GOVERNMENT OF GUJARAT Submit Date : 28/08/2025
Application No:
Umbrella Scheme for Education of ST Students Post-Matric 252600000003067754
Scholarship
Fresh Application
Student Basic Details
Name of Student : chaudhari hemangini girishbhai
Name of Student (As per Aadhar) : CHAUDHARI HEMANGINIKUMARI GIRISHBHAI
Date of Birth : 13/10/1998 Gender : Female
Student Aadhar Details
I voluntarily give my consent to use my Aadhaar details.
Aadhar No : 30xxxxxx7566 Aadhaar Status Verified: Yes(27/08/2025 [Link])
Student Ration Card Details
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.
Ration Card No. : 122015000635861 Ration Card Member No. : 122015000635861004
Name As Per Ration Card: (Chaudhari Hemanginikumari Girishbhai / ItV^
e°\h5FjWjȢk\h^F^b[h9
EKYC Status As Per Ration Card: Yes EKYC Date: 10-12-2024
Aadhar Number Matched With Ration Card: Yes
Student OTR Details
OTR KYC : 25010071355751 OTR KYC : C
Name as Per OTR : Chaudhari Hemanginikumari Girishbhai
Other Details
Mother's Name : RANJANBEN
Category : ST(7ȵkɅlISKWĤiS Religion :Hindu
Caste : Choudhri (Surat and valsad districts) ItV^ Ʌk^S7Wpa_dhPĥƣ_h\h5 linguistic Minority :
Marital Status : Unmarried Parent/Guardian occupation: Farm Labour(EpĂ\ȩl^
Annual Income of Parents/Guardian/Husband (Rs): 85000 Habitation Type: Rural
Is Orphan: NO
Mobile Number : 9727339887 E-mail Address : atulchaudhari229@[Link]
Day Scholar / Hosteller: Day Scholar
Hostel Type:
Current Address: Permanant Address:
State Gujarat State Gujarat
District Surat District Surat
Taluka Mahuva Taluka Mahuva
Village Naldhara Village Naldhara
PinCode 394240 PinCode 394240
Address:Vajesing faliyu, Address:Vajesing faliyu,
Naladhara, mahuva Naladhara, mahuva
Student Bank Account Detail/Aadhar Bank Detail
Aadhar Number : - Bank name : -
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NPCI Date : NPCI Status : -
I am giving my consent for payment of scholarship amount in my bank account, linked with Aadhar.
Account No : 35xxxxxx8254 IFSC Code : SBIN0018083
Student Name(As per Bank Name): hemanginikumari girishbhai
chaudhari
Name of Bank : STATE BANK OF INDIA
Branch Name & Address : KARCHELIYA
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
Admission Type : Regular Paid Seat (Self Finance)
Present Course/Class/Trade Type: Para medical
Present Course/Class/Trade Name : [Link](Nursing) Master Of Science In Nursing
Present Course/Class/Trade Year : 2ND YEAR(3rd Semester/4th Semester)
Studying in : Gujarat Enrollment No: R24060416000810004
Present Institute District : Surat Present Institute : Vibrant Nursing College
Present Branch Course : -
Present Class Start Date : 01-Nov-2025 Present Course Completion Date : 31-Oct-2026
Fees Amount
Admission Fees (Rs) 200
Tution Fees (Rs) 147000
[Link](NonRefundable Fees) 0
Exam Fees(Rs) 2430
Total (Rs) 149630
Previous stream :[Link](Nursing) Master Of Science In Nursing Previous Class/Course : 1ST YEAR(1st Semester/2nd Semester)
Previous Passing Year : 2025 Previous (%) : 0.00
Educational Break : No No. Of. Year in Break :
Are You Employed in any Organization/Establishment with leave without pay? : No
Previous Education Detail
Course/Class/Trade Type Course/Class/Trade Name Branch Name Seat No Passing Year Percentage
9th Std/10th Std 10TH GENERAL B0602840 2014 67.33
11th Std/12 Std 12TH SCIENCE B409426 2016 58.71
Para medical Post Basic [Link](Nursing) Post Basic Bachelor Of FIRST YEAR 10033 2020 67.09
Science in Nursing
Para medical Post Basic [Link](Nursing) Post Basic Bachelor Of SECOND YEAR 10033 2021 62
Science in Nursing
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 :
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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 From the Concerned Authorised Authority/Persons
6 Std:12 Marksheet(If Any)
7 Graduate Marksheet(If Any)
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 : 28/08/2025
Verify Mobile Number : Yes 28/08/2025
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. 2025
-2026. 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 252600000003067754 Print Date :28/08/2025
