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The document is a renewal application for the PM-YASASVI Post Matric Scholarship for a student named Anil Nanubhai Vaghela, who is currently in the 3rd year of a Bachelor of Arts program. It includes personal details, academic history, and consent for data usage, along with a declaration of eligibility and correctness of the provided information. The application also lists required documents and certifies the student's attendance and eligibility for the scholarship.

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0% found this document useful (0 votes)
10 views3 pages

Report

The document is a renewal application for the PM-YASASVI Post Matric Scholarship for a student named Anil Nanubhai Vaghela, who is currently in the 3rd year of a Bachelor of Arts program. It includes personal details, academic history, and consent for data usage, along with a declaration of eligibility and correctness of the provided information. The application also lists required documents and certifies the student's attendance and eligibility for the scholarship.

Uploaded by

viveksosa114
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 : 28/08/2025

Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000000116227
Students
Renewal Application

Previous Application No: 242500000000356282


Previous Paid Scholarship:

Student Basic Details


Name of Student : VAGHELA ANIL NANUBHAI
Name of Student (As per Aadhar) : ANIL NANUBHAI VAGHELA
Date of Birth : 30/03/2005 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 66xxxxxx6545 Aadhaar Status Verified: Yes(19/08/2025 12:56:00)

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. : 129006012200061 Ration Card Member No. : 112014007042162010
Name As Per Ration Card: (Anil Nanubhai Vaghela / 7Wj_Whȵk[h:
ahGp_h

EKYC Status As Per Ration Card: Yes EKYC Date: 30-11-2024


Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : OTR KYC :
Name as Per OTR :
Other Details
Mother's Name : HANSHABEN
Category : SEBC Religion :Hindu
Caste : Koli Ds`Ž  linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Agriculture(EpSj
Annual Income of Parents/Guardian/Husband (Rs): 85000 Habitation Type: Rural
Is Orphan: NO
Mobile Number : 9106740937 E-mail Address : anilbhaivaghela2005@[Link]
Day Scholar / Hosteller: Day Scholar

Hostel Type:

Current Address: Permanant Address:


State Gujarat State Gujarat

District Gir Somnath District Gir Somnath

Taluka Una Taluka Una

Village Village
PinCode 362530 PinCode 362530

Address:At- Kanakbarda, una Address:At- Kanakbarda, una

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 252600000000116227 Print Date :28/08/2025
Account No : 36xxxxxx1470 IFSC Code : SBIN0060060
Student Name(As per Bank Name): ANIL NANUBHAI VAGHELA

Name of Bank : STATE BANK OF INDIA

Branch Name & Address : GIR GDDHADA


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: Arts

Present Course/Class/Trade Name : B.A. Bachelor Of Arts

Present Course/Class/Trade Year : 3RD YEAR(5th Semester/6th Semester)

Studying in : Gujarat Enrollment No:

Present Institute District : Gir Somnath Present Institute : SHASHTRI SWAMI DHAMJIVANDASJI
[Link]-UNA
Present Branch Course : Gujarati

Enter Your Research/Thesis Subject :


Present Class Start Date : 15-Jun-2025 Present Course Completion Date : 31-May-2026

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 7000
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 0

Total (Rs) 7000

Previous stream :B.A. Bachelor Of Arts Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2024 Previous (%) : 59.57

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 SSC C3205557 2021 42.33

11th Std/12 Std 12TH HSC ARTS G 585293 2023 53

Arts B.A(Hons). Bachelor Of Arts SEM-1 165714 2023 70.91

Arts B.A(Hons). Bachelor Of Arts SEM-2 248349 2024 75.82

Arts B.A(Hons). Bachelor Of Arts SEM-3 344294 2024 73.45

Arts B.A(Hons). Bachelor Of Arts SEM-4 432769 2025 75.09

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

Page 2 of 3 252600000000116227 Print Date :28/08/2025


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 Identity Card (College/School)

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 : 28/08/2025

Verify Mobile Number : Yes 28/08/2025

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 :

Page 3 of 3 252600000000116227 Print Date :28/08/2025

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