GOVERNMENT OF GUJARAT Submit Date : 25/10/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000000776568
Students
Fresh Application
Student Basic Details
Name of Student : Patel Prince Maheshbhai
Name of Student (As per Aadhar) : Patel prince Maheshbhai
Mother's Name : Patel sunitaben Maheshbhai
Date of Birth : 03/04/2007 Gender : Male
Category : EBC(8iTD^SpXJhSaF½ Religion :Hindu
Caste :
Aadhaar Status Verified: Yes(23/10/2024 [Link])
Ration Card No. : 103008012671365 Ration Card Member No. : 103008003540721010
Name As Per Ration Card: (PATEL PRINCE MAHESHBHAI / XN°_ĭƛd\e°b[h:
EKYC Status As Per Ration Card: No EKYC Date: 01-01-1900
Aadhar Number Matched With Ration Card: No
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): 67000 Habitation Type: Rural
Mobile Number : 6352044513 E-mail Address : Krimapatel565656@[Link]
Aadhar No : 72xxxxxx8549 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 Patan District Patan
Taluka Chanasma Taluka Chanasma
Village Village
PinCode 384275 PinCode 384275
Address:Vasaipura vasai patan Address:Vasaipura vasai patan
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 72xxxxxx8549 Bank name : -
NPCI Date : 10/25/2024 [Link] AM NPCI Status : Accept
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 27xxxxxx8855 IFSC Code : UCBA0002777
Student Name(As per Bank Name): Prince Maheshbhai Patel
Name of Bank : UCO BANK
Branch Name & Address : KADI
I hereby accept that
[Link] provided by me are correct to best of my knowledge
[Link] not make any claims if amount is transferred to a wrong account due to incorrect details provided by me
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[Link] 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
Present Course/Class/Trade Type: Para medical
Present Course/Class/Trade Name : [Link](Nursing) Bachelor Of Science In Nursing
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 05925
Present Institute District : Ahmadabad Present Institute : AHMEDABAD SCHOOL OF NURSING
Admission Type : Regular Seat(Government Quota) Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 01-Oct-2024 Present Course Completion Date : 30-Sep-2025
Fees Amount
Admission Fees (Rs) 20
Tution Fees (Rs) 0
[Link](NonRefundable Fees) 250
Exam Fees(Rs) 1225
Total (Rs) 1495
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 General A419002 2022 85.83
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 School/College Current Year Bonafide Certificate
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 : 25/10/2024
Verify Mobile Number : Yes 25/10/2024
Place : Signature of the applicant
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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. 2024
-2025. 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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