GOVERNMENT OF GUJARAT Submit Date : 30/08/2025
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000003000836
Students
Fresh Application
Student Basic Details
Name of Student : Kanzariya Karan Narendrabhai
Name of Student (As per Aadhar) : kanzariya karan narendrabhai
Date of Birth : 13/01/2006 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 37xxxxxx4760 Aadhaar Status Verified: Yes(30/08/2025 19:50:33)
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. : 108010009655361 Ration Card Member No. : 108010009655361003
Name As Per Ration Card: (Kanzariya Karan Narendrabhai / DRL^]hD^R
W^°ƛ̃[h:
EKYC Status As Per Ration Card: Yes EKYC Date: 13-06-2024
Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : OTR KYC :
Name as Per OTR :
Other Details
Mother's Name : chetnaben
Category : SEBC Religion :Hindu
Caste : Satavara dSah^h linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Casual Labour ġND\ȩl^
Annual Income of Parents/Guardian/Husband (Rs): 120000 Habitation Type: Urban
Is Orphan: NO
Mobile Number : 9313882732 E-mail Address : karankanzariya38@gmail.com
Day Scholar / Hosteller: Day Scholar
Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surendranagar District Surendranagar
Taluka Limbdi Taluka Limbdi
Village Village
PinCode 363421 PinCode 363421
Address:Bodiya margna meldi ma mandir pase Limbdi Address:Bodiya margna meldi ma mandir pase Limbdi
Student Bank Account Detail/Aadhar Bank Detail
Aadhar Number : - Bank name : -
NPCI Date : NPCI Status : -
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I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 31xxxxxx2163 IFSC Code : BKID0003135
Student Name(As per Bank Name): Karan Narendrabhai Kanzariya
Name of Bank : BANK OF INDIA
Branch Name & Address : LIMBDI
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 Paid Seat (Self Finance)
Present Course/Class/Trade Type: Science
Present Course/Class/Trade Name : B.Sc Bachelor Of Science
Present Course/Class/Trade Year : 3RD YEAR(5th Semester/6th Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Ahmadabad Present Institute : LOK JAGRUTI KENDRA UNIVERSITY
Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 17-Jun-2025 Present Course Completion Date : 25-Apr-2026
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 25000
Misc.Fee(NonRefundable Fees) 800
Exam Fees(Rs) 1380
Total (Rs) 27180
Previous stream :B.Sc Bachelor Of Science Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2025 Previous (%) : 79.10
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
9th Std/10th Std 10TH GSEB C3160309 2021 78.66
Science B.Sc Bachelor Of Science b sc sem 4 23006103 2025 79.1
910004
11th Std/12 Std 12TH gshseb b290938 2023 46.76
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
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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 : 30/08/2025
Verify Mobile Number : Yes 30/08/2025
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 :
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