Government of Gujarat: Student Basic Details
Government of Gujarat: Student Basic Details
Government of Gujarat: Student Basic Details
ڤځښڑḚڏṀڀٱڤژ
BCK -83 Swami Vivekanand Stipend Scheme for technical and
professional courses(SEBC)
Fresh Application
Mother's Name :
Date of Birth : 28/05/2003 Gender : Male
Category : SEBC Religion :Hindu
Caste : Daraji(U^ĥ
Aadhaar Status Verified: Yes(03/11/2018 09:37:00)
Village Village
PinCode 385575 PinCode 385575
Address:AT PO BUKANA TA VAV DIST BANASKANTHA Address:AT PO BUKANA TA VAV DIST BANASKANTHA
385575 385575
Courtesy :: National Informatics Centre, Gujarat Page 1 of 2 181000000001000380 Print Date :03/11/2018
Studying in : Gujarat Enrollment No: 1387600125
Admission Type : Regular Seat(Government Quota) Present Branch Course : MECHANIC DIESEL ENGINE
2 First Page Of Bank PassBook/Cancelled Cheque showing IFSC code and account no
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 : 11/03/2018
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.
Place :
*Note : Stamp Signature will not be accepted
Courtesy :: National Informatics Centre, Gujarat Page 2 of 2 181000000001000380 Print Date :03/11/2018