Applicant Details

Applicant Photo
ApplicationID :2122VJB1000445388

Application ID Scheme Name

2122VJB1000445388 Tuition Fees and Examination

Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 30/01/2022
Welfare Department

Personal Details
ApplicationID :2122VJB1000445388

Full Name Mobile Number. Email ID

Rahul Chandrshekhar Rade xxxxxx5175 c****[email protected]

Date Of Birth Gender Age

xx/xx/2003 Male 19

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)

RADE RAHUL
CHANDRASHEKHAR

Parent's/Guardian Mobile No Dependent Type

xxxxxx9943 -

Permanent address Details

ApplicationID :2122VJB1000445388

Address State District

Plot No. 33, Gat No. Maharashtra Jalgaon
76/1/2,,Opp. Adivasi

Hostel,M.J.College
Taluka Village
Jalgaon,425002

Pincode IsCorrespondence Address

425002 same as Permanent?

Yes

Correspondence Address Details

ApplicationID :2122VJB1000445388
Address State District
Plot No. 33, Gat No. MAHARASHTRA Jalgaon
76/1/2,,Opp. Adivasi

Hostel,M.J.College
Taluka Village
Jalgaon,425002
Jalgaon

Pincode
425002

Income Details
ApplicationID :2122VJB1000445388

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 490900.00
No

Income Certificate No
39661276627

Issuing Authority Date of Issue

Tahsildar 06/05/2021

Domicile Details
ApplicationID :2122VJB1000445388

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes

Domicile Certificate No.

39661123423

Does your Certificate have a Applicant Name Issuing Authority

Barcode? RADE RAHUL Tahsildar
No CHANDRASHEKHAR

Date of Issue
15/05/2019

Caste Details
ApplicationID :2122VJB1000445388

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

4679 Jalgaon RADE RAHUL

CHANDRASHEKHAR

Issuing Authority
Sub Divisional Officer(SDO)
Personal Eligibility Details
ApplicationID :2122VJB1000445388

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :2122VJB1000445388

Is Father Alive? Father Name Is Father Salaried?

Yes CHANDRASHEKHAR BHASKAR Yes
RADE

Father Occupation
Business

Is Mother Alive? Mother Name Is Mother Salaried?

Yes POONAM CHANDRASHEKHAR No
RADE

Past Qualification Details

ApplicationID :2122VJB1000445388

Qualification Level Stream Completed

F.Y.J.C. (11 Std) Science Completed

Institute State Institute District Institute Taluka

Maharashtra Jalgaon Jalgaon

College Name / School Name Course Name Board/University

Dhanaji Nana Chaudhari Vidya 11th Science MAHARASHTRA STATE BOARD
Prabodhinis Art , Commerce &
OF SECONDARY AND HIGHER
Science Jr College, Jalgaon SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2019 2020

Result Percentage Attempts

Passed 62.00 1

Is Gap? Qualification Level Stream

No H.S.C. (12 Std) Science

Completed Institute State Institute District

Completed Maharashtra Jalgaon

Institute Taluka College Name / School Name Course Name

Jalgaon 12th Science
 Dhanaji Nana Chaudhari Vidya

Prabodhinis Art , Commerce &

Board/University
Science Jr College, Jalgaon
MAHARASHTRA STATE BOARD

OF SECONDARY AND HIGHER

SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2020 2021

Result Percentage Attempts

Passed 89.17 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed Maharashtra Jalgaon

Institute Taluka College Name / School Name Course Name

Jalgaon
SSC

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2018
OF SECONDARY AND HIGHER

SECONDARY EDUCATION
Passing Year Result
2019 Passed

Percentage Attempts Is Gap?

87.20 1 No

Current Course Details

ApplicationID :2122VJB1000445388

Admission Year In Current Institute State Institute District

Course Maharashtra Thane
2021

Institute Taluka Qualification Level

Thane Under Graduate Course

Stream College Name/school Name Course Name

Engineering N.Y.S.S.'s Datta Meghe College Bachelor of Engineering (B. E.)
of Engineering, Airoli, Navi - Computer Engineering
Mumbai

Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No First Year Pursuing
EN21118105

Admission Date Admission Year in

19/12/21 College/Institute

-

Percentage Result Fees Paid

- - 44445.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
(OBC) Other Backward Class

Mode
Regular

Gap Reason CET / Merit Percentage / CLAT

Score
82

Hostel Details
ApplicationID :2122VJB1000445388

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :2122VJB1000445388

Question Answer
Is this a Renewal Application? No Question

Declaration certificate of
parents/guardians about
number of children
beneficiaries

Answer
Question Answer
PP.jpg
Leaving Certificate PP.1.jpg

Question
Ration card for identify number
of children’s in family

Answer
Question Answer
resation.jpg
CAP Allotment Letter (For

Professional Courses)

Question
 Cast Validity Certificate (For
Professional Courses As Per GR
Dated 31st July 2008) Exempted
Professional courses to be
identified

Answer
rd.4.jpg

Benefits
ApplicationID :2122VJB1000445388

Tution Fee

84822.00
50% Tution Fee

42411.00
Exam Fee

2034.00
50% of Exam Fee

1017.00

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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