GOVERNMENT OF GUJARAT Submit Date : 19/12/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000002041661
Students
Fresh Application
Student Basic Details
Name of Student : VALA BHAGYESHKUMAR JESINGBHAI
Name of Student (As per Aadhar) : VALA BHAGYESHKUMAR JESINGBHAI
Mother's Name : JYOTSANABEN
Date of Birth : 01/01/2003 Gender : Male
Category : SEBC Religion :Hindu
Caste : Karadiya Rajput Dh^P]h^hKȶlS
Aadhaar Status Verified: Yes(10/12/2024 14:40:05)
Ration Card No. : 129013012027897 Ration Card Member No. : 129013012027897001
Name As Per Ration Card: (Vala Bhagyeshkumar Jesingbhai / ah`h[hƊ]pbȢk\h^ȐidF[h:
EKYC Status As Per Ration Card: Yes EKYC Date: 07-12-2024
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): 70000 Habitation Type: Rural
Mobile Number : 7801905921 E-mail Address :
[email protected]Aadhar No : 56xxxxxx7088 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 Gir Somnath District Gir Somnath
Taluka Kodinar Taluka Kodinar
Village Kadodara Village Kadodara
PinCode 362720 PinCode 362720
Address:NAVAPARA SHERI,KADODARA,GIR Address:NAVAPARA SHERI,KADODARA,GIR
SOMNATH,GUJARAT-362720 SOMNATH,GUJARAT-362720
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 56xxxxxx7088 Bank name : -
NPCI Date : 12/19/2024 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 : 12xxxxxx3319 IFSC Code : BARB0DEVLIX
Student Name(As per Bank Name): VALA BHAGYESHKUMAR
JESINGBHAI
Name of Bank : BANK OF BARODA
Branch Name & Address : DEVLI, DIST. JUNAGADH
I hereby accept that
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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
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: Science
Present Course/Class/Trade Name : MSc Master Of Science
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 240606010392
Present Institute District : Surendranagar Present Institute : SURENDRANAGAR UNIVERSITY
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : Chemistry
Enter Your Research/Thesis Subject :
Present Class Start Date : 01-Jul-2024 Present Course Completion Date : 31-May-2025
Fees Amount
Admission Fees (Rs) 2000
Tution Fees (Rs) 150000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 9999
Total (Rs) 161999
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 GENERAL C3206469 2018 63.66
11th Std/12 Std 12TH SCIENCE 92182030 2021 48.4
2265
Science B.Sc Bachelor Of Science SEM 1 25110300 2022 58.5
Science B.Sc Bachelor Of Science SEM 2 25120109 2022 58.6
Science B.Sc Bachelor Of Science SEM 3 25130031 2023 52.54
Science B.Sc Bachelor Of Science SEM 4 25140456 2023 53.09
Science B.Sc Bachelor Of Science SEM 5 25150238 2023 52.7
Science B.Sc Bachelor Of Science SEM 6 25160236 2024 66.04
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)
7 School/College Current Year Bonafide Certificate
8 Identity Card (College/School)
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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 : 19/12/2024
Verify Mobile Number : Yes 19/12/2024
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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