GOVERNMENT OF GUJARAT Submit Date : 27/11/2024
Application No:
PM -YASASVI Post Matric Scholarship for OBC, EBC and DNT 242500000001773287
Students
Fresh Application
Student Basic Details
Name of Student : Vaghela Kevalsinh Digvijaysinh
Name of Student (As per Aadhar) : Vaghela Kevalsinh Digvijaysinh
Mother's Name : Vaghela Sejalba Digvijaysinh
Date of Birth : 19/08/2006 Gender : Male
Category : EBC(8iTD^SpXJhSaF½ Religion :Hindu
Caste :
Aadhaar Status Verified: Yes(26/11/2024 11:05:06)
Ration Card No. : 127102012129191 Ration Card Member No. : 127102012129191005
Name As Per Ration Card: (Vaghela Kevalsinh Digvijaysinh / ahGp_hD°a_ideUƊaK]ide
EKYC Status As Per Ration Card: Yes EKYC Date: 25-11-2024
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): 240000 Habitation Type: Urban
Mobile Number : 9510698188 E-mail Address :
[email protected]Aadhar No : 67xxxxxx8444 Parent/Guardian occupation: Business(V5Vs
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Ahmadabad District Ahmadabad
Taluka Sabarmati Taluka Sabarmati
Village Village
PinCode 380013 PinCode 380013
Address:59/699,Shivam Flat,Akhbarnagar,nava vadaj,ahmedabad Address:59/699,Shivam Flat,Akhbarnagar,nava
vadaj,ahmedabad
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 67xxxxxx8444 Bank name : -
NPCI Date : 11/27/2024 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 : 55xxxxxx9202 IFSC Code : BARB0AKHABA
Student Name(As per Bank Name): VAGHELA KEVALSINH
DIGVIJAYSINH
Name of Bank : BANK OF BARODA
Branch Name & Address : AKHABARNAGAR
I hereby accept that
Page 1 of 3 242500000001773287 Print Date :19/02/2025
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 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: Engineering & Technology
Present Course/Class/Trade Name : B.E. (Bachelor of Engineering)
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 240280111057
Present Institute District : Ahmadabad Present Institute : L.D.COLLEGE OF ENGINEERING, AHMEDABAD
028
Admission Type : Regular Seat(Government Quota) Present Branch Course : Electronic & Comminication Engeering
Enter Your Research/Thesis Subject :
Present Class Start Date : 25-Jun-2024 Present Course Completion Date : 30-Jun-2025
Fees Amount
Admission Fees (Rs) 1080
Tution Fees (Rs) 1500
Misc.Fee(NonRefundable Fees) 500
Exam Fees(Rs) 1750
Total (Rs) 4830
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 GSHSEB A4060289 2022 81.66
11th Std/12 Std 12TH SCIENCE B208467 2024 82
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 School/College Current Year Bonafide Certificate
8 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 : 19/02/2025
Page 2 of 3 242500000001773287 Print Date :19/02/2025
Verify Mobile Number : Yes 27/11/2024
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 :
Page 3 of 3 242500000001773287 Print Date :19/02/2025
