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Gujarat PM-YASASVI Scholarship Application

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ipsitramanair
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0% found this document useful (0 votes)
30 views3 pages

Gujarat PM-YASASVI Scholarship Application

Uploaded by

ipsitramanair
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

GOVERNMENT OF GUJARAT Submit Date :

Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000000105885
Students
Renewal Application

Previous Application No: 242500000000421403


Previous Paid Scholarship:

Student Basic Details


Name of Student : meniya jayrajbhai guruchandbhai
Name of Student (As per Aadhar) : Meniya Jayrajbhai Guruchandbhai
Date of Birth : 01/12/2003 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 69xxxxxx0990 Aadhaar Status Verified: Yes(08/09/2025 [Link])

Student Ration Card Details


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.
Ration Card No. : 108007000747715 Ration Card Member No. : 108007000747715004
Name As Per Ration Card: (Meniya Jayrajbhai Guruchandbhai / \pRj]h
K]^hK[h9ȤkĮI5U[h:

EKYC Status As Per Ration Card: Yes EKYC Date: 18-10-2024


Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : 25010071363277 OTR KYC : C
Name as Per OTR : Meniya Jayrajbhai Guruchandbhai
Other Details
Mother's Name : Vilashben
Category : SEBC Religion :Hindu
Caste : Talapada Koli S`XUhDs`Ž  linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Agriculture(EpSj
Annual Income of Parents/Guardian/Husband (Rs): 75000 Habitation Type: Rural
Is Orphan: NO
Mobile Number : 9313026127 E-mail Address : jayrajmeniya2@[Link]
Day Scholar / Hosteller: Day Scholar

Hostel Type:

Current Address: Permanant Address:


State Gujarat State Gujarat

District Surendranagar District Surendranagar

Taluka Chotila Taluka Chotila

Village Village
PinCode 363520 PinCode 363520

Address:Golida, golida, chotila, surendranagar, Gujarat Address:Golida, golida, chotila, surendranagar, Gujarat

Student Bank Account Detail/Aadhar Bank Detail


Aadhar Number : - Bank name : -
NPCI Date : NPCI Status : -
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Page 1 of 3 252600000000105885 Print Date :08/09/2025
Account No : 78xxxxxx6761 IFSC Code : SBIN0RRSRGB
Student Name(As per Bank Name): JAYRAJ GORUCHAND MENIYA

Name of Bank : SAURASHTRA GRAMIN BANK

Branch Name & Address : 203 ANANDPUR


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


Admission Type : Regular Paid Seat (Self Finance)

Present Course/Class/Trade Type: Pharmacy

Present Course/Class/Trade Name : [Link] Bachelor of Pharmacy

Present Course/Class/Trade Year : 4TH YEAR(7th Semester/8th Semester)

Studying in : Gujarat Enrollment No: 22PA001UG00063

Present Institute District : Rajkot Present Institute : Saurashtra University, Rajkot

Present Branch Course : -

Enter Your Research/Thesis Subject :


Present Class Start Date : 16-Jun-2025 Present Course Completion Date : 30-Apr-2026

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 50000
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 3350

Total (Rs) 53350

Previous stream :[Link] Bachelor of Pharmacy Previous Class/Course : 3RD YEAR(5th Semester/6th Semester)
Previous Passing Year : 2023 Previous (%) : 50.80

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 - C6296605 2019 77.83

11th Std/12 Std 12TH Science B164619 2021 66.3

Pharmacy [Link] Bachelor of Pharmacy Sem 1 22PA001 2023 60.55


UG00063
Pharmacy [Link] Bachelor of Pharmacy Sem 2 22PA001 2023 58.2
UG00063
Pharmacy [Link] Bachelor of Pharmacy Sem 3 22PA001 2024 59.33
UG00063
Pharmacy [Link] Bachelor of Pharmacy Sem 4 22PA001 2024 57.42
UG00063
Pharmacy [Link] Bachelor of Pharmacy Sem 5 22PA001 2025 34
UG00063

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 :

Page 2 of 3 252600000000105885 Print Date :08/09/2025


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 : 08/09/2025

Verify Mobile Number : Yes 21/10/2024

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.

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 252600000000105885 Print Date :08/09/2025

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