GOVERNMENT OF GUJARAT Submit Date : 17/12/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000001307975
Students
Fresh Application
Student Basic Details
Name of Student : Vaghela Ranjit Mukeshbhai
Name of Student (As per Aadhar) : Vaghela Ranjit
Mother's Name : Lila ben
Date of Birth : 30/09/2000 Gender : Male
Category : NT/DNT(iaI^iS7WpiaȺkƈSĤiS Religion :Hindu
Caste : Vedu Vaghari apȮkahG^
Aadhaar Status Verified: Yes(10/11/2024 08:46:19)
Ration Card No. : 127106010621378 Ration Card Member No. : 127106010621378005
Name As Per Ration Card: (Vaghela Ranjit / ahGp_h^RĥS
EKYC Status As Per Ration Card: Yes EKYC Date: 18-11-2024
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): 150000 Habitation Type: Urban
Mobile Number : 8799507252 E-mail Address : rv5765853@gmail.com
Aadhar No : 30xxxxxx4206 Parent/Guardian occupation: Labour(\ȩl^
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Ahmadabad District Ahmadabad
Taluka Maninagar Taluka Daskroi
Village Village
PinCode 380026 PinCode 380026
Address:34,punjabhai ni Address:34,punjabhai ni
chali,revabanagar,ramrajyanagar,ahmedabad,Gujarat-380026 chali,revabanagar,ramrajyanagar,ahmedabad,Gujarat-380026
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 30xxxxxx4206 Bank name : -
NPCI Date : 12/17/2024 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 : 52xxxxxx2324 IFSC Code : BARB0VASAHM
Student Name(As per Bank Name): Vaghela Ranjit
Name of Bank : BANK OF BARODA
Branch Name & Address : VASTRAL
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: Information Technology
Present Course/Class/Trade Name : MCA (Master of Computer Application)
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 202112101732
Present Institute District : Ahmadabad Present Institute : R.B.Institute of Management Studies (SFI)-Ahmedabad
549
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 01-Aug-2024 Present Course Completion Date : 31-Jul-2025
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 62400
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 2000
Total (Rs) 64400
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
Information Technology BCA (Bachelor Of Computer Application) Information 932 2024 74.95
Technology
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 : 17/12/2024
Verify Mobile Number : Yes 17/12/2024
Place : Signature of the applicant
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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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