GOVERNMENT OF GUJARAT Submit Date : 13/11/2024

Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000000525934
Students
Fresh Application

Student Basic Details

Name of Student : MAKWANA BHUMIKABEN VIKRAMSINH

Name of Student (As per Aadhar) : Bhumikaben Makwana
Mother's Name : KANAKBEN VIKRAMSINH MAKWANA
Date of Birth : 23/08/2007 Gender : Female
Category : SEBC Religion :Hindu
Caste : Baraiya Zh^µ]h 

Aadhaar Status Verified: Yes(09/11/2024 07:27:51)

Ration Card No. : 115004011733971 Ration Card Member No. : 115004000593017008

Name As Per Ration Card: (Bhumikaben Makwana / ȹli\DhZpW\DahRh
EKYC Status As Per Ration Card: Yes EKYC Date: 16-10-2024
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): 85000 Habitation Type: Rural

Mobile Number : 9687071810 E-mail Address : [email protected]
Aadhar No : 62xxxxxx9887 Parent/Guardian occupation: Agriculture(EpSj
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:

Current Address: Permanant Address:

State Gujarat State Gujarat

District Anand District Anand

Taluka Anand Taluka Anand

Village Village
PinCode 388370 PinCode 388370

Address:KABHAIPUARA ,VADOD,ANAND,GUJRAT Address:KABHAIPUARA ,VADOD,ANAND,GUJRAT

388370 388370

Student Bank Account Detail/Aadhar Bank Detail

I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 62xxxxxx9887 Bank name : -
NPCI Date : 11/13/2024 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 : 43xxxxxx8444 IFSC Code : SBIN0003119
Student Name(As per Bank Name): Bhumikaben Makwana

Name of Bank : STATE BANK OF INDIA

Branch Name & Address : VITHAL UDYOG NAGAR

I hereby accept that
1.Details provided by me are correct to best of my knowledge

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 2.Shall not make any claims if amount is transferred to a wrong account due to incorrect details provided by me
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.

Student Academic Details

Present Course/Class/Trade Type: Commerce

Present Course/Class/Trade Name : B.Com Bachelor Of Commerce

Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)

Studying in : Gujarat Enrollment No: 2400803425

Present Institute District : Anand Present Institute : Anand Commerce College, Anand

Admission Type : Regular Seat(Government Quota) Present Branch Course : -

Enter Your Research/Thesis Subject :

Present Class Start Date : 18-Jun-2024 Present Course Completion Date : 28-Apr-2025

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 0
Misc.Fee(NonRefundable Fees) 4050
Exam Fees(Rs) 720

Total (Rs) 4770

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 B 2022 49
5266877
11th Std/12 Std 12TH B.Com G 419431 2024 73.14

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 : 14/11/2024

Verify Mobile Number : Yes 14/11/2024

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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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