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Gujarat PM-YASASVI Scholarship Application

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aadi.patel.8721
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0% found this document useful (0 votes)
9 views3 pages

Gujarat PM-YASASVI Scholarship Application

Uploaded by

aadi.patel.8721
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 : 19/09/2025

Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000000426667
Students
Renewal Application

Previous Application No: 242500000002147044


Previous Paid Scholarship:

Student Basic Details


Name of Student : Sitapara Aditya Dipakbhai
Name of Student (As per Aadhar) : Aditya Dipakbhai Sitapara
Date of Birth : 18/01/2005 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 64xxxxxx4170 Aadhaar Status Verified: Yes(19/09/2025 12:39:00)

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. : 109905011573349 Ration Card Member No. : 109905011573349003
Name As Per Ration Card: (Aditya Dipakbhai Sitapara / 8ˆUƗ]UŽXD[h:
djShX^h

EKYC Status As Per Ration Card: Yes EKYC Date: 07-11-2024


Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : OTR KYC :
Name as Per OTR :
Other Details
Mother's Name : Rekha Sitapara
Category : EBC(8iTD^ŽSpXJhSaF½  Religion :Hindu
Caste : linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Merchant(apXh^Ž
Annual Income of Parents/Guardian/Husband (Rs): 249183 Habitation Type: Urban
Is Orphan: NO
Mobile Number : 8866456058 E-mail Address : [Link].721@[Link]
Day Scholar / Hosteller: Day Scholar

Hostel Type:

Current Address: Permanant Address:


State Gujarat State Gujarat

District Rajkot District Rajkot

Taluka Rajkot Taluka Rajkot

Village Village
PinCode 360005 PinCode 360005

Address:AMRUT, raghuvir park 5, patidar chowk , sadhuvasvani Address:AMRUT, raghuvir park 5, patidar chowk ,
road , Rajkot 360005 sadhuvasvani road , Rajkot 360005

Student Bank Account Detail/Aadhar Bank Detail


Aadhar Number : - Bank name : -
NPCI Date : NPCI Status : -

Page 1 of 3 252600000000426667 Print Date :30/09/2025


I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 36xxxxxx0556 IFSC Code : BARB0UNIRAJ
Student Name(As per Bank Name): Aditya Dipakbhai Sitapara

Name of Bank : BANK OF BARODA

Branch Name & Address : UNIVERSITY ROAD, RAJKOT


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 : 2ND YEAR(3rd Semester/4th Semester)

Studying in : Gujarat Enrollment No: 12302110501065

Present Institute District : Anand Present Institute : [Link] COLLEGE OF ENGG. And TECH. , V.
V. NAGAR 011
Present Branch Course : -

Enter Your Research/Thesis Subject :


Present Class Start Date : 08-Jul-2024 Present Course Completion Date : 19-Apr-2025

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 127000
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 3000

Total (Rs) 130000

Previous stream :B.E. (Bachelor of Engineering) Previous Class/Course : 1ST YEAR(1st Semester/2nd Semester)
Previous Passing Year : 2024 Previous (%) : 79.80

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 ICSE Board 7319256 2021 90

11th Std/12 Std 12TH Science B252060 2023 61

Engineering & Technology [Link] (Bachelor of Technology) Computer Science 1211028 2023 75
& Engineering
Engineering & Technology [Link] (Bachelor of Technology) Computer Science 2211011 2024 83
& Engineering
Engineering & Technology [Link] (Bachelor of Technology) Computer Science 3211031 2024 88
& Engineering
Engineering & Technology [Link] (Bachelor of Technology) Computer Science 4211083 2025 86
& Engineering

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 252600000000426667 Print Date :30/09/2025


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)

7 School/College Current Year Bonafide Certificate

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 : 30/09/2025

Verify Mobile Number : Yes 19/09/2025

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 252600000000426667 Print Date :30/09/2025

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