Applicant Details
Applicant Photo
ApplicationID :1920DTR1000272659
Application ID Scheme Name
1920DTR1000272659 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)
Department Name Applied Date
Directorate of Technical 14/10/2019
Education
Personal Details
ApplicationID :1920DTR1000272659
Full Name Mobile Number. Email ID
Selin Dineshbhai Patel xxxxxx4136 8****y@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.)
PATEL SELIN DINESHBHAI
Parent's/Guardian Mobile No Dependent Type
xxxxxx6902 -
Permanent address Details
ApplicationID :1920DTR1000272659
Address State District
,,,,422003 Maharashtra Nashik
Taluka Village Pincode
422003
IsCorrespondence Address
same as Permanent?
No
Correspondence Address Details
ApplicationID :1920DTR1000272659
Address State District
11 PANCHAVATI TOWERS, MAHARASHTRA Nashik
ADITYA KUNJ, DINDORI ROAD,
PANCHAVATI NASHIK 422003
Taluka Village
Nashik
Pincode
422003
IsCorrespondence Address
same as Permanent?
No
Income Details
ApplicationID :1920DTR1000272659
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 320000.00
No
Income Certificate No
41521261349
Issuing Authority Date of Issue
Tahsildar 13/06/2018
Domicile Details
ApplicationID :1920DTR1000272659
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41521265436
Does your Certificate have a Applicant Name Issuing Authority
Barcode? PATEL SELIN DINESHBHAI Tahsildar
No
Date of Issue
15/06/2018
Caste Details
ApplicationID :1920DTR1000272659
Caste Category
General
Personal Eligibility Details
ApplicationID :1920DTR1000272659
Are you Salaried? Job Type Disability of any Type?
No - Yes
Disability Type Person with Disability Do you have Disability
Permanent Low Vision Certificate ?
Yes
Disability Percentage (Should Issuing Authority Date of Issue
not less than 40%) Civil Surgeon 09/03/2018
40
Disability Certificate Number Date of Issue1
507419 09/03/2018
Parent's/Guardian's Details
ApplicationID :1920DTR1000272659
Is Father Alive? Father Name Is Father Salaried?
Yes DINESHBHAI No
Is Mother Alive? Mother Name Is Mother Salaried?
Yes VANDANA No
Past Qualification Details
ApplicationID :1920DTR1000272659
Qualification Level Stream Completed
Under Graduate Course Commerce Completed
Institute State Institute District Institute Taluka
MAHARASHTRA Nashik Nashik
College Name / School Name Course Name Board/University
Gokhale Education Society's B.Com. SAVITRIBAI PHULE PUNE
BYK College of Commerce, UNIVERSITY
Nashik
Mode Admission Year
Regular 2015
Passing Year Result Percentage
2018 Passed 55.00
Attempts Is Gap? Qualification Level
1 No S.S.C. (10 Std)
Stream Completed Institute State
SSC Completed MAHARASHTRA
Institute District Institute Taluka College Name / School Name
Nashik Nashik
Course Name
SSC
Board/University Mode Admission Year
MAHARASHTRA STATE BOARD Regular 2012
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2013 Passed
Percentage Attempts Is Gap?
61.20 1 No
Qualification Level Stream Completed
H.S.C. (12 Std) Commerce Completed
Institute State Institute District Institute Taluka
MAHARASHTRA Nashik Nashik
College Name / School Name Course Name Board/University
HSC Maharashtra State board of
higher secondary education
Mode Admission Year Passing Year
Regular 2013 2015
Result Percentage Attempts
Passed 65.38 1
Is Gap?
No
Current Course Details
ApplicationID :1920DTR1000272659
Admission Year In Current Institute State Institute District
Course MAHARASHTRA Pune
2018
Institute Taluka Qualification Level
Mulshi Post Graduate Course
Stream College Name/school Name Course Name
Management Shree C. E. Society's Indira M. B. A.
Institute of Management, Pune
Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or Continue
ID First Year Completed
MB18134718
Admission Date Admission Year in
- College/Institute
2018
Percentage Result Fees Paid
59.68 Passed 110313.00
Course Type Admission Through Open Or Gap Year
UnAided Reserved Category? 0
General
Mode
Regular
Gap Reason CET / Merit Percentage Admission Year In Current
0 Course
2018
Institute State Institute District Institute Taluka
MAHARASHTRA Pune Mulshi
Qualification Level Stream College Name/school Name
Post Graduate Course Management Shree C. E. Society's Indira
Institute of Management, Pune
Course Name Admission Type Application Admission ID/CAP
M. B. A. Through CAP/Govt. Quota ID
MB18134718
Year Of Study Completed Or Continue Admission Date
Second Year Pursuing 20/07/19
Admission Year in Percentage Result
College/Institute - -
-
Fees Paid Course Type
110313.00 UnAided
Admission Through Open Or Gap Year Mode
Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage
0
Hostel Details
ApplicationID :1920DTR1000272659
Hosteller / Day Scholor Type
Day Scholar
Additional Question
ApplicationID :1920DTR1000272659
Question Answer
Do you avail any scholarship / No Question
stipend ? your number of beneficiary in
family ?
Answer
Question Answer
1
Upload undertaking form that undertaking.jpg
same year not more than two
beneficiary in family
Question
Is this a Renewal Application?
Answer
Question Answer
Yes
Enter previous year application 1819DTR1000063789
ID
Question Answer
Is taking benefit of TFWS No Question
(Tuition Fee Waiver Scheme)? Is admitted under EWS seat?
Answer
No
Benefits
ApplicationID :1920DTR1000272659
Tution Fee
167727.00
50% Tution Fee
83863.50
Exam Fee
3230.00
50% of Exam Fee
1615.00
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.
View Uploaded Documents
