fees (Rs) 0
    Tution Fees (Rs) 0
    Misc.Fee(NonRefundable Fees) 20
    Exam Fees(Rs) 0

    Total (Rs) 20

    Previous stream :10TH Previous Class/Course : 10th


    Previous Passing Year : 2024 Previous (%) : 83.83

    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 GEN A1163502 2024 83.83

    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 Self Attested Certificate of Previous academic marksheet

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

    6 School Leaving Certificate (If Any)

    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 : 25/11/2024

    Verify Mobile Number : Yes 25/11/2024

    Page 2 of 3 242500000001764347 Print Date :25/11/2024


    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 :

    Page 3 of 3 242500000001764347 Print Date :25/11/2024

    You might also like