GOVERNMENT OF GUJARAT Submit Date :
Application No:
Tablet Assistance to SEBC Students 232400000002200357
Fresh Application
Student Basic Details
Name of Student : SUTHAR VAIBHAVKUMAR SHAMJIBHAI
Name of Student (As per Aadhar) : Suthar Vaibhavkumar Shamjibhai
Mother's Name : SUTHAR KAMLABEN SHAMJIBHAI
Date of Birth : 07/02/2006 Gender : Male
Category : SEBC Religion :Hindu
Caste : Suthar ɅkTh^
Aadhaar Status Verified: Yes(29/03/2024 [Link])
Annual Income of Parents/Guardian/Husband (Rs): 100000 Habitation Type: Rural
Mobile Number : 9510872734 E-mail Address : vaibhavsuthar0129@[Link]
Aadhar No : 42xxxxxx3483 Parent/Guardian occupation: Carpenter(\jĘj
Is Orphan: NO Day Scholar / Hosteller : Day Scholar
Marital Status : Unmarried Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Mahesana District Mahesana
Taluka Unjha Taluka Unjha
Village Village
PinCode 384170 PinCode 384170
Address:16,vrundavan society, near navjivan school, unjha Address:16,vrundavan society, near navjivan school, unjha
Student Bank Account Detail/Aadhar Bank Detail
I voluntarily give my consent to use my Aadhaar details.
Aadhar Number : 42xxxxxx3483 Bank name : -
NPCI Date : 3/29/2024 [Link] AM NPCI Status : Accept
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 22xxxxxx6300 IFSC Code : BKID0002212
Student Name(As per Bank Name): VAIBHAVKUMAR SHAMJIBHAI
SUTHAR
Name of Bank : BANK OF INDIA
Branch Name & Address : UNJHA
I hereby accept that
[Link] provided by me are correct to best of my knowledge
[Link] not make any claims if amount is transferred to a wrong account due to incorrect details provided by me
[Link] 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 : [Link] (Bachelor of Technology)
Present Course/Class/Trade Year : 1ST YEAR(1st Semester/2nd Semester)
Studying in : Gujarat Enrollment No: 23012011118
Present Institute District : Mahesana Present Institute : U.V. Patel College of Engineering
Page 1 of 3 232400000002200357 Print Date :29/03/2024
Admission Type : Regular Paid Seat (Self Finance) Present Branch Course : Computer Engineering
Enter Your Research/Thesis Subject :
Present Class Start Date : 12-Jul-2023 Present Course Completion Date : 12-Jul-2027
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 A1230602 2021 83.66
11th Std/12 Std 11TH SCHOOL 38 2022 74
11th Std/12 Std(Science) 12TH(Science) SCIENCE PCM B298240 2023 62.14
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 School/College Current Year Bonafide Certificate
6 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 : 29/03/2024
Verify Mobile Number : Yes 29/03/2024
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. 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
Page 2 of 3 232400000002200357 Print Date :29/03/2024
Date :
Page 3 of 3 232400000002200357 Print Date :29/03/2024
