GOVERNMENT OF GUJARAT Submit Date :
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000000342128
Students
Renewal Application
Previous Application No: 242500000001646066
Previous Paid Scholarship:
Student Basic Details
Name of Student : suthar bhumikaben nanajibhai
Name of Student (As per Aadhar) : bhumikaben nanajibhai suthar
Mother's Name : Santaben
Date of Birth : 25/05/2003 Gender : Female
Category : SEBC Religion :Hindu
Caste : Gajjar Suthar FKK^ɅkTh^
Aadhaar Status Verified: Yes(28/07/2025 17:40:54)
Ration Card No. : 102001001693744 Ration Card Member No. : 102001001693744007
Name As Per Ration Card: (Bhumikaben Nanajibhai Suthar / ȹki\DhZpWWhWĥ[h:ɅkTh^
EKYC Status As Per Ration Card: Yes EKYC Date: 22-09-2024
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): 100000 Habitation Type: Urban
Mobile Number : 9909572432 E-mail Address : bhumisuthar2020@gmail.com
Aadhar No : 78xxxxxx6256 Parent/Guardian occupation: Agriculture(EpSj
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Mahesana District Banaskantha
Taluka Visnagar Taluka Vav
Village Village
PinCode 384315 PinCode 385566
Address:Sai vila society, visnagar Address:chuva
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : - Bank name : -
NPCI Date : #Error NPCI Status : -
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 33xxxxxx4231 IFSC Code : SBIN0004635
Student Name(As per Bank Name): Bhumikaben Nanjibhai Suthar
Name of Bank : STATE BANK OF INDIA
Branch Name & Address : DHIMA
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 252600000000342128 Print Date :28/07/2025
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 OTR Details
OTR Number : 25010052374318 OTR KYC : C
Name as Per OTR : Bhumikaben Nanajibhai Suthar
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 : 4TH YEAR(7th Semester/8th Semester)
Studying in : Gujarat Enrollment No: 2021095900031506
Present Institute District : Mahesana Present Institute : NOOTAN COLLEGE OF NURSING VISNAGAR
Admission Type : Regular Seat(Government Quota) Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 01-Apr-2025 Present Course Completion Date : 31-Mar-2026
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 82000
Misc.Fee(NonRefundable Fees) 13000
Exam Fees(Rs) 4000
Total (Rs) 99000
Previous stream :B.Sc(Nursing) Bachelor Of Science In Nursing Previous Class/Course : 3RD YEAR(5th Semester/6th Semester)
Previous Passing Year : 2025 Previous (%) : 67.00
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
Para medical B.Sc(Nursing) Bachelor Of Science In Nursing SEM5 BNS6605 2025 72.7
6
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)
Page 2 of 3 252600000000342128 Print Date :28/07/2025
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 : 28/07/2025
Verify Mobile Number : Yes 05/02/2025
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. 2025
-2026. 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 252600000000342128 Print Date :28/07/2025
