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77 views3 pages

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https://client.falixnodes.net/timer?id=18397138758186857@fam/tp -472 ~ -776

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ksanjot247
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GOVERNMENT OF GUJARAT Submit Date : 05/11/2024

Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 242500000000825449
India Scheme)(Freeship Card Student Only)
Fresh Application

Student Basic Details

Name of Student : Sanjot Karan Dhanji


Name of Student (As per Aadhar) : Karan Dhanji Sanjot
Mother's Name : Sanjot Gita Dhanji
Date of Birth : 26/10/2005 Gender : Male
Category : SC(7ȵkɅl‡ISĤiS  Religion :Hindu
Caste : Hindu Maheshvari Meghwal ˆeƛȳk\e°Ė^Ž\pGah` 

Aadhaar Status Verified: Yes(05/11/2024 02:17:30)

Ration Card No. : 101009004259500 Ration Card Member No. : 101009004259500004


Name As Per Ration Card: (Karan Dhanji Sanjot / D^RVWĥd5KsN
EKYC Status As Per Ration Card: Yes EKYC Date: 04-11-2024
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): 75000 Habitation Type: Rural


Mobile Number : 8758186857 E-mail Address : sanjotdhanji3@gmail.com
Aadhar No : 96xxxxxx6273 Parent/Guardian occupation: Labour(\ȩl^Ž
Is Orphan: NO Day Scholar / Hosteller : Hosteler
Marital Status : Unmarried Hostel Type: Government Hostel

Current Address: Permanant Address:


State Gujarat State Gujarat

District Kachchh District Kachchh

Taluka Gandhidham Taluka Mundra

Village Village
PinCode 370205 PinCode 370435

Address:Goverment boy's hostel, Shinay, Shinay - tuna road, Address:Maheshwari vas, Moti khakhar, Mundra, kutchh
Gandhidham

Student Bank Account Detail/Aadhar Bank Detail


I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 96xxxxxx6273 Bank name : -
NPCI Date : 11/5/2024 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 : 58xxxxxx0742 IFSC Code : BARB0MOTIBH
Student Name(As per Bank Name): Karan Dhanji Sanjot

Name of Bank : BANK OF BARODA

Branch Name & Address : MOTI BHUJPAR


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

Page 1 of 3 242500000000825449 Print Date :14/01/2025


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: Information Technology

Present Course/Class/Trade Name : BCA (Bachelor Of Computer Application)

Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)

Studying in : Gujarat Enrollment No: 24BCA49

Present Institute District : Kachchh Present Institute : D.N.V. International Education Academy

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

Enter Your Research/Thesis Subject :


Present Class Start Date : 24-Jul-2024 Present Course Completion Date : 25-Jan-2025

Fees Amount
Admission Fees (Rs) 500
Tution Fees (Rs) 0
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 0

Total (Rs) 500

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


Freeship Card Detail
Freeship Card No: 192
Freeship Card Issued Date: 29/07/2024
Freeship Card Issued by District:Kachchh

Previous Education Detail


Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH Arts C3041319 2021 29.3

11th Std/12 Std 12TH Arts P608024 2024 50

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

4 Std:10 Marksheet

5 School Leaving Certificate (If Any)

6 Std:12 Marksheet(If Any)

7 Freeship Card

Page 2 of 3 242500000000825449 Print Date :14/01/2025


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 : 14/01/2025

Verify Mobile Number : Yes 05/11/2024

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 242500000000825449 Print Date :14/01/2025

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