GOVERNMENT OF GUJARAT Submit Date : 28/08/2025
Application No:
Umbrella Scheme for Education of ST Students Post-Matric 252600000000230158
Scholarship(Freeship Card / Medical Loan Student Only)
Renewal Application
Previous Application No: 242500000000781002
Previous Paid Scholarship:
Student Basic Details
Name of Student : CHAUDHARI TRUPALKUMAR SUDHIRBHAI
Name of Student (As per Aadhar) : Chaudhari Trupal
Date of Birth : 02/08/2006 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 95xxxxxx3324 Aadhaar Status Verified: Yes(17/11/2025 13:41:06)
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. : 122002014465141 Ration Card Member No. : 122002005179377008
Name As Per Ration Card: (Chaudhari Trupal / ItV^ȱmX_
EKYC Status As Per Ration Card: Yes EKYC Date: 19-10-2024
Aadhar Number Matched With Ration Card: Yes KYCSource: MYRATION
Student OTR Details
OTR Number : 25010061830415 OTR KYC : C
Name as Per OTR : Chaudhari Trupal
Other Details
Mother's Name : MALINIBEN
Category : ST(7ȵkɅlISKWĤiS Religion :Hindu
Caste : Choudhri (Surat and valsad districts) ItV^ Ʌk^S7Wpa_dhPĥƣ_h\h5 linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Agriculture(EpSj
Annual Income of Parents/Guardian/Husband (Rs): 70000 Habitation Type: Rural
Is Orphan: NO
Mobile Number : 9023344264 E-mail Address : trupalc4@[Link]
Day Scholar / Hosteller: Hosteler
Hostel Type: Private Hostel
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surat District Surat
Taluka Bardoli Taluka Mangrol
Village Village Ambavadi
PinCode 394601 PinCode 394430
Address:AT POST BABEN TA:BARDOLI DIST:SURAT Address:AT - AMBAVADI TA- MANGROL DIST- SURAT
Student Bank Account Detail/Aadhar Bank Detail
Aadhar Number (NPCI) : - Bank name (NPCI): -
NPCI Date : NPCI Status : -
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Page 1 of 4 252600000000230158 Print Date :29/01/2026
Account No : 00xxxxxx4901 IFSC Code : SDCB0000069
Student Name(As per Bank Name): TRUPAL SUDHIRBHAI
CHAUDHARI
Name of Bank : The Surat District Co-operative Bank Ltd.
Branch Name & Address : BABEN BRANCH
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: Engineering & Technology
Present Course/Class/Trade Name : B.E. (Bachelor of Engineering)
Present Course/Class/Trade Year : 3RD YEAR(5th Semester/6th Semester)
Studying in : Gujarat Enrollment No: 230490109009
Present Institute District : Surat Present Institute :
SHRI SITARAMBHAI NARANJI PATEL
INSTITUTE OF TECHNOLOGY,(MANAGED BY VIDYABHARTI
TRUST,UMRAKH -BARDOLI) 049 (C48)
Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 14-Jul-2025 Present Course Completion Date : 30-Jun-2026
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 71400
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 1800
Total (Rs) 73200
Previous stream :B.E. (Bachelor of Engineering) Previous Class/Course : 2ND YEAR(3rd Semester/4th Semester)
Previous Passing Year : 2023 Previous (%) : 43.70
Educational Break : No No. Of. Year in Break :
Are You Employed in any Organization/Establishment with leave without pay? : No
Freeship Card Detail
Freeship Card No: 2081
Freeship Card Issued Date: 20/10/2023
Freeship Card Issued by District:Surat
Freeship Card Issued By Designation ID : District Vigilance Officer
Name of course for which Free ship card is issued : ELECTRICAL ENGINEERING
Indicate the details of Exemption Fees (Total Fees Amount Not Taken by
Institute/college/University) :
Admission Fee(In Rs.) : 0
Tution Fee(In Rs.) : 71400
[Link](In Rs.)(Non Refundable) : 0
Exam Fee(In Rs.) : 1800
Page 2 of 4 252600000000230158 Print Date :29/01/2026
Previous Education Detail
Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH SSC B290046 2021 70
11th Std/12 Std 12TH HSC B290046 2023 51.92
Engineering & Technology B.E. (Bachelor of Engineering) ELECTRICAL 23049010 2023 70
SEM-1 9009
Engineering & Technology B.E. (Bachelor of Engineering) ELECTRICAL 23049010 2024 50
SEM-2 9009
Engineering & Technology B.E. (Bachelor of Engineering) ELECTRICAL 23049010 2024 45
SEM-3 9009
Engineering & Technology B.E. (Bachelor of Engineering) ELECTRICAL 23049010 2025 50
SEM-4 9009
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 Self Attested Certificate of Previous academic marksheet
4 Income Certificate From the Concerned Authorised Authority/Persons
5 Hostel Certificate(Only For Hosteller Student)
6 Std:12 Marksheet(If Any)
7 Freeship Card
8 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 : 29/01/2026
Verify Mobile Number : Yes 17/11/2025
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
Page 3 of 4 252600000000230158 Print Date :29/01/2026
Place :
*Note : Stamp Signature will not be accepted
Date :
Page 4 of 4 252600000000230158 Print Date :29/01/2026