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    Hada Arjun
    1) The document is an application by Arjun Rameshbhai Hada for the PM-YASASVI Post Matric Scholarship for OBC, EBC and DNT students in Gujarat. 2) It contains details about Arjun such as his name, date of birth, category, annual family income, contact and address details, bank account details, academic details of his current 4th year B.E. course, and details of previous education. 3) It also lists the documents attached in support of the application and declarations signed by Arjun regarding the correctness of the information and accepting terms and conditions of the scholarship if awarded.

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    1) The document is an application by Arjun Rameshbhai Hada for the PM-YASASVI Post Matric Scholarship for OBC, EBC and DNT students in Gujarat. 2) It contains details about Arjun such as his name, date of birth, category, annual family income, contact and address details, bank account details, academic details of his current 4th year B.E. course, and details of previous education. 3) It also lists the documents attached in support of the application and declarations signed by Arjun regarding the correctness of the information and accepting terms and conditions of the scholarship if awarded.

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    1) The document is an application by Arjun Rameshbhai Hada for the PM-YASASVI Post Matric Scholarship for OBC, EBC and DNT students in Gujarat. 2) It contains details about Arjun such as his name, date of birth, category, annual family income, contact and address details, bank account details, academic details of his current 4th year B.E. course, and details of previous education. 3) It also lists the documents attached in support of the application and declarations signed by Arjun regarding the correctness of the information and accepting terms and conditions of the scholarship if awarded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views3 pages

    Report PDF

    Uploaded by

    Hada Arjun
    1) The document is an application by Arjun Rameshbhai Hada for the PM-YASASVI Post Matric Scholarship for OBC, EBC and DNT students in Gujarat. 2) It contains details about Arjun such as his name, date of birth, category, annual family income, contact and address details, bank account details, academic details of his current 4th year B.E. course, and details of previous education. 3) It also lists the documents attached in support of the application and declarations signed by Arjun regarding the correctness of the information and accepting terms and conditions of the scholarship if awarded.

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    of 3

    GOVERNMENT OF GUJARAT Submit Date : 12/11/2022

    Application No:
    PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 222300000002081631
    Students
    Fresh Application

    Student Basic Details


    Name of Student : Hada Arjun Rameshbhai
    Name of Student (As per Aadhar) : HADA ARJUNBHAI RAMESHBHAI
    Mother's Name : LILABEN
    Date of Birth : 01/07/2001 Gender : Male
    Category : NT/DNT(iaI^iS7WpiaȺkƈSĤiS  Religion :Hindu
    Caste : Oad(BP 
    Aadhaar Status Verified: Yes(11/11/2022 11:24:00)

    Annual Income of Parents/Guardian/Husband (Rs): 80000 Habitation Type: Rural


    Mobile Number : 9173743748 E-mail Address : [email protected]
    Aadhar No : 45xxxxxx8654 Parent/Guardian occupation: Casual Labour
    ġND\ȩl^
    

    Is Orphan: NO Day Scholar / Hosteller : Day Scholar


    Marital Status : Unmarried Hostel Type:

    Current Address: Permanant Address:


    State Gujarat State Gujarat

    District Bhavnagar District Bhavnagar

    Taluka Sihor Taluka Sihor

    Village Valavad Village Valavad

    PinCode 364240 PinCode 364240

    Address:36-b mafat plot vistar,Valavad,SIHOR,Bhavnagar Address:36-b mafat plot vistar,Valavad,SIHOR,Bhavnagar

    Student Bank Account Detail/Aadhar Bank Detail


    I voluntarily give my consent to use my Aadhaar details.
    Aadhar Number : 45xxxxxx8654 Bank name : -
    Mandate Date : - Status :
    I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
    Account No : 32xxxxxx1743 IFSC Code : BKID0003211
    Student Name(As per Bank Name): ARJUN RAMESHBHAI HADA

    Name of Bank : BANK OF INDIA

    Branch Name & Address : SONGADH


    I hereby accept that
    1.Details provided by me are correct to best of my knowledge
    2.Shall not make any claims if amount is transferred to a wrong account due to incorrect
    3.Shall 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.
    5.I voluntarily give my consent to use my Aadhaar details
    6.I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar

    Student Academic Details


    Present Course/Class/Trade Type: Engineering & Technology

    Present Course/Class/Trade Name : B.E. (Bachelor of Engineering)

    Present Course/Class/Trade Year : 4TH YEAR(7th Semester/8th Semester)

    Courtesy :: National Informatics Centre, Gujarat Page 1 of 3 222300000002081631 Print Date :13/05/2023
    Studying in : Gujarat Enrollment No: 190210119064

    Present Institute District : Bhavnagar Present Institute : GOVERNMENT ENGINEERING COLLEGE,


    BHAVNAGAR 021
    Admission Type : Regular Seat(Government Quota) Present Branch Course : Mechanical Enginnering

    Enter Your Research/Thesis Subject :


    Present Class Start Date : 18-Jul-2022 Present Course Completion Date : 31-May-2023

    Fees Amount
    Admission Fees (Rs) 0
    Tution Fees (Rs) 1500
    Misc.Fee(NonRefundable Fees) 1200
    Exam Fees(Rs) 950

    Total (Rs) 3650

    Previous stream :B.E. (Bachelor of Engineering) Previous Class/Course : 3RD YEAR(5th Semester/6th Semester)
    Previous Passing Year : 2022 Previous (%) : 63.30

    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 general C9160434 2017 71.16

    11th Std/12 Std 12TH SCIENCE B213630 2019 66.92

    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)

    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 : 13/05/2023
    Verify Mobile Number : Yes 12/11/2022
    Place : Signature of the applicant

    Courtesy :: National Informatics Centre, Gujarat Page 2 of 3 222300000002081631 Print Date :13/05/2023
    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 online/blended education and maintained minimum attendance criteria till date
    for the A.Y. 2021 ±

    The actual School/College/University online/blended education 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 :

    Courtesy :: National Informatics Centre, Gujarat Page 3 of 3 222300000002081631 Print Date :13/05/2023

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