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GOVERNMENT OF GUJARAT Submit Date :

Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 242500000000431270
India Scheme)
Renewal Application

Previous Application No: 232400000001736814


Previous Paid Scholarship:

Student Basic Details

Name of Student : Parmar Tannuben Ashokbhai


Name of Student (As per Aadhar) : Parmar Tannuben
Mother's Name : Parmar Surekhaben
Date of Birth : 26/12/2005 Gender : Female
Category : SC(7ȵkɅl‡ISĤiS  Religion :Hindu
Caste : Hindu Chamar ˆeƛȳkI\h^ 

Aadhaar Status Verified: Yes(31/10/2024 09:00:56)

Ration Card No. : 105010006024603 Ration Card Member No. : 105010006024603005


Name As Per Ration Card: (Parmar Tannuben / X^\h^SɐkZpW
EKYC Status As Per Ration Card: Yes EKYC Date: 28-10-2024
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): 198123 Habitation Type: Rural


Mobile Number : 9106046921 E-mail Address : tanup8355@gmail.com
Aadhar No : 22xxxxxx3175 Parent/Guardian occupation: Agriculture(EpSj
Is Orphan: NO Day Scholar / Hosteller : Hosteler
Marital Status : Unmarried Hostel Type: Private Hostel

Current Address: Permanant Address:


State Gujarat State Gujarat

District Gandhinagar District Arvalli

Taluka Gandhinagar Taluka Modasa

Village Village Dhankhrol

PinCode 382421 PinCode 383316

Address:SAHAJANAND HOSTEL, ZUNDAL Address:At . Bayal Dhankhrol, modasa , aravalli, 383316

Student Bank Account Detail/Aadhar Bank Detail


I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 22xxxxxx3175 Bank name : -
NPCI Date : 10/31/2024 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 : 42xxxxxx9138 IFSC Code : SBIN0000429
Student Name(As per Bank Name): Tannuben Ashokbhai Parmar

Name of Bank : STATE BANK OF INDIA

Branch Name & Address : MODASA


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 242500000000431270 Print Date :31/10/2024


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: Para medical

Present Course/Class/Trade Name : B.Sc(Nursing) Bachelor Of Science In Nursing

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

Studying in : Gujarat Enrollment No: 202307400273

Present Institute District : Gandhinagar Present Institute : APOLLO INSTITUTE OF NURSING,


GANDHINAGAR
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : -

Enter Your Research/Thesis Subject :


Present Class Start Date : 14-Oct-2024 Present Course Completion Date : 31-Oct-2025

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 125000
Misc.Fee(NonRefundable Fees) 6000
Exam Fees(Rs) 1225

Total (Rs) 132225

Previous stream :B.Sc(Nursing) Bachelor Of Science In Nursing Previous Class/Course : 1ST YEAR(1st Semester/2nd Semester)
Previous Passing Year : 2024 Previous (%) : 62.08

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 A1250988 2021 77.66

11th Std/12 Std 12TH GSHSEB B317826 2023 66.08

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 Hostel Certificate(Only For Hosteller Student)

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

6 Std:10 Marksheet

7 School Leaving Certificate (If Any)

8 Std:12 Marksheet(If Any)

9 Graduate Marksheet(If Any)

10 Other Marksheets/Last Year Marksheet (If Any)

11 Identity Card (College/School)

Page 2 of 3 242500000000431270 Print Date :31/10/2024


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 : 31/10/2024

Verify Mobile Number : Yes 07/12/2023

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 242500000000431270 Print Date :31/10/2024

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