Applicant Details

Applicant Photo
ApplicationID :2425DMR1000162459
Application ID Scheme Name
2425DMR1000162459 Rajarshri Chhatrapati Shahu
Maharaj Fee Reimbursement
Scheme

Department Name Applied Date

Directorate of Medical 11/01/2025
Education and Research

Personal Details
ApplicationID :2425DMR1000162459
Full Name Mobile Number. Email ID
Syed Ayan Mubashir xxxxxx7003 s****0@gmail.com

Date Of Birth Gender Age

xx/xx/2002 Male 22

Religion Marital Status Applicant Full Name (As Per

Muslim Unmarried SSC Marksheet/ L.C.)
Syed Ayan Mubashir

Parent's/Guardian Mobile No Dependent Type

xxxxxx7003 -

Permanent address Details

ApplicationID :2425DMR1000162459
Address State District
,,shivaji chouk,,431517 Maharashtra Bid

Taluka Village Pincode

AMBAJOGAI 431517

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :2425DMR1000162459
Address State District
,,shivaji chouk,,431517 Maharashtra Beed

Taluka Village Pincode

Ambejogai AMBAJOGAI 431517

Income Details
ApplicationID :2425DMR1000162459
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 50000.00
No
Income Certificate No
42253198508

Issuing Authority Date of Issue

Tahsildar 28/06/2021

Domicile Details
ApplicationID :2425DMR1000162459
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42253170947

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Syed Ayan Mubashir Tahsildar
No
Date of Issue
06/10/2020

Caste Details
ApplicationID :2425DMR1000162459
Caste Category
General

Personal Eligibility Details

ApplicationID :2425DMR1000162459
Are you Salaried? Disability of any Type?
No No

Parent's/Guardian's Details
ApplicationID :2425DMR1000162459
Is Father Alive? Father Name Is Father Salaried?
Yes Syed Mubashir No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes Rehana Begum No

Past Qualification Details

ApplicationID :2425DMR1000162459
Qualification Level Stream Completed
H.S.C. (12 Std) Science Completed

Institute State Institute District Institute Taluka

Maharashtra Beed Ambejogai

College Name / School Name Course Name Board/University

DR MOHD. IQBAL HS AMBA 12th Science MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2018 2019

Result Percentage Attempts

Passed 72.31 1

Is Gap? Qualification Level Stream

No S.S.C. (10 Std) SSC

Completed Institute State Institute District

Completed Maharashtra Beed

Institute Taluka College Name / School Name Course Name

Ambejogai SSC

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2016
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2017 Passed

Percentage Attempts Is Gap?

85.60 1 No

Current Course Details

ApplicationID :2425DMR1000162459
Admission Year In Current Institute State Institute District
Course Maharashtra Jalgaon
2022
Institute Taluka Qualification Level
Chalisgaon Under Graduate Course

Stream College Name/school Name Course Name

Health Science KDMG's Ayurved Medical Bachelor of Ayurveda, Medicine
College and Hospital, & Surgery(BAMS)
Chalisgaon
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No First Year Completed
3105170140
Admission Date Admission Year in
- College/Institute
2022

Percentage Result Fees Paid

60 Passed
Course Type
UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage / CLAT
Score
91.4

Admission Year In Current Institute State Institute District

Course Maharashtra Jalgaon
2022
Institute Taluka Qualification Level
Chalisgaon Under Graduate Course

Stream College Name/school Name Course Name

Health Science KDMG's Ayurved Medical Bachelor of Ayurveda, Medicine
College and Hospital, & Surgery(BAMS)
Chalisgaon
Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or Continue
ID/CLAT Admit Card No Second Year Completed
3105170140
Admission Date Admission Year in
- College/Institute
2023

Percentage Result Fees Paid

62.8 Passed
Course Type
UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage / CLAT
Score
91.4

Admission Year In Current Institute State Institute District

Course Maharashtra Jalgaon
2022
Institute Taluka Qualification Level
Chalisgaon Under Graduate Course

Stream College Name/school Name Course Name

Health Science KDMG's Ayurved Medical Bachelor of Ayurveda, Medicine
College and Hospital, & Surgery(BAMS)
Chalisgaon
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No Third Year Pursuing
3105170140
Admission Date Admission Year in
18/11/24 College/Institute
-

Percentage Result Fees Paid

- - 150000.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
General
Mode
Regular Gap Reason CET / Merit Percentage / CLAT
Score
91.4

Hostel Details
ApplicationID :2425DMR1000162459
Hosteller / Day Scholor Type Hostel Type Hostel Name
Hosteller Non Govt. KDMG

Is Hostel Aided? Hostel Address Is Mess Available ?

KDMG Ayurved Medical College, Yes
Dhule bypass
Rent Per Month
8300.00

State District
Maharashtra Jalgaon

Additional Question
ApplicationID :2425DMR1000162459
Question Answer
Enter previous year application 2324DMR1000132419 Question
ID Upload Mothers / Guardians
Aadhaar Card

Answer
Question Answer
IMG_20220527_185233.jpg
Upload Students PAN Card IMG_20230318_134249.jpg

Question
Upload Father / Guardian
Aadhaar Card

Answer
Question Answer
IMG_20230318_135215.jpg
Upload Fathers / Guardians IMG_20250111_192800.jpg
PAN card

Question Answer
Upload Mothers PAN Card IMG_20250111_192800.jpg Question
Is this a Renewal Application?

Answer
Yes

Benefits
ApplicationID :2425DMR1000162459
Tution Fee

99547.00
50% Tution Fee

49773.50
Development Fee

10453.00
50% Development Fee

5226.50

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.

View Uploaded Documents