GOVERNMENT OF GUJARAT Submit Date : 29/07/2025
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000002515227
Students
Fresh Application
Student Basic Details
Name of Student : Suthar Dhruv Shaileshbhai
Name of Student (As per Aadhar) : Suthar Dhruv Shaileshbhai
Mother's Name : Suthar Shilpaben Shaileshbhai
Date of Birth : 17/07/2008 Gender : Male
Category : SEBC Religion :Hindu
Caste : Suthar ɅkTh^
Aadhaar Status Verified: Yes(29/07/2025 19:16:48)
Ration Card No. : 106002006366167 Ration Card Member No. : 106002006366167005
Name As Per Ration Card: (Suthar Dhruv Shaileshbhai / ɅkTh^ʞkabq_pc[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 04-11-2024
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): 90000 Habitation Type: Urban
Mobile Number : 7698914697 E-mail Address : prakash.mistry402@gmail.com
Aadhar No : 47xxxxxx9946 Parent/Guardian occupation: Business(V5Vs
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Ahmadabad District Ahmadabad
Taluka Daskroi Taluka Daskroi
Village Village
PinCode 382418 PinCode 382418
Address:13, Shivalay, Opp. Ratanpura Gam, Vastral- 382418 Address:13, Shivalay, Opp. Ratanpura Gam, Vastral- 382418
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 : 20xxxxxx0753 IFSC Code : BKID0002059
Student Name(As per Bank Name): Dhruv Shaileshbhai Suthar
Name of Bank : BANK OF INDIA
Branch Name & Address : VASTRAL
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 252600000002515227 Print Date :29/07/2025
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 : 25010052726149 OTR KYC : C
Name as Per OTR : Suthar Dhruv Shaileshbhai
Student Academic Details
Present Course/Class/Trade Type: Information Technology
Present Course/Class/Trade Name : BSc (CS) or BCS (Bachelor Of Computer Science)
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Gandhinagar Present Institute : Shri Maneklal M Patel Institute of Sciences and
Research (Id: C-51554)
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : General
Enter Your Research/Thesis Subject :
Present Class Start Date : 20-Jun-2025 Present Course Completion Date : 31-Dec-2025
Fees Amount
Admission Fees (Rs) 1000
Tution Fees (Rs) 72000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 0
Total (Rs) 73000
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 12TH Science A Stream B210541 2025 57.07
9th Std/10th Std 10TH - A7090748 2023 67
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)
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 : 29/07/2025
Page 2 of 3 252600000002515227 Print Date :29/07/2025
Verify Mobile Number : Yes 29/07/2025
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 252600000002515227 Print Date :29/07/2025
