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Scholarship Application Form
ST&SC and MBC Welfare Department
Academic Year 2025-26
STSC92512209434984
Government of Odisha
Basic Information
Department Scheme Academic Year Application Type
ST&SC and MBC Welfare Post Matric Scholarship 2025-26 Renew in Same Course
Department
Applicant Details
Applicant Name Category Applicant Gender
Sujit Kumar Sahoo SC Male
Religion Date of Birth OTR No.
Hindu 19 Feb 2006 (19 Year) 23010001698525
Aadhaar No.
XXXXXXXX0648
Bank account is seeded with Aadhaar when applied by student.
Bank Name : UCO BANK | Sync Date : 30 May 2023
Mobile No. Alternative Mobile No. e-Mail Id
8847814229 8847814229 sujitkumarsahoo478@[Link]
Father's Name Father Educational Status Father Occupational Status
Mandardhar Sahoo Literate Self-Employed/ Business
Mother's Name Mother Educational Status Mother Occupational Status
Janaki Sahoo Literate House Wife
Guardian Name Individual/ Family Information
VIEW
-- Beneficiary of NFSA
Address Information
District Block/ULB GP/Ward
Dhenkanal Gondia Deogan
Village Pin Code Address
Deogan 759016 At- Deogan , Po- Kapilash , District- Dhenkanal ,
Block - Gondia ,Pin - 759016
Educational Qualification Details
For : Matric-Annual
Passing Total Secured Percentage Marksheet/
Course Board Roll No. Year Mark/CGPA Marks/CGPA (%) Certificate
X BSE, Odisha 143AF0084 2021 600 480 80.00 Uploaded
Plus 2 CHSE, 349DB230 2023 600 516 86.00 Uploaded
Odisha
Institute / Course Information (Current Education Information)
Institute Type
Govt.
Institute District Block/ULB
Ravenshaw University, Cuttack Cuttack Cuttack Mc
Nature of Course Course Branch/Stream/Trade
General Plus 3 Physical Science
Course Year (Current Year of Study) Admission/Registration No. Admission/Readmission Date
3rd Year 23DPH030 08 Oct 2025
Enrollment No. Enrollment Date
23DPH030 18 Jul 2023
Any Exam Conducted during current academic year? : Yes
Exam Type Total Mark/CGPA Secured Mark/CGPA Percentage (%)
3rd Semester/Periodic 525 368 70.10
Residential Status
Whether
Hosteller
Date of Admission in Hostel Hostel Details No. of Months
02 Aug 2024 Residing in institution run hostel outside 10
institution campus
Hosteller Bonafide Certificate
Uploaded
APAAR ID (Automated Permanent Academic Account Registry ID) Information
Do you have APAAR ID ? APAAR ID
Yes 949477651317
Eligibility Information
Income Certificate No. Family Income (in Rs.) To Whom the Certificate Issued
E-INC/2024/4951800 52000.00 Mandardhar Sahoo
Issuing Authority Issue Date Income Certificate
Revenue Officers not below the rank of 05 Dec 2024 Uploaded
Tahasildar / Additional Tahasildar
Matriculation Certificate No. Issuing Authority Matriculation Certificate
211393173 BSE, Odisha (Annual) Uploaded
Caste Certificate No. To Whom the Certificate Issued Issuing Authority
E-SCO/2021/271607 Sujit Kumar Sahoo
Revenue Officers not below the rank of
Tahasildar / Additional Tahasildar
Issue Date Caste Certificate
25 Aug 2021 Uploaded
Institute Declaration Certificate
NA
Divyang Disability Percentage Issuing Authority
NA -- --
Issue Date Special Category Certificate UDID No.
NA --
Bank Information
Account Holder Name IFSC Code Account No.
SUJIT KUMAR SAHOO UCBA0001223 12230110085899
Whether account number tagged /seeded with
the Aadhaar number?
Yes
Bank Name Branch Name
UCO BANK DEOGAON
Passbook front page
Uploaded
Student Declaration
1. I have read and understood the conditions of award of Scholarship.
2. I am aware that my application is liable to be rejected, if it is found at any stage, that Aadhaar number provided by me is wrong or Aadhaar number is
of someone’s else.
3. I am aware that if more than one application is found, all my applications are liable to be rejected.
4. I am aware that for any wrong entry or mis-match of the Bank-account details, the State Government will not be responsible for mis-credit and I will
be held responsible for diversion of public money on this ground.
Date ........................
Place ........................
Full Signature of Applicant