GOVERNMENT OF GUJARAT Submit Date : 20/12/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000001915026
Students
Fresh Application
Student Basic Details
Name of Student : Nakrani Sujal Anilbhai
Name of Student (As per Aadhar) : Nakrani Sujal Anilbhai
Mother's Name : NayanaBen
Date of Birth : 30/08/2004 Gender : Male
Category : EBC(8iTD^SpXJhSaF½ Religion :Hindu
Caste :
Aadhaar Status Verified: Yes(19/12/2024 17:27:10)
Ration Card No. : 122906010715908 Ration Card Member No. : 122906010715908004
Name As Per Ration Card: (Nakrani Sujal Anilbhai / WhD^hRjɅkK_7iW_[h:
EKYC Status As Per Ration Card: Yes EKYC Date: 14-12-2024
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): 150000 Habitation Type: Urban
Mobile Number : 8160296237 E-mail Address : nakranisujal050@gmail.com
Aadhar No : 67xxxxxx2597 Parent/Guardian occupation: Diamond Worker
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surat District Surat
Taluka Chorasi Taluka Chorasi
Village Village
PinCode 395010 PinCode 395010
Address:P 30,Niarantnagar Soc ,near Sitanagar Chowk,Punagam Address:P 30,Niarantnagar Soc ,near Sitanagar Chowk,Punagam
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 67xxxxxx2597 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 : 36xxxxxx8377 IFSC Code : SBIN0011017
Student Name(As per Bank Name): SUJAL ANILBHAI NAKRANI
Name of Bank : STATE BANK OF INDIA
Branch Name & Address : PARVAT PATIA, SURAT
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
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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: Engineering & Technology
Present Course/Class/Trade Name : B.Tech (Bachelor of Technology)
Present Course/Class/Trade Year : 3RD YEAR(5th Semester/6th Semester)
Studying in : Gujarat Enrollment No: 22SE021E021
Present Institute District : Surat Present Institute : P P SAVANI UNIVERSITY
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 15-Mar-2024 Present Course Completion Date : 25-Oct-2024
Fees Amount
Admission Fees (Rs) 15000
Tution Fees (Rs) 44500
Misc.Fee(NonRefundable Fees) 2000
Exam Fees(Rs) 4250
Total (Rs) 65750
Previous stream :B.Tech (Bachelor of Technology) Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2024 Previous (%) : 64.10
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
11th Std/12 Std 11TH Science 408 2021 73.2
9th Std/10th Std 10TH 10th B8299746 2020 68.89
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 Identity Card (College/School)
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 : 20/12/2024
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Verify Mobile Number : Yes 20/12/2024
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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