Applicant Details
Applicant Photo
ApplicationID :2324VJC1000068875
                              Application ID             Scheme Name
                              2324VJC1000068875          Tuition Fees and Examination
                                                         Fees to SBC Students
                              Department Name            Applied Date
                              OBC, SEBC, VJNT &          15/01/2024
                              SBC
                              Welfare Department
 Personal Details
 ApplicationID :2324VJC1000068875
Full Name                     Mobile Number.             Email ID
Gayatri Suryawanshi           xxxxxx4190                 g****7@gmail.com
Date Of Birth                 Gender                     Age
1997                          Female                     27
Religion                      Marital Status             Applicant Full Name (As Per
Hindu                         Unmarried                  SSC Marksheet/ L.C.)
                                                         Gayatri Suryawanshi
Parent's/Guardian Mobile No   Dependent Type
xxxxxx0551
                              -
 Permanent address Details ApplicationID :2324VJC1000068875
Address                       State                      District
B-05/19,pachmarg Road,C.I.S.F Maharashtra                Palghar
Colony,Tarapur,401502
                              Taluka
                                                         Village
                              Palghar
                                                         paachmarg road
Pincode                       IsCorrespondence Address
401502                        same as Permanent?
                              Yes
Correspondence Address Details ApplicationID :2324VJC1000068875
Address                       State                            District
B-05/19,pachmarg Road,C.I.S.F Maharashtra                      Palghar
Colony,Tarapur,401502
                                Taluka
                                                               Village
                                Palghar
                                                               paachmarg road
Pincode
401502
Income   Details
Do you have Income Certificate? Does your Certificate have a   Family Annual Income
ApplicationID
Yes             :2324VJC1000068875
                                Barcode?                       575840.00
                                No
                                                               Income Certificate No
                                                               39651348559
Issuing Authority               Date of Issue
Tahsildar                       10/01/2024
 Domicile Details
 ApplicationID :2324VJC1000068875
Are you Domicile                Do you have Domicile           Relationship Type
of Maharashtra?                 Certificate?                   Self
Yes                             Yes
                                                               Domicile Certificate No.
                                                               266
Does your Certificate have      Applicant Name                 Issuing Authority
a Barcode?                      Gayatri Suryawanshi            Executive magistrate
No
                                Date of Issue
                                04/03/2013
 Caste Details
 ApplicationID :2324VJC1000068875
Do you have Caste Certificate? Caste Category               Does your Certificate have a
Yes                            (SBC) Special Backward Class Barcode?
                                                            No
Caste Certificate Number        Issuing District               Applicant Name
382                             Jalgaon                        Gayatri Suryawanshi
Issuing Authority
Sub Divisional Officer(SDO)
  Personal Eligibility Details ApplicationID :2324VJC1000068875
Are you                      Disability of any Type?
Salaried? No                 No
  Parent's/Guardian's Details ApplicationID :2324VJC1000068875
Is Father                    Father Name                   Is Father
Alive? Yes                   Gajanan pralhad suryawanshi   Salaried? Yes
Father Occupation            Is Mother                     Mother Name
Government servant           Alive? Yes                    Nanda gajanan suryawanshi
Is Mother
Salaried? No
Past Qualification Details ApplicationID :2324VJC1000068875
Qualification Level          Stream                        Completed
Under Graduate               Agriculture                   Completed
Course
Institute State              Institute District            Institute Taluka
Maharashtra                  Thane                         Murbad
College Name / School Name   Course Name                   Board/University
College of Agriculture,      B.Sc. (Agriculture) / B.Sc.   Dr.    Balasaheb       Sawant
Saralgaon Tal.Murbad         (Honours) Agriculture         Konkan Krishi Vidyapeeth,
Dist.Thane 421 401.                                        Dapoli Dist. Ratnagiri
Mode                         Admission Year                Passing Year
Regular                      2015                          2019
Result                       Percentage                    Attempts
Passed                       77.70                         1
Is Gap?                      Qualification Level           Stream
No                           H.S.C. (12 Std)               Science
Completed                    Institute State               Institute District
Completed                    Maharashtra                   Mumbai Suburban
Institute Taluka             Mumbai Suburban
College Name /   C
School Name      o
ATOMIC ENERGY    u
JUNIOR COLLEGE   r
ANUSHAKTINAGA    s
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                 N
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                 2
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MUMBAI94                 Board/University             Mode
                         MAHARASHTRA STATE            Regular
                         BOARD OF SECONDARY AND
                         HIGHER SECONDARY
                         EDUCATION                    Admission Year
                                                      2013
Passing Year             Result                       Percentage
2015                     Passed                       66.31
Attempts                 Is Gap?                      Qualification Level
1                        Yes                          S.S.C. (10 Std)
Stream                   Completed                    Institute State
SSC                      Completed                    Maharashtra
Institute District       Institute Taluka             College Name / School Name
Mumbai Suburban          Mumbai Suburban
                                                      Course Name
                                                      SSC
Board/University         Mode                         Admission Year
CBSE                     Regular                      2011
Passing Year             Result                       Percentage
2013                     Passed                       72.20
Attempts                 Is Gap?
1                        Yes
 Current Course Details ApplicationID :2324VJC1000068875
Admission Year In        Institute State              Institute District
Current Course           Maharashtra                  Mumbai Suburban
2022
                         Institute Taluka             Qualification Level
                         Borivali                     Post Graduate
                                                      Course
Stream                   College Name/school Name       Course Name
Management               Aditya Institute of Management M. M. S.
                         Studies & Research, Borivali
                                                      Admission Type
                                                      Through CAP/Govt. Quota
Application Admission ID/CAP   Year Of Study   Completed Or
ID/CLAT Admit Card No          Second Year     Continue Pursuing
MB22100388
                             Admission Date               Admission Year
                             19/07/23                     in
                                                          College/Institute
                                                          -
Percentage                   Result                       Fees Paid
-                            -                            0.00
Course Type                  Admission Through Open Or    Gap Year
UnAided                      Reserved Category?           0
                             (SBC) Special Backward Class
                                                          Mode
                                                          Regular
Gap Reason                   CET / Merit Percentage /     Admission Year In
                             CLAT Score                   Current Course
                             83.08                        2022
Institute State              Institute District           Institute Taluka
Maharashtra                  Mumbai Suburban              Borivali
Qualification Level          Stream                       College Name/school Name
Post Graduate                Management                   Aditya Institute of Management
Course                                                    Studies & Research, Borivali
Course Name                  Admission Type               Application Admission ID/CAP
M. M. S.                     Through CAP/Govt. Quota      ID/CLAT Admit Card No
                                                          MB22100388
Year Of Study                Completed Or                 Admission Date
First Year                   Continue Completed           -
Admission Year               Percentage                   Result
in                           6.75                         Passed
College/Institute
2022
                             Fees Paid                    Course Type
                                                          UnAided
Admission Through Open Or    Gap Year                     Mode
Reserved Category?           0                            Regular
(SBC) Special Backward Class
                             Gap Reason                   CET / Merit Percentage /
                                                          CLAT Score
                 83.08
Hostel Details
 ApplicationID :2324VJC1000068875
Hosteller / Day Scholor
Type Day Scholar
Additional Question
ApplicationID :2324VJC1000068875
Question                          Answer
Enter your last year              2223VJC1000059795               Question
MahaEschol Application ID
                                                                  CAP Allotment Letter (For
                                                                  Professional Courses)
Answer
cap round_compressed.pdf          Question                        Answer
                                  Declaration certificate of      df.pdf
                                  parents/guardians about
                                  number of children
                                  beneficiaries
                                                                  Question
                                                                  Leaving Certificate
Answer
                                  Question                        Answer
lc-compressed.pdf
                                  Ration card for identify number ration cards-compressed
                                  of children’s in               (1)_11zon.pdf
                                  family
                                                                  Question
                                                                  Cast Validity Certificate (For
                                                                  Professional Courses As Per GR
                                                                  Dated 31st July 2008) Exempted
                                                                  Professional courses to be
                                                                  identified
Answer
                                  Question                        Answer
validity gayatri-compressed.pdf
                                  Is this a Renewal Application? Yes
 Benefits
 ApplicationID :2324VJC1000068875
                                  Tution Fee
135683.00
                                  Exam Fee
3280.00
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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