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Applicant Details
Applicant Photo
ApplicationID :1920VJC1000016639

Application ID Scheme Name

1920VJC1000016639 Tuition Fees and Examination
Fees to SBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 29/02/2020
Welfare Department

Personal Details
ApplicationID :1920VJC1000016639

Full Name Mobile Number. Email ID

Sangram Shrihari Kalgude xxxxxx0551 s****e@gmail.com

Date Of Birth Gender Age

xx/xx/1998 Male 21

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
Kalgude Sangram Shrihari

Parent's/Guardian Mobile No Dependent Type

xxxxxx0325 -

Permanent address Details

ApplicationID :1920VJC1000016639

Address State District

,,,Dhoki,413508 Maharashtra Osmanabad

Taluka Village Pincode

Osmanabad Dhoki 413508

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :1920VJC1000016639

Address State District

,,,Dhoki,413508 MAHARASHTRA Osmanabad

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Taluka Village Pincode

Osmanabad Dhoki 413508

Income Details
ApplicationID :1920VJC1000016639

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 130000.00
Yes No
Income Certificate No
42403065406

Issuing Authority Date of Issue

Nayab Tahsildar 08/02/2018

Domicile Details
ApplicationID :1920VJC1000016639

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42403030311

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Kalgude Sangram Shrihari Tahsildar
No
Date of Issue
18/06/2018

Caste Details
ApplicationID :1920VJC1000016639

Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (SBC) Special Backward Class Barcode?
No

Caste Certificate Number Issuing District Applicant Name

2012/setu/MISCWS3203 Osmanabad Kalgude Sangram Shrihari

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :1920VJC1000016639

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1920VJC1000016639

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Is Father Alive? Father Name Is Father Salaried?

Yes Shrihari No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes Ganga No

Past Qualification Details

ApplicationID :1920VJC1000016639

Qualification Level Stream Completed

H.S.C. (12 Std) Science Completed

Institute State Institute District Institute Taluka

MAHARASHTRA Solapur Barshi

College Name / School Name Course Name Board/University

12 TH SCIENCE PUNE

Mode Admission Year Passing Year

Regular 2016 2017

Result Percentage Attempts

Passed 55.23 1

Is Gap?
Yes

Current Course Details

ApplicationID :1920VJC1000016639

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Nanded
2018
Institute Taluka Qualification Level
Ardhapur Under Graduate Course

Stream College Name/school Name Course Name

Health Science APRAMPAR SWAMI Bachelor of Physiotheraphy
PHYSIOTHERAPY COLLEGE (BPTH)
JAMBHRUN DIST NANDED
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No Second Year Pursuing
195023049
Admission Date Admission Year in
01/11/19 College/Institute
-

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Percentage Result Fees Paid

- - 15000.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
(SBC) Special Backward Class
Mode
Regular

Gap Reason CET / Merit Percentage / CLAT Admission Year In Current

Score Course
58.35 2018

Institute State Institute District Institute Taluka

MAHARASHTRA Nanded Ardhapur

Qualification Level Stream College Name/school Name

Under Graduate Course Health Science APRAMPAR SWAMI
PHYSIOTHERAPY COLLEGE
JAMBHRUN DIST NANDED

Course Name Admission Type Application Admission ID/CAP

Bachelor of Physiotheraphy Through CAP/Govt. Quota ID/CLAT Admit Card No
(BPTH) 195023049

Year Of Study Completed Or Continue Admission Date

First Year Completed -

Admission Year in Percentage Result

College/Institute 42.94 Passed With ATKT
2018
Fees Paid Course Type
UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
(SBC) Special Backward Class
Gap Reason CET / Merit Percentage / CLAT
Score
58.35

Hostel Details
ApplicationID :1920VJC1000016639

Hosteller / Day Scholor Type Hostel Type Hostel Name

Hosteller Rented House SUMITRA PRALHADRAO
WADAJKAR

Is Hostel Aided? Hostel Address Is Mess Available ?

No

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RAIGADNAGAR NEAR MGM

COLLEGE NANDED
Rent Per Month
1800.00

State District
Maharashtra Nanded

Additional Question
ApplicationID :1920VJC1000016639

Question Answer
Ration card for identify Question
number of children’s in family Declaration certificate of
parents/guardians about
number of children
beneficiaries

Answer
Question Answer
Screenshot_20200229_172703.jpg
Leaving Certificate Addmission Slip.jpg

Question
CAP Allotment Letter (For
Professional Courses)

Answer
Question Answer
Cast Validity Certificate (For
Professional Courses As Per
GR Dated 31st July 2008)
Exempted Professional Question
courses to be identified Is this a Renewal Application?

Answer
Yes

Question
Enter your last year
MahaEschol Application ID

Answer
1819VJC1000017259

Benefits
ApplicationID :1920VJC1000016639

Tution Fee

72727.00
Exam Fee

3450.00
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Admission Fee

0.00
Laboratory Fee

0.00
Library Fee

0.00
Gymkhana Fee

0.00
Extra Curriculum/Activity Fee

0.00
College Magazine Fee

0.00
Computer Training Fee

0.00
Registration Charges

0.00
Student ID charges

0.00
University Development Fund

0.00
University Sports Fund

0.00
University Ashwamedh Fund

0.00
University Medical Aid Fund

0.00
University Student
Assistance/Welfare Fund

0.00

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University Student Insurance

Fund 0.00

Youth Festival Charges

0.00

I / We agree to the terms and conditions of this scholarship. All information given in this application is valid
to best of my knowledge. I /We am /are punishable with penalties / punishments if any of the above
mentioned details is false as per the Indian Penal Code, 199 and 200. The decision given by the competent
authority will be final and will be accepted by me. If any surplus amount is received from the scholarship
due to any reasons, then I / We will return the amount at the earliest. I / We will be responsible for taking
action against me / my child against falsehood. I / We promise that we will take the scholarship / education
fees as per the terms and conditions of the concerned scheme. All the documents that I have linked to the
application have been received from the competent authority / authorities and the documents are valid and
have been received by following the required legal procedures. There is no modification / correction /
alteration performed on them. I hereby certify that the information provided is true and they are not false or
fake. I am fully responsible for the false or fake surveillance of the attached documents, and I am fully
aware that I will be entitled to the penalty imposed by the Indian Penal Code, 199 and 200.

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