Mukhyamantri Yuva Swavalamban Yojana

Education Department, Gujarat State.

Application Id :1110241
Scholarship Year:2018
Application Lock Date: 04-12-2018
Candidate Details :

Name: LATHIYA JAINILKUMAR ASHOKBHAI ID:1H218G372464

Address: 76,TAPI DARSHAN SOCIETY,SECTION-2,NANA VARACHHA ,NR. SAVJI KORAT BRIDGE,Surat

(M Corp.) (Part),Surat City,Surat
Date of Birth: 09-06-2001 Category: General Aadhaar No: ********0057
Family Annual Income (Rs.): 120000 Gender: Male Ration No: -

E-mail: jainillathiya2001@gmail.com Mobile No.: 7405781653

HSC/SSC Details: Board:Gujarat Board Seat no: G372464

Stream: General Percentile:92.24 Percentage:0.00

Admission Details :
University:VEER NARMAD SOUTH GUJARAT UNIVERSITY
Programme:BACHELOR OF COMPUTER Course: BACHELOR OF COMPUTER APPLICATION
APPLICATION (B.C.A) (B.C.A)

Institute:BHAGWAN MAHAVIR COLLEGE OF COMPUTER APPLICATION, SURAT

Inst. Address:SR. NO.149, NEW CITYLIGHT ROAD,NR. ASHIRVAD VILLA,B/H. HEENA
BUNGLOWS,BHARTHANA-VESU,SURAT,Surat City,Surat

Admission on TFW Seat?:No Admission on NRI Seat?:No

Applied for any other Scholarships?: No
Hostel Details : Hostel Admission?: No Hostel Type: -
Hostel Address: -
Bank Details : Account No:53488100004931
Bank:BANK OF BARODA
IFS Code:BARB0SARSUR
Bank Branch:SARTHANA,GUJARAT,SURAT
Documents Uploaded :
Self Declaration Aadhaar card
Admission Letter Certificate from Head Of Institute(in Original)
Income Certificate from Competent Authority Income Tax Return for F.Y. respective to
(Mamlatdar / TDO) scholarship year
Saving Bank Account Pass-book First Page / Cancelled PassPort Size Photograph
Cheque Std 12th (HSC) Marksheet
Tuition Fee Receipt
1 Other Aadhaar card
Declaration:
I hereby declare that all the particulars provided by me is true and correct. In the event of suppression
or distortion of any information provided by me, I understand that my application for availing benefits of the
scheme is liable for cancellation. I accept and understand all rules and regulations of 'Mukhyamantri Yuva
Swavalamban Yojana' and it is abide to me.I also give permission for use of my Aadhaar number details for
authentication, DBT purpose etc.

.................................. ...................................
(Signature Of Student) (Signature Of Parent)