GOVERNMENT OF GUJARAT Submit Date : 28/08/2025
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000003022709
Students
Fresh Application
Student Basic Details
Name of Student : SAKARIYA SUJAL BHUPATBHAI
Name of Student (As per Aadhar) : SAKARIYA SUJAL BHUPATBHAI
Date of Birth : 21/07/2008 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 27xxxxxx5795 Aadhaar Status Verified: Yes(26/08/2025 14:38:48)
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. : 113002005105430 Ration Card Member No. : 113002005105430004
Name As Per Ration Card: (Sakariya Sujal Bhupatbhai / dhD^]hɅkK_
ȹkXS[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 05-11-2024
Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : 25010070486642 OTR KYC : C
Name as Per OTR : Sakariya Sujal Bhupatbhai
Other Details
Mother's Name : VILASBEN BHUPATBHAI SAKARIYA
Category : EBC(8iTD^SpXJhSaF½ Religion :Hindu
Caste : linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Agriculture(EpSj
Annual Income of Parents/Guardian/Husband (Rs): 120000 Habitation Type: Rural
Is Orphan: NO
Mobile Number : 9274018128 E-mail Address : sujalsakariya2121@[Link]
Day Scholar / Hosteller: Day Scholar
Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surat District Amreli
Taluka Chorasi Taluka Babra
Village Village
PinCode 394520 PinCode 365410
Address:I-2 , 403 , opera crystal, near Sayan check post , variyav , Address:THORKHAN, PO- NADALA
Surat
Student Bank Account Detail/Aadhar Bank Detail
Aadhar Number : - Bank name : -
NPCI Date : NPCI Status : -
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I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 35xxxxxx4651 IFSC Code : SBIN0060206
Student Name(As per Bank Name): SUJAL BHUPAT SAKARIYA
Name of Bank : STATE BANK OF INDIA
Branch Name & Address : MOTA DEVALIYA
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 Seat(Government Quota)
Present Course/Class/Trade Type: Engineering & Technology
Present Course/Class/Trade Name : B.E. (Bachelor of Engineering)
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 25CE146
Present Institute District : Surat Present Institute :
DR. S. And S. S. GHANDHY GOVERNMENT
ENGINEERING COLLEGE, SURAT 023
Present Branch Course : Civil Engineering
Enter Your Research/Thesis Subject :
Present Class Start Date : 23-Jun-2025 Present Course Completion Date : 30-May-2026
Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 1500
[Link](NonRefundable Fees) 1786
Exam Fees(Rs) 1900
Total (Rs) 5186
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 SCIENCE B 245319 2025 69.33
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)
Page 2 of 3 252600000003022709 Print Date :28/08/2025
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 : 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 :
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