GOVERNMENT OF GUJARAT Submit Date :
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000002659791
Students
Fresh Application
Student Basic Details
Name of Student : bhadarka mo zabir husenbhai
Name of Student (As per Aadhar) : bhadarka mo zabir husenbhai
Mother's Name : farida
Date of Birth : 07/03/2007 Gender : Male
Category : SEBC Religion :Islam
Caste : Ghanchi (Muslim) Gh5Ij Ⱥkƨ_\
Aadhaar Status Verified: Yes(06/08/2025 21:25:29)
Ration Card No. : 129011012124788 Ration Card Member No. : 112011008827286009
Name As Per Ration Card: (Bhadarka Mo.Zabir Husenbhai / [hU^Dh\sLhZj^ɆkdpW[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 21-10-2024
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): 100000 Habitation Type: Rural
Mobile Number : 8320279235 E-mail Address : jabirbhadarka90@gmail.com
Aadhar No : 40xxxxxx7433 Parent/Guardian occupation: Labour(\ȩl^
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Gir Somnath District Gir Somnath
Taluka Veraval Taluka Veraval
Village Village
PinCode 362268 PinCode 362268
Address:dheWDs_sWj̆[hdXhNR Address:dheWDs_sWj̆[hdXhNR
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 : 75xxxxxx9467 IFSC Code : PUNB0754500
Student Name(As per Bank Name): mo zabir husenbhai bhadarka
Name of Bank : PUNJAB NATIONAL BANK
Branch Name & Address : PRABHAS PATAN
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
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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 : OTR KYC :
Name as Per OTR :
Student Academic Details
Present Course/Class/Trade Type: Commerce
Present Course/Class/Trade Name : B.Com Bachelor Of Commerce
Present Course/Class/Trade Year : 2ND YEAR(3rd Semester/4th Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Gir Somnath Present Institute :
SHREE JASUBHAI DHANABHAI BARAD
COMMERCE COLLEGE - AJOTHA
Admission Type : Regular Seat(Government Quota) Present Branch Course : Commerce ( General)
Enter Your Research/Thesis Subject :
Present Class Start Date : 18-Jun-2025 Present Course Completion Date : 31-May-2026
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 5000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 600
Total (Rs) 5600
Previous stream :B.Com Bachelor Of Commerce Previous Class/Course : 1ST YEAR(1st Semester/2nd Semester)
Previous Passing Year : 2024 Previous (%) : 54.00
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
9th Std/10th Std 10TH GSHSEB C6741865 2022 50.5
11th Std/12 Std 12TH HSC G523208 2024 58.16
Commerce B.Com Bachelor Of Commerce BKMU SEM-1 101209 2024 53
Commerce B.Com Bachelor Of Commerce BKMU SEM-2 282296 2025 56
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)
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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 : 06/08/2025
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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