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0% found this document useful (0 votes)
17 views3 pages

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Uploaded by

sun982545
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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GOVERNMENT OF GUJARAT Submit Date :

Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000000113171
Students
Renewal Application

Previous Application No: 242500000000425662


Previous Paid Scholarship:

Student Basic Details


Name of Student : PARMAR SUNILBHAI DINESHBHAI
Name of Student (As per Aadhar) : Parmar Sunilbhai Dineshbhai
Date of Birth : 01/05/2006 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 30xxxxxx2613 Aadhaar Status Verified: Yes(06/08/2025 18:11:43)

Student Ration Card Details


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.
Ration Card No. : 314010009385557 Ration Card Member No. : 314010009385557002
Name As Per Ration Card: (Parmar Sunilbhai Dineshbhai / X^\h^
ɅkiW_[h:ˆUWpb[h9

EKYC Status As Per Ration Card: Yes EKYC Date: 27-03-2024


Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : OTR KYC :
Name as Per OTR :
Other Details
Mother's Name : Manjuben
Category : SEBC Religion :Hindu
Caste : Talapada Koli S`XUhDs`Ž  linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Casual Labour ġND\ȩl^


Annual Income of Parents/Guardian/Husband (Rs): 85000 Habitation Type: Rural


Is Orphan: NO
Mobile Number : 7861065552 E-mail Address : dineshbhaip040@gmail.com
Day Scholar / Hosteller: Day Scholar

Hostel Type:

Current Address: Permanant Address:


State Gujarat State Gujarat

District Bhavnagar District Bhavnagar

Taluka Mahuva Taluka Mahuva

Village Dharai Village Dharai

PinCode 364145 PinCode 364145

Address:AT-DHARAI TA-MAHUVA DIST-BHAVNAGAR PIN- Address:AT-DHARAI TA-MAHUVA DIST-BHAVNAGAR PIN-


364145 364145

Student Bank Account Detail/Aadhar Bank Detail


Aadhar Number : - Bank name : -

Page 1 of 3 252600000000113171 Print Date :27/08/2025


NPCI Date : NPCI Status : -
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 42xxxxxx6070 IFSC Code : SBIN0060212
Student Name(As per Bank Name): Parmar sunilbhai dineshbhai

Name of Bank : STATE BANK OF INDIA

Branch Name & Address : GUNDARANA, MAHUVA


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
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


Admission Type : Regular Seat(Government Quota)

Present Course/Class/Trade Type: Arts

Present Course/Class/Trade Name : B.A. Bachelor Of Arts

Present Course/Class/Trade Year : 3RD YEAR(5th Semester/6th Semester)

Studying in : Gujarat Enrollment No:

Present Institute District : Bhavnagar Present Institute : Shree Parekh Arts, Science and Commerce College

Present Branch Course : Gujarati

Enter Your Research/Thesis Subject :


Present Class Start Date : 17-Jun-2025 Present Course Completion Date : 26-Apr-2026

Fees Amount
Admission Fees (Rs) 200
Tution Fees (Rs) 1200
Misc.Fee(NonRefundable Fees) 6000
Exam Fees(Rs) 1271

Total (Rs) 8671

Previous stream :B.A. Bachelor Of Arts Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2024 Previous (%) : 56.09

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
9th Std/10th Std 10TH ssc C3103310 2021 81.33

11th Std/12 Std 12TH HSC G 295095 2023 62.14

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 :

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.

Page 2 of 3 252600000000113171 Print Date :27/08/2025


Date : 27/08/2025

Verify Mobile Number : Yes 21/01/2025

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 252600000000113171 Print Date :27/08/2025

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