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Hon.

Chief Minister Scholarship Scheme


Education Department,Gujarat State
Application Id :1583
2015 (1st Renewal ) Scholarship Renewal Application Form. Date: 25-10-2016
Candidate Details :
Name : SONI KUNJANKUMAR RAJNIKANT
Date of Birth : 28-11-1996 Aadhar card number: 836124733128 Category : General
Bpl card no: - Bpl score: - Gender : Male
Family Annual Income (Rs.) : 201672 Ration card number : -
E-mail : kunjanusa@gmail.com Mobile No. : 8401852887
Bank Name :STATE BANK OF INDIA Bank Savings A/C no : 34222275392

Bank Branch : NAVA WADAJ, AHMEDABAD SUMANGALAM COMPLEX, NAVA VADAJ AHMEDABAD, GUJRAT 380013

IFSC Code : SBIN0001815

HSC Details : Board : Gujarat Board Stream : Science Seat No. : B804801

Percentile :96.64 Percentage :81.54

Admission Details : Enrollment number:140170119058


University : GUJARAT TECHNOLOGICAL UNIVERSITY Institute Type:Government
Programme : ENGINEERING Exam System:Semester
Course : MECHANICAL ENGINEERING Result System :SPI
Institute : VISHWAKARMA GOVT ENGINEERING COLLEGE

2015 (1st Renewal ) Details


Previous year scholarship received (Rs.) :5000 Previous year attendance more than 75%:Yes

Yearly tution fees (Rs.):1500 Any disciplinary action taken?: No


Previous year percentage : 82.20

Documents:
Fee Receipt First page print of savings account passbook
Scholarship Renewal Certificate from Head Of Institute Last Odd Semester University Marksheet
Aadhar Card Last Even Semester University Marksheet

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 scholarship is liable for cancellation.I
accept and understand all rules and regulations of Hon Chief Minister Scholarship Scheme and it is abide to me.

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

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