GOVERNMENT OF GUJARAT Submit Date : 11/02/2025
Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 242500000002364493
India Scheme)
Fresh Application
Student Basic Details
Name of Student : PARMAR VIVEKKUMAR VINODBHAI
Name of Student (As per Aadhar) : parmar VIVEKKUMAR VINODBHAI
Mother's Name : manjulaben
Date of Birth : 30/03/2001 Gender : Male
Category : SC(7ȵkɅlISĤiS Religion :Hindu
Caste : Hindu Vankar eƛȳkaRD^
Aadhaar Status Verified: Yes(11/02/2025 13:03:38)
Ration Card No. : 302007005175807 Ration Card Member No. : 102007005175807004
Name As Per Ration Card: (Parmar Vivekkumar Vinodbhai / X^\h^iaapDȢk\h^iaWsU[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 15-07-2024
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): 60000 Habitation Type: Rural
Mobile Number : 7990539816 E-mail Address :
[email protected]Aadhar No : 81xxxxxx6487 Parent/Guardian occupation: Labour(\ȩl^
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Banaskantha District Banaskantha
Taluka Vadgam Taluka Vadgam
Village Village
PinCode 385421 PinCode 385421
Address:PARMAR VAS Address:PARMAR VAS
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 81xxxxxx6487 Bank name : -
NPCI Date : 2/11/2025 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 : 96xxxxxx3751 IFSC Code : KKBK0000878
Student Name(As per Bank Name): VIVEKKUMAR VINODBHAI
PARMAR
Name of Bank : KOTAK MAHINDRA BANK
Branch Name & Address : PALANPUR
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: Para medical
Present Course/Class/Trade Name : M.Sc(Nursing) Master Of Science In Nursing
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No:
Present Institute District : Banaskantha Present Institute : Bharat Nursing College
Admission Type : Regular Seat(Government Quota) Present Branch Course : Paediatric Nursing
Enter Your Research/Thesis Subject :
Present Class Start Date : 07-Nov-2024 Present Course Completion Date : 30-Oct-2025
Fees Amount
Admission Fees (Rs) 100
Tution Fees (Rs) 120000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 5500
Total (Rs) 125600
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. A4167599 2016 56
11th Std/12 Std 12TH sciense B162836 2018 48
Para medical B.Sc(Nursing) Bachelor Of Science In Nursing nursing 37 2022 58
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 Break Affidavit(If Break Gap is More than One Year)
5 Income Certificate (Competent Authority)(Form no.16 required For Govt. Employee)
6 Std:10 Marksheet
7 School Leaving Certificate (If Any)
8 Std:12 Marksheet(If Any)
9 Graduate Marksheet(If Any)
10 Identity Card (College/School)
Page 2 of 3 242500000002364493 Print Date :11/02/2025
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 : 11/02/2025
Verify Mobile Number : Yes 11/02/2025
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 :
Page 3 of 3 242500000002364493 Print Date :11/02/2025
