GOVERNMENT OF GUJARAT Submit Date : 26/01/2025
Application No:
Umbrella Scheme for Education of ST Students Post-Matric 242500000002314583
Scholarship(Freeship Card / Medical Loan Student Only)
Fresh Application
Student Basic Details
Name of Student : Raut Ridhdhiben Maheshbhai
Name of Student (As per Aadhar) : Ridhdhiben Maheshbhai Raut
Mother's Name : Ranjanben
Date of Birth : 12/11/2006 Gender : Female
Category : ST(7ȵkɅlISKWĤiS Religion :Hindu
Caste : Kokna DsDRh5
Aadhaar Status Verified: Yes(16/01/2025 14:37:02)
Ration Card No. : 324006004345583 Ration Card Member No. : 324006004345583006
Name As Per Ration Card: (Ridhdhiben Maheshbhai Raut / ^ƚVjZpW\e°b[h:^h;S
EKYC Status As Per Ration Card: Yes EKYC Date: 20-09-2024
Aadhar Number Matched With Ration Card: Yes
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.
Annual Income of Parents/Guardian/Husband (Rs): 75000 Habitation Type: Rural
Mobile Number : 9825419281 E-mail Address : rautridhdhi0@[Link]
Aadhar No : 26xxxxxx2406 Parent/Guardian occupation: Agriculture(EpSj
Is Orphan: NO Day Scholar / Hosteller : Hosteler
Marital Status : Unmarried Hostel Type: Private Hostel
Current Address: Permanant Address:
State Gujarat State Gujarat
District Mahesana District Navsari
Taluka Mahesana Taluka Bansda
Village Village Ghodmal
PinCode 382710 PinCode 396580
Address:Akhaj hoshtel Address:Ghodmal
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 26xxxxxx2406 Bank name : -
NPCI Date : 1/26/2025 12:00:00 AM NPCI Status : Accept
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 08xxxxxx3453 IFSC Code : BARB0BANSDA
Student Name(As per Bank Name): Ridhdhiben Maheshbhai Raut
Name of Bank : BANK OF BARODA
Branch Name & Address : BANSDA , [Link],GUJARAT
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
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[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
Present Course/Class/Trade Type: Para medical
Present Course/Class/Trade Name : [Link](Nursing) Bachelor Of Science In Nursing
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Mahesana Present Institute : SARDAR PATEL NURSING COLLEGE AKHAJ
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : -
Enter Your Research/Thesis Subject :
Present Class Start Date : 07-Oct-2024 Present Course Completion Date : 08-Oct-2025
Fees Amount
Admission Fees (Rs) 1000
Tution Fees (Rs) 96000
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 3950
Total (Rs) 100950
Educational Break : No No. Of. Year in Break :
Are You Employed in any Organization/Establishment with leave without pay? : Not Applicable
Freeship Card Detail
Freeship Card No: 1700
Freeship Card Issued Date: 22/11/2024
Freeship Card Issued by District:Navsari
Freeship Card Issued By Designation ID : Asst. Tribal Officer
Name of course for which Free ship card is issued : Bsc
Indicate the details of Exemption Fees (Total Fees Amount Not Taken by
Institute/college/University) :
Admission Fee(In Rs.) : 1000
Tution Fee(In Rs.) : 96000
[Link](In Rs.)(Non Refundable) : 0
Exam Fee(In Rs.) : 3950
Previous Education Detail
Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH GS&HSEB, B5192122 2022 72
GANDHINAGAR
11th Std/12 Std 12TH GS&HSEB, B309930 2024 61.63
GANDHINAGAR
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
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3 Fee Receipt of Current Course Year
4 Self Attested Certificate of Previous academic marksheet
5 Income Certificate From the Concerned Authorised Authority/Persons
6 Hostel Certificate(Only For Hosteller Student)
7 Std:12 Marksheet(If Any)
8 Freeship Card
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 : 26/01/2025
Verify Mobile Number : Yes 26/01/2025
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. 2024
-2025. 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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