GOVERNMENT OF GUJARAT Submit Date :
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 252600000003082309
Students
Fresh Application
Student Basic Details
Name of Student : BHEDA LAKHU SURABHAI
Name of Student (As per Aadhar) : BHEDA LAKHUBHAI SURABHAI
Date of Birth : 08/10/2005 Gender : Male
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 52xxxxxx8048 Aadhaar Status Verified: Yes(28/08/2025 12:06:34)
Student Ration Card Details
Consent Status:
Ration Card No. : Ration Card Member No. :
Name As Per Ration Card: ( / )
EKYC Status As Per Ration Card: No EKYC Date: 01-01-1900
Aadhar Number Matched With Ration Card: No
Student OTR Details
OTR KYC : OTR KYC :
Name as Per OTR :
Other Details
Mother's Name : HASUBEN
Category : SEBC Religion :Hindu
Caste : Ahir 8e^ 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 : 7801850297 E-mail Address : kishanvsvv@[Link]
Day Scholar / Hosteller: Day Scholar
Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Gir Somnath District Gir Somnath
Taluka Talala Taluka Talala
Village Raydi Village Raydi
PinCode 362268 PinCode 362268
Address:AT Raydi, Po-Pikhor, DIST:Gir Somnath. Address:AT Raydi, Po-Pikhor, DIST:Gir Somnath.
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.
Account No : 28xxxxxx6575 IFSC Code : BKID0002809
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Student Name(As per Bank Name): BHEDA LAKHUBHAI SURABHAI
Name of Bank : BANK OF INDIA
Branch Name & Address : DAKOR
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: Arts
Present Course/Class/Trade Name : B.A. Bachelor Of Arts
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Gir Somnath Present Institute :
DR. BHARAT BARAD ARTS And COMMERCE
COLLEGE, SUTRAPADA
Present Branch Course : Sociology
Enter Your Research/Thesis Subject :
Present Class Start Date : 16-Jun-2025 Present Course Completion Date : 25-Apr-2026
Fees Amount
Admission Fees (Rs) 100
Tution Fees (Rs) 400
[Link](NonRefundable Fees) 1000
Exam Fees(Rs) 500
Total (Rs) 2000
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 GSEB B5000647 2022 63.16
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)
7 Identity Card (College/School)
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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
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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