GOVERNMENT OF GUJARAT Submit Date : 30/10/2023

Application No:
(BCk-6.1) Post Matric Scholarship for SC students (Government of 232400000001222520
India Scheme)(Freeship Card Student Only)
Fresh Application

Student Basic Details

Name of Student : Parmar Rohan Shantilal
Name of Student (As per Aadhar) : Parmar Rohan Shantilal
Mother's Name : Leelaben Parmar
Date of Birth : 20/02/2005 Gender : Male
Category : SC(7ȵkɅl‡ISĤiS  Religion :Hindu
Caste : Hindu Vankar ˆeƛȳkaRD^ 

Aadhaar Status Verified: Yes(30/10/2023 20:55:00)

Annual Income of Parents/Guardian/Husband (Rs): 95000 Habitation Type: Urban

Mobile Number : 7227996607 E-mail Address : [email protected]
Aadhar No : 27xxxxxx4127 Parent/Guardian occupation: Pvt-Service(EhWFjWsD^Ž
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 Khambhat Taluka Khambhat

Village Village
PinCode 388001 PinCode 388620

Address:Vanker Vas Address:Shreenathji Park Society Bethak

Road.Khambhat.Anand

Student Bank Account Detail/Aadhar Bank Detail

I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 27xxxxxx4127 Bank name : -
NPCI Date : 12/5/2023 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 : 42xxxxxx3090 IFSC Code : SBIN0018351
Student Name(As per Bank Name): Parmar Rohan Shantilal

Name of Bank : STATE BANK OF INDIA

Branch Name & Address : JITODIA ROAD , ANAND

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 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: Hotel Management & Tourisam

Present Course/Class/Trade Name : BBA(Hon) Bachelor of Business Administration (Honors)

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

Studying in : Gujarat Enrollment No: 2310120010

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 Present Institute District : Anand Present Institute : AIMS College of Management And Technology,
Bakrol
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : Hospitality Management

Enter Your Research/Thesis Subject :

Present Class Start Date : 15-Jun-2023 Present Course Completion Date : 30-Apr-2024

Fees Amount
Admission Fees (Rs) 0
Tution Fees (Rs) 71000
Misc.Fee(NonRefundable Fees) 0
Exam Fees(Rs) 1100

Total (Rs) 72100

Educational Break : Yes No. Of. Year in Break : 1

Freeship Card Detail

Freeship Card No: 39
Freeship Card Issued Date: 03/07/2023
Freeship Card Issued by District:Anand

Previous Education Detail

Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH Commerce B8286361 2020 49

11th Std/12 Std 12TH Commerce G 834814 2022 45.66

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 Break Affidavit(If Break Gap is More than One Year)

4 Income Certificate (Competent Authority)(Form no.16 required For Govt. Employee)

5 Std:10 Marksheet

6 School Leaving Certificate (If Any)

7 Std:12 Marksheet(If Any)

8 Freeship Card

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 : 13/06/2024
Verify Mobile Number : Yes 05/12/2023
Place : Signature of the applicant

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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. 2023
-2024. 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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