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Panjabrao

The document contains details of an application for a scholarship scheme. It includes personal details of the applicant such as name, date of birth, address, family income, educational qualifications and details of a current undergraduate engineering course.

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Gauriii thorat.
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0% found this document useful (0 votes)
117 views7 pages

Panjabrao

The document contains details of an application for a scholarship scheme. It includes personal details of the applicant such as name, date of birth, address, family income, educational qualifications and details of a current undergraduate engineering course.

Uploaded by

Gauriii thorat.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Applicant Details

Applicant Photo
ApplicationID :2122DTN1000202692

Application ID Scheme Name


2122DTN1000202692 Dr Panjabrao Deshmukh

Vastigruh Nirvah Bhatta
Yojna(DTE)

Department Name Applied Date


Directorate of Technical 28/01/2022
Education

Personal Details
ApplicationID :2122DTN1000202692

Full Name Mobile Number. Email ID


Nikhil Jaysingh Ghadge xxxxxx8231 n****5@gmail.com

Date Of Birth Gender Age


xx/xx/2001 Male 20

Religion Marital Status Applicant Full Name (As Per


Hindu Unmarried SSC Marksheet/ L.C.)

Ghadge Nikhil Jaysing

Parent's/Guardian Mobile No Dependent Type


xxxxxx2127 -

Permanent address Details


ApplicationID :2122DTN1000202692

Address State District


,,At Tavshi Tad,Belkund,413520 Maharashtra Latur

Taluka Village Pincode


Ausa Tavshi tad 413520

IsCorrespondence Address
same as Permanent?
No

Correspondence Address Details


ApplicationID :2122DTN1000202692
Address State District
Ft. no. 22,neha Maharashtra Nashik
park,shikhrewadi,nashik

road,nashik
Taluka Village
Nashik Nashik

Pincode IsCorrespondence Address


422101 same as Permanent?
No

Income Details
ApplicationID :2122DTN1000202692

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 60000.00
No

Income Certificate No
42323188547

Issuing Authority Date of Issue


Tahsildar 26/01/2022

Domicile Details
ApplicationID :2122DTN1000202692

Are you Domicile of Do you have Domicile Relationship Type


Maharashtra? Certificate? Self
Yes Yes

Domicile Certificate No.


42323045901

Does your Certificate have a Applicant Name Issuing Authority


Barcode? Ghadge Nikhil Jaysing Tahsildar
No

Date of Issue
21/06/2017

Caste Details
ApplicationID :2122DTN1000202692

Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes SEBC Barcode?

No

Caste Certificate Number Issuing District Applicant Name


42273073004 Latur Ghadge Nikhil Jaysing

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details


ApplicationID :2122DTN1000202692

Are you Salaried? Disability of any Type?


No No

Parent's/Guardian's Details
ApplicationID :2122DTN1000202692

Is Father Alive? Is Mother Alive? Mother Name


No Yes Vanita

Is Mother Salaried?
No

Past Qualification Details


ApplicationID :2122DTN1000202692

Qualification Level Stream Completed


Diploma Course Engineering Completed

Institute State Institute District Institute Taluka


Maharashtra Palghar Vikramgad

College Name / School Name Course Name Board/University


Government Polytechnic, Post S.S.C. Diploma in MAHARASHTRA STATE BOARD
Vikramgad. Engineering (Polytechnics) - OF TECHNICAL EDUCATION,
Electrical Engineering MUMBAI

Mode Admission Year Passing Year


Regular 2016 2019

Result Percentage Attempts


Passed 75.33 1

Is Gap? Qualification Level Stream


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

Completed Institute State Institute District


Completed Maharashtra Latur

Institute Taluka College Name / School Name Course Name


Latur
SSC

Board/University Mode Admission Year


Regular 2015
MAHARASHTRA STATE BOARD

OF SECONDARY AND HIGHER


Passing Year Result
SECONDARY EDUCATION
2016 Passed

Percentage Attempts Is Gap?


83.20 1 No

Current Course Details


ApplicationID :2122DTN1000202692

Admission Year In Current Institute State Institute District


Course Maharashtra Raigarh
2019

Institute Taluka Qualification Level


Panvel Under Graduate Course

Stream College Name/school Name Course Name


Engineering Jawahar Education Society's Bachelor of Engineering (B. E.)
Annasaheb Chudaman Patil - Electrical Engineering
College of Engineering,

Kharghar, New Mumbai


Admission Type

Through CAP/Govt. Quota


Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No Fourth Year Pursuing
DSE19131806

Admission Date Admission Year in


08/10/21 College/Institute

-

Percentage Result Fees Paid


- - 2034.00

Course Type Admission Through Open Or Gap Year


UnAided Reserved Category? 0
General

Mode
Regular

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


Score Course
75.33 2019

Institute State Institute District Institute Taluka


Maharashtra Raigarh Panvel

Qualification Level Stream College Name/school Name


Under Graduate Course Engineering Jawahar Education Society's

Annasaheb Chudaman Patil
College of Engineering,
Kharghar, New Mumbai

Course Name Admission Type Application Admission ID/CAP


Bachelor of Engineering (B. E.) Through CAP/Govt. Quota ID/CLAT Admit Card No
- Electrical Engineering
DSE19131806

Year Of Study Completed Or Continue Admission Date


Direct Second Year Completed -

Admission Year in Percentage Result


College/Institute 8.86 Passed
2019

Fees Paid Course Type



UnAided

Admission Through Open Or Gap Year Mode


Reserved Category? 0 Regular
General

Gap Reason CET / Merit Percentage / CLAT



Score
75.33

Admission Year In Current Institute State Institute District


Course Maharashtra Raigarh
2019

Institute Taluka Qualification Level


Panvel Under Graduate Course

Stream College Name/school Name Course Name


Engineering Jawahar Education Society's Bachelor of Engineering (B. E.)
Annasaheb Chudaman Patil - Electrical Engineering
College of Engineering,

Kharghar, New Mumbai


Admission Type

Through CAP/Govt. Quota


Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No Third Year Completed
DSE19131806

Admission Date Admission Year in


- College/Institute

2020

Percentage Result Fees Paid


77.27 Passed

Course Type
UnAided

Admission Through Open Or Gap Year Mode


Reserved Category? 0 Regular
General

Gap Reason CET / Merit Percentage / CLAT



Score
75.33

Hostel Details
ApplicationID :2122DTN1000202692

Hosteller / Day Scholor Type Hostel Type Hostel Name


Hosteller Rented House Morya disha appartment

Is Hostel Aided? Hostel Address Is Mess Available ?


Morya disha appartment flat no Yes
202 sector 3 kharghar 410210

Rent Per Month


3600.00

State District
Maharashtra Raigarh

Additional Question
ApplicationID :2122DTN1000202692

Question Answer
Is this a Renewal Application? Yes Question

Enter previous year application
ID

Answer
Question Answer
2021DTN1000156322
Is your Parents are Registered No
labour ?

Question Answer
Is your parents are Alpa bhu Yes Question
dharak Shetkari ?
Upload Apla bhu dharak
Shetkari document

Answer
Question Answer
alpasudharak certificate (1).pdf
Rector 22.pdf
Provide declaration of Rector /

Superintendent of the college


hostel

Question
your number of beneficiary in
family ?

Answer
Question Answer
1
Upload undertaking form that panjabrao declaration.pdf
same year not more than two

beneficiary in family

Question
Is admitted under EWS seat?

Answer
No

Benefits
ApplicationID :2122DTN1000202692

Amount Sanctioned for


Alpabhudharak/Registered
Labours

30000.00

Amount Sanctioned for others


10000.00
Hostel maintenance allowance

30000.00

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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