GOVERNMENT OF GUJARAT Submit Date : 19/01/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 232400000002020567
Students
Fresh Application
Student Basic Details
Name of Student : rana aarzo vahidkhan
Name of Student (As per Aadhar) : Arzoo Rana
Mother's Name : reshmabanu
Date of Birth : 24/12/2005 Gender : Female
Category : EBC(8iTD^SpXJhSaF½ Religion :Islam
Caste :
Aadhaar Status Verified: Yes(04/01/2024 [Link])
Annual Income of Parents/Guardian/Husband (Rs): 80000 Habitation Type: Rural
Mobile Number : 7862999252 E-mail Address : arzoorana252@[Link]
Aadhar No : 44xxxxxx2104 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 Anand District Anand
Taluka Borsad Taluka Borsad
Village Village
PinCode 388560 PinCode 388560
Address:napavata Address:napavata
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 44xxxxxx2104 Bank name : -
NPCI Date : 1/4/2024 [Link] AM NPCI Status : Accept
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 83xxxxxx7009 IFSC Code : BARB0DBNAPA
Student Name(As per Bank Name): aarzo vahidkhan rana
Name of Bank : BANK OF BARODA
Branch Name & Address : BANK OF BARODA
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
[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: Commerce
Present Course/Class/Trade Name : [Link] Bachelor Of Commerce
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Anand Present Institute : CP Patel And FH Shah Commerce College, Anand
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Admission Type : Regular Seat(Government Quota) Present Branch Course : Commerce ( General)
Enter Your Research/Thesis Subject :
Present Class Start Date : 12-Jun-2023 Present Course Completion Date : 30-Apr-2024
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 0
[Link](NonRefundable Fees) 6150
Exam Fees(Rs) 760
Total (Rs) 6910
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 commerce G470067 2023 64
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 : 19/01/2024
Verify Mobile Number : Yes 19/01/2024
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.
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This is to certify that student has regularly attended classes and maintained minimum attendance criteria till date for the A.Y. 2023
-2024. 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 232400000002020567 Print Date :19/01/2024
