GOVERNMENT OF GUJARAT Submit Date : 17/10/2024
Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 242500000000512578
India Scheme)(Freeship Card Student Only)
Fresh Application
Student Basic Details
Name of Student : RATHOD NIKHILBHAI ARAJANBHAI
Name of Student (As per Aadhar) : Rathod Nikhil Arjanbhai
Mother's Name : Rathod Parvatiben
Date of Birth : 28/07/2003 Gender : Male
Category : SC(7ȵkɅlISĤiS Religion :Hindu
Caste : Hindu Vankar eƛȳkaRD^
Aadhaar Status Verified: Yes(17/10/2024 08:57:14)
Ration Card No. : 308010002116991 Ration Card Member No. : 308010002116991006
Name As Per Ration Card: (Rathod Nikhil Arjanbhai / ^hOsPiWE_7^KR[h:
EKYC Status As Per Ration Card: Yes EKYC Date: 16-10-2024
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): 48000 Habitation Type: Urban
Mobile Number : 9586583146 E-mail Address : www.rathodnikhil8469@gmail.com
Aadhar No : 43xxxxxx1137 Parent/Guardian occupation: Weaver(aRD^
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surendranagar District Surendranagar
Taluka Wadhwan Taluka Wadhwan
Village Village
PinCode 363030 PinCode 363030
Address:GANPATI FATSAR, GAJANAN PARK, WADHWAN- Address:GANPATI FATSAR, GAJANAN PARK, WADHWAN-
363030 363030
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 43xxxxxx1137 Bank name : -
NPCI Date : 10/17/2024 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 : 32xxxxxx2487 IFSC Code : SBIN0060102
Student Name(As per Bank Name): NIKHIL A RATHOD
Name of Bank : STATE BANK OF INDIA
Branch Name & Address : WADHAVIN CITY
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: 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: 230205019007
Present Institute District : Surendranagar Present Institute : SURENDRANAGAR UNIVERSITY
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : Civil Engineering
Enter Your Research/Thesis Subject :
Present Class Start Date : 01-Jul-2024 Present Course Completion Date : 31-May-2025
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 55000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 5000
Total (Rs) 60000
Previous stream :B.Tech (Bachelor of Technology) Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2024 Previous (%) : 71.45
Educational Break : No No. Of. Year in Break :
Freeship Card Detail
Freeship Card No: 423
Freeship Card Issued Date: 28/08/2023
Freeship Card Issued by District:Surendranagar
Previous Education Detail
Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH General A4307123 2019 54.83
Engineering & Technology DE (Diploma Engineering ) CIVIL 19609030 2023 71.5
ENGINEERING 6042
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 Income Certificate (Competent Authority)(Form no.16 required For Govt. Employee)
5 Std:10 Marksheet
6 School Leaving Certificate (If Any)
7 Other Marksheets/Last Year Marksheet (If Any)
8 Freeship Card
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9 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 : 15/04/2025
Verify Mobile Number : Yes 17/10/2024
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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