GOVERNMENT OF GUJARAT Submit Date :
Application No:
Umbrella Scheme for Education of ST Students Post-Matric 252600000002417344
Scholarship
Fresh Application
Student Basic Details
Name of Student : DAMOR VIJAYKUMAR RAMESHBHAI
Name of Student (As per Aadhar) : DAMOR VIJAYKUMAR RAMESHBHAI
Mother's Name : SUMITRABEN
Date of Birth : 21/04/2004 Gender : Male
Category : ST(7ȵkɅlISKWĤiS Religion :Hindu
Caste : Bhil [j_
Aadhaar Status Verified: Yes(18/07/2025 [Link])
Ration Card No. : 132002012146121 Ration Card Member No. : 117002002886291010
Name As Per Ration Card: (Damor Vijaykumar Rameshbhai / Ph\s^iaK]Ȣk\h^^\pb[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 10-07-2024
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): 120000 Habitation Type: Rural
Mobile Number : 8238163647 E-mail Address : vijaydamor817@[Link]
Aadhar No : 33xxxxxx2543 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 Mahisagar District Mahisagar
Taluka Kadana Taluka Kadana
Village Village Nani Kharsoli
PinCode 389265 PinCode 389265
Address:AT PO NANI KHARSOLI TA KADANA DIST Address:AT PO NANI KHARSOLI TA KADANA DIST
MAHISAGAR MAHISAGAR
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 33xxxxxx2543 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 : 07xxxxxx7074 IFSC Code : BARB0MALVAN
Student Name(As per Bank Name): VIJAYKUMAR RAMESHBHAI
DAMOR
Name of Bank : BANK OF BARODA
Branch Name & Address : MALVAN, GUJARAT
I hereby accept that
Page 1 of 3 252600000002417344 Print Date :18/07/2025
[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 OTR Details
OTR Number : 25010047662882 OTR KYC : C
Name as Per OTR : Damor Vijaykumar Rameshbhai
Student Academic Details
Present Course/Class/Trade Type: Arts
Present Course/Class/Trade Name : MA Master Of Arts
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Panchmahals Present Institute : SHRI GOVIND GURU UNIVERSITY
Admission Type : Regular Seat(Government Quota) Present Branch Course : -
Present Class Start Date : 15-Jun-2025 Present Course Completion Date : 30-Apr-2026
Fees Amount
Admission Fees (Rs) 1000
Tution Fees (Rs) 2000
[Link](NonRefundable Fees) 1930
Exam Fees(Rs) 1000
Total (Rs) 5930
Educational Break : No No. Of. Year in Break :
Are You Employed in any Organization/Establishment with leave without pay? : No
Previous Education Detail
Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH GENERAL B5132122 2019 46.66
11th Std/12 Std 12TH GENERAL G820332 2021 51
Arts B.A. Bachelor Of Arts ARTS 13575 2025 51
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 From the Concerned Authorised Authority/Persons
Page 2 of 3 252600000002417344 Print Date :18/07/2025
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 : 18/07/2025
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 252600000002417344 Print Date :18/07/2025
