Scholarship form

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Applicant Details

Applicant Photo
ApplicationID :2425VJO1005689762
Application ID Scheme Name
2425VJO1005689762 Post Matric Scholarship to OBC
Students
Department Name Applied Date
OBC, SEBC, VJNT & SBC 19/01/2025
Welfare Department

Personal Details
ApplicationID :2425VJO1005689762
Full Name Mobile Number. Email ID
Swapnil Sanjay Chaudhari xxxxxx0181 c****5@gmail.com
Date Of Birth Gender Age
xx/xx/2001 Male 23
Religion Marital Status Applicant Full Name (As Per
Hindu Unmarried SSC Marksheet/ L.C.)
Chaudhari Swapnil Sanjay
Parent's/Guardian Mobile No Dependent Type
xxxxxx4518 -
Permanent address Details
ApplicationID :2425VJO1005689762
Address State District
,,patakhali Maharashtra Nashik
palkhed,Palkhed,422209
Taluka Village
Niphad PALKHED
Pincode IsCorrespondence Address
422209 same as Permanent?
Yes
Correspondence Address Details
ApplicationID :2425VJO1005689762
Address State District
,,patakhali MAHARASHTRA Nashik
palkhed,Palkhed,422209
Taluka Village
Niphad PALKHED
Pincode
422209
Income Details
ApplicationID :2425VJO1005689762
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 40000.00
No
Income Certificate No
41551845753
Issuing Authority Date of Issue
Tahsildar 30/04/2024
Domicile Details
ApplicationID :2425VJO1005689762
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41551182163
Does your Certificate have a Applicant Name Issuing Authority
Barcode? Chaudhari Swapnil Sanjay Tahsildar
No
Date of Issue
02/07/2018
Caste Details
ApplicationID :2425VJO1005689762
Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (OBC) Other Backward Class Barcode?
No
Caste Certificate Number Issuing District Applicant Name
428/2285 Nashik Chaudhari Swapnil Sanjay
Issuing Authority
Sub Divisional Officer(SDO)
Personal Eligibility Details
ApplicationID :2425VJO1005689762
Are you Salaried? Disability of any Type?
No No
Parent's/Guardian's Details
ApplicationID :2425VJO1005689762
Is Father Alive? Father Name Is Father Salaried?
Yes SANJAY No
Is Mother Alive? Mother Name Is Mother Salaried?
Yes ANITA No
Past Qualification Details
ApplicationID :2425VJO1005689762
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed
Institute State Institute District Institute Taluka
Maharashtra Nashik Niphad
College Name / School Name Course Name Board/University
SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Mode Admission Year Passing Year
Regular 2017 2018
Result Percentage Attempts
Passed 77.60 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed Maharashtra Nashik
Institute Taluka College Name / School Name Course Name
Niphad K.K.WAGH SEC SCHOOL & 12th Science
JUNIOR COLLEGE
Board/University
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION Mode Admission Year
Regular 2019
Passing Year Result Percentage
2020 Passed 73.38
Attempts Is Gap?
1 No

Current Course Details


ApplicationID :2425VJO1005689762
Admission Year In Current Institute State Institute District
Course Maharashtra Chhatrapati Sambhaji Nagar
2021
Institute Taluka Qualification Level
Aurangabad Under Graduate Course
Stream College Name/school Name Course Name
Health Science Govt. Medical College, Bachelor of medicine &
Aurangabad Bachelor of Surgery(MBBS)
Admission Type Application Admission ID/CAP Year Of Study
Through CAP/Govt. Quota ID/CLAT Admit Card No Second Year
3113105367
Completed Or Continue
Pursuing
Admission Date Admission Year in Percentage
01/09/24 College/Institute -
-
Result
-
Fees Paid Course Type Admission Through Open Or
0.00 Aided Reserved Category?
(OBC) Other Backward Class
Gap Year Mode Gap Reason
2 Regular Medical Reason
CET / Merit Percentage / CLAT Admission Year In Current Institute State
Score Course Maharashtra
66 2021
Institute District
Chhatrapati Sambhaji Nagar Institute Taluka Qualification Level
Aurangabad Under Graduate Course
Stream College Name/school Name Course Name
Health Science Govt. Medical College, Bachelor of medicine &
Aurangabad Bachelor of Surgery(MBBS)
Admission Type Application Admission ID/CAP Year Of Study
Through CAP/Govt. Quota ID/CLAT Admit Card No First Year
3113105367
Completed Or Continue
Completed
Admission Date Admission Year in Percentage
- College/Institute 60
2021
Result
Passed
Fees Paid Course Type Admission Through Open Or
Aided Reserved Category?
(OBC) Other Backward Class
Gap Year Mode Gap Reason
0 Regular
CET / Merit Percentage / CLAT
Score
66
Hostel Details
ApplicationID :2425VJO1005689762
Hosteller / Day Scholor Type Hostel Type Hostel Name
Hosteller Govt. Govt. Medical College,
Aurangabad
Is Hostel Aided? Hostel Address Is Mess Available ?
431001 No
Rent Per Month State District
Maharashtra Chhatrapati Sambhaji Nagar
Additional Question
ApplicationID :2425VJO1005689762
Question Answer
2 Question
How many boys child (including Enter your last year
you) in your family of the same MahaEschol Application ID
parents?
Answer
2122VJO1003267032 Question
Caste Validity – (Mandatory for
Professional Degree courses,
Professional Post Graduate. For
Non Professional courses cast
validity is not mandatory)
Answer Question Answer
cast validity_11zon.pdf Declaration certificate of Declaration 1_11zon.pdf
parents/guardians about
number of children
beneficiaries Question
Leaving Certificate
Answer
leaving certificate_11zon.pdf Question Answer
Have you applied for any other No
scholarship
Question Answer
Ration Card for identify number Ration card xrox_11zon.pdf Question
of children in family Is this a Renewal Application?
Answer
Yes
Benefits
ApplicationID :2425VJO1005689762
Tution Fee
103900.00
Exam Fee
0.00
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
University Student Insurance
Fund
0.00
Youth Festival Charges
0.00
Number of Months for which
benefit is allotted
10.00
Maintenance Allowance per
month
141.00
Total Maintenance Allowance
1410.00
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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